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Key elements of high‐quality practice organisation in primary health care: a systematic review
Author(s) -
Crossland Lisa,
Janamian Tina,
Jackson Claire L
Publication year - 2014
Publication title -
medical journal of australia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.904
H-Index - 131
eISSN - 1326-5377
pISSN - 0025-729X
DOI - 10.5694/mja14.00305
Subject(s) - key (lock) , quality (philosophy) , process management , primary care , primary health care , business , health care , medicine , knowledge management , computer science , political science , family medicine , computer security , philosophy , epistemology , law
Objectives: To identify elements that are integral to high‐quality practice and determine considerations relating to high‐quality practice organisation in primary care. Study d esign: A narrative systematic review of published and grey literature. Data s ources: Electronic databases (PubMed, CINAHL, the Cochrane Library, Embase, Emerald Insight, PsycInfo, the Primary Health Care Research and Information Service website, Google Scholar) were searched in November 2013 and used to identify articles published in English from 2002 to 2013. Reference lists of included articles were searched for relevant unpublished articles and reports. Data synthesis: Data were configured at the study level to allow for the inclusion of findings from a broad range of study types. Ten elements were most often included in the existing organisational assessment tools. A further three elements were identified from an inductive thematic analysis of descriptive articles, and were noted as important considerations in effective quality improvement in primary care settings. Conclusion: Although there are some validated tools available to primary care that identify and build quality, most are single‐strategy approaches developed outside health care settings. There are currently no validated organisational improvement tools, designed specifically for primary health care, which combine all elements of practice improvement and whose use does not require extensive external facilitation.