Long-term follow-up in the peer assessment program for nonspecialist physicians in Ontario, Canada.
The College of Physicians and Surgeons Of Ontario has assessed randomly selected physician office practices since 1972.
Each assessment consists of a tour of the premises and a review of a random selection of 20 to 30 medical records to evaluate the system of record keeping and the content of the records and to thereby indicate the quality of the physician's examinations, history taking, diagnosis and management plan.
About 12% of nonspecialist physicians who need help to improve their records and/or the care they provide are identified annually, and following an interview with peers and simple educational interventions, more than 75% are successful in improving.
A follow-up was conducted to assess physician practices an average of six years after the first intervention.
The reviewers were blinded as to whether the physician being reviewed had been reviewed previously.
Each revisited physician was matched to three others undergoing their initial assessments in the same year.
The matching variables were age, sex, school of graduation (Canadian versus other), rural versus urban practice location, and affiliation status with the College of Family Physicians of Canada.
The assessed performance of the two groups was compared.
The performance of the revisit group was significantly better than that of the matched group (p=0.05). (...)
Mots-clés Pascal : Evaluation, Méthodologie, Canada, Amérique du Nord, Amérique, Monde, Médecin généraliste, Médecin, Personnel sanitaire, Travailleur social, Pratique professionnelle, Information, Dossier médical, Registre, Epidémiologie, Aspect politique, Géographie, Etude cas, Collecte donnée
Mots-clés Pascal anglais : Evaluation, Methodology, Canada, North America, America, World, General practitioner, Physician, Health staff, Social worker, Professional practice, Information, Medical record, Register, Epidemiology, Political aspect, Geography, Case study, Data gathering
Notice produite par :
ORS Auvergne - Observatoire Régional de la Santé d'Auvergne
Code Inist : 002B30A11. Création : 11/09/1998.