Letters
Performance indicators for general practice
Emphasis is changing from quality assurance to continuous quality improvementEDITOR,--Performance indicators have long been used in the United States as a tool of quality assurance programmes and are now being promoted in Britain.1 The emphasis of quality assurance on identifying "problems" and the "bad apples" in medicine is, however, now being viewed in the United States as counter productive. Unsurprisingly, it is difficult for a negatively oriented process to engender the enthusiasm and capture the support of health care professionals. That is not to say that standards are not required, but in the United States the emphasis is changing from quality assurance to continuous quality improvement.
The Joint Commission on Accreditation of Healthcare Organisations has used performance indicators as part of its quality assurance programme and will continue to do so, but it is placing increasing emphasis on continuous quality improvement.2 Many general practitioners must fear that performance indicators
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- Performance indicators for general practice
- F Azeem Majeed and Simon Voss
BMJ 1995 311: 209-210.[Extract] [Full Text]
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