Background <p>A new national model for quality improvement in general practice based on the concept of quality clusters was introduced in Denmark in 2018. A quality cluster is a local group of general practitioners (GPs) meeting regularly to engage in quality improvement on self-selected topics.</p> Aim <p>To explore (1) GPs’ experiences of cluster meetings, and (2) associations between meeting experiences and self-reported benefits of participation.</p> Design <p>A national cross-sectional survey study in general practice. In 2020, a questionnaire regarding quality clusters was sent to all Danish GPs (<i>n</i> = 3432). GPs self-reported benefits from cluster participation comprised: overall benefit, changes in clinical organization and workflow, changes in drug prescriptions, improved knowledge of guidelines, and improved patient care.</p> Results <p>1219 GPs (36%) participated. Results showed that cluster meetings were partly or fully perceived to be well organized (89%) and focused on relevant topics (89%), and that meetings took place in a friendly atmosphere (90%) where experiences were shared (93%). Two-thirds of the GPs found that the data was useful (67%), that their cluster showed a high level of commitment (66%), and that agreement was easily reached (61%). Meetings which were perceived as productive, with useful data, and with a high level of commitment were associated with statistically significantly higher odds for reporting benefits across all self-reported benefits investigated.</p> Conclusion <p>Overall, cluster meetings were perceived positively by the GPs and associated with benefits when experienced as productive, with useful data, and a high level of commitment.</p>

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Experiences of quality cluster meetings in general practice – Findings from a national survey two years after initiation of quality clusters in Denmark

  • Maria Bundgaard,
  • Line Bjørnskov Pedersen,
  • Jens Søndergaard,
  • Marius Brostrøm Kousgaard,
  • Sonja Wehberg,
  • Dorte Ejg Jarbøl

摘要

Background

A new national model for quality improvement in general practice based on the concept of quality clusters was introduced in Denmark in 2018. A quality cluster is a local group of general practitioners (GPs) meeting regularly to engage in quality improvement on self-selected topics.

Aim

To explore (1) GPs’ experiences of cluster meetings, and (2) associations between meeting experiences and self-reported benefits of participation.

Design

A national cross-sectional survey study in general practice. In 2020, a questionnaire regarding quality clusters was sent to all Danish GPs (n = 3432). GPs self-reported benefits from cluster participation comprised: overall benefit, changes in clinical organization and workflow, changes in drug prescriptions, improved knowledge of guidelines, and improved patient care.

Results

1219 GPs (36%) participated. Results showed that cluster meetings were partly or fully perceived to be well organized (89%) and focused on relevant topics (89%), and that meetings took place in a friendly atmosphere (90%) where experiences were shared (93%). Two-thirds of the GPs found that the data was useful (67%), that their cluster showed a high level of commitment (66%), and that agreement was easily reached (61%). Meetings which were perceived as productive, with useful data, and with a high level of commitment were associated with statistically significantly higher odds for reporting benefits across all self-reported benefits investigated.

Conclusion

Overall, cluster meetings were perceived positively by the GPs and associated with benefits when experienced as productive, with useful data, and a high level of commitment.