Background
Aims
Research Questions
Establishing and maintaining the CoP
Monitoring the work of the CoP
Sustaining the CoP and managing the reaction of members
Methods
1. Establishing and maintaining the CoP
Recruitment
Part time practice
Patient, age [refer to] | Problem and duration... | Positive findings on examination... | Results of Investigations: positive findings only..... | Other.... |
---|---|---|---|---|
Sue Eggleston, 51 [Gynaecologist] | Postmenopausal bleeding, two episodes of bleeding 6 months after menopause | Nil | Nil abnormal | Anxious, divorced from husband 3 months ago. |
2. Monitoring the work of the CoP
Statistical analysis
3. Sustaining the CoP and managing the reaction of members
Maintaining members' interest and involvement
Anticipating adverse reactions
Adding value and closure
Results
Establishing and maintaining the CoP
Monitoring the work of the CoP
GP | Age | Gender | Location R (Rural), M (Metro). | Years in medical practice | Working status FT (Full time), PT (Part time) LM (Locum) | Participation in both rounds of audit cycle |
---|---|---|---|---|---|---|
1 | 31 | F | M | 8 | FT | Yes |
2 | 36 | F | M | 12 | LM | No |
3 | 42 | F | M | 20 | FT | Yes |
4 | 46 | M | M | 20 | FT | Yes |
5 | 38 | M | M | 14 | FT | Yes |
6 | 35 | M | M | - | FT | No |
7 | 34 | M | M | 10 | FT | No |
8 | 50 | M | M | 13 | FT | No |
9 | 44 | M | M | 20 | PT | Yes |
10 | 39 | F | M | 9 | LM | No |
11 | 42 | M | R | 15 | PT | No |
12 | 36 | M | R | 10 | FT | No |
13 | 29 | M | R | 5 | FT | No |
14 | - | M | R | - | - | No |
15 | 45 | F | R | 12 | FT | No |
A | B | |||||
---|---|---|---|---|---|---|
Speciality | Mean Difference Phase 1 → 2 | 95% CI | p-value | Mean difference relative to breast referrals at second phase | 95% CI | p-value |
Breast | 31.0 | 19.4–42.5 | <0.001 | - | - | - |
Colorectal | 24.8 | 6.7–42.7 | 0.006 | -10.4 | -21.6 – 0.7 | 0.065 |
Urology | 20.4 | 7.3–35.6 | 0.002 | -23.9 | -38.3 – -9.5 | 0.001 |
Gynaecology | 23.9 | 12.9–35.0 | <0.001 | -14.9 | -20.7 – -9.1 | <0.001 |
Respiratory | 31.7 | 21.3–42.2 | <0.001 | -6.1 | -14.4 – 2.24 | 0.153 |
Upper GI | 16.0 | 4.0–28.1 | 0.009 | -21.3 | -31.2 – -11.3 | <0.001 |