Background
Methods
Study design
Study population
Drafting questions
Data collection and analysis
Questionnaire round
Preselection | Median Likert score ≥ 7 and top percentage ≥ 20% | Selection |
Median Likert score ≥ 7 and the top percentage between 1-20% | Discussion | |
Median Likert score < 7 and top percentage ≥20% | Discussion | |
Other | No selection | |
Consensus | ≥70% of median Likert scores in highest tertile | Consensus |
≥ 30% of median Likert scores in highest tertile and ≥ 30% in lowest tertile | Discussion | |
Other | No consensus |
Consensus round
Final evaluation
Final questionnaire
Results
Drafting questions
Questionnaire round
Consensus round
Number | Description |
---|---|
Part 1 | This section questions caregiver and practice data |
Question 1 | What role do you assume as a caregiver? |
• General Practitioner (GP) | |
• Trainee GP | |
• Specialist | |
• Practice assistant | |
• Nurse | |
• Home nursing | |
• Pharmacist | |
• Physiotherapist | |
• Dentist | |
• Other | |
Specify: (open) | |
Question 2 | How long have you been professionally active as a healthcare provider? |
• <5 years | |
• 5-10 years | |
• 11-20 years | |
• 21-30 years | |
• >30 years | |
Question 3 | What is your gender? |
• Man | |
• Woman | |
• X | |
• I don’t want to say | |
Question 4 | Where is your practice located? |
• Postcode: (structured list) | |
Question 5 | What type of practice do you mainly work in? |
• Solo practice/ pharmacy (1 health care provider) | |
• Duo practice/ pharmacy (2 health care providers, the same discipline) | |
• Monodisciplinary group practice/ team (3 or more health care providers, the same discipline) | |
• Multidisciplinary group practice/ team (3 or more health care providers, different disciplines) | |
• Community health center (3 or more health care providers, an organized collaboration between at least general practitioner medicine, a paramedical discipline and a discipline of social work, flat-rate payment system) | |
• Hospital | |
• Other: (open) | |
Question 6 | What payment system do you work with? |
• Flat-rate payment system | |
• Performance-based system | |
Question 7 | Does your practice or team employ a practice assistant and/or administrative assistant? |
• Yes | |
• No | |
Question 8 | Does your practice currently employ a trainee general practitioner? |
• Yes | |
• No | |
Question 9 | How many in-person patient contacts (consultation and home visits) do you have per health care provider on an average weekday? |
• ≤10 | |
• 11-20 | |
• 21-30 | |
• 31-40 | |
• >40 | |
Question 10 | Did you participate at least once in the Audit? |
• Yes | |
• No | |
Question 11 | Why did you not participate in the Audit? (open) |
Part 2.1 | Purpose of the survey |
Question 12 | Please indicate the extent to which you agree with the following statements: |
Question 12.1 | The purpose of the Audit is clear to me. |
Question 12.2 | I find the purpose of the Audit relevant to the work I do today. |
Question 12.3 | I find that using the Audit positively affects my current way of working. |
Part 2.2 | Collection of data through the EMD |
Question 13 | How satisfied are you with the way the data was collected? (Completing and submitting the e-form in the EHR) |
• Very satisfied | |
• Rather satisfied | |
• Neutral | |
• Rather dissatisfied | |
• Very dissatisfied | |
Question 14 | How could we improve the way we collect data? (open) |
Question 15 | Indicate the extent to which you agree with the following statement: I feel that the data and results retrieved are an accurate representation of my practice. |
• Totally agree | |
• Rather agree | |
• Neutral | |
• Rather disagree | |
• Totally disagree | |
Question 16 | How satisfied are you with the frequency of data retrieval? |
• Very satisfied | |
• Rather satisfied | |
• Neutral | |
• Rather dissatisfied | |
• Very dissatisfied | |
• Totally disagree | |
Question 17 | How frequently would you like to participate in the Audit? |
• Biweekly | |
• Monthly | |
• Quarterly | |
• Semi-annually | |
• Other: open | |
Question 18 | Indicate the extent to which you agree with the following statement: I find participation in the Audit (collecting data and sending the eForm) time consuming. |
• Totally agree | |
• Rather agree | |
• Neutral | |
• Rather disagree | |
• Totally disagree | |
Part 2.3 | Get feedback |
Question 19 | How frequently did you use the feedback? |
• Several times a week | |
• Once a week | |
• Several times a month | |
• Once a month | |
• Several times every six months | |
• Once every six months | |
• Never | |
• Other: (open) | |
Question 20 | Why did you never look at the feedback? (open) |
Question 21 | Please indicate the extent to which you are satisfied: |
Question 21.1 | How satisfied are you about how feedback is given (in general)? |
Question 21.2 | How satisfied are you about the frequency of the feedback? |
Question 21.3 | How satisfied are you about getting feedback per practice, as opposed to being able to get feedback per individual physician? |
Question 21.4 | How satisfied are you about the way the performance level of the practice is displayed by means of tables and graphs? |
Question 21.5 | How satisfied are you about the content of the feedback? |
Question 21.6 | How satisfied are you about the possibility to compare performance level of the practice with others (province/ primary care area/...) and the number of levels available for comparison? (benchmarking) |
Question 22 | Please indicate the extent to which you agree with the following statements: |
Question 22.1 | I find the feedback given relevant to achieving a better level of performance. |
Question 22.2 | I find it useful that the current level of performance is shown in relation to the previous level of performance (longitudinal view of performance level). |
Question 22.3 | I find the way a feedback report can be viewed user-friendly. |
Question 23 | Did you set up any type of quality improvement project in your practice based on the feedback provided? |
• Yes | |
• No | |
Question 24 | Why did you/ didn’t you set up a quality improvement project? (open) |
Question 25 | Please indicate the extent to which you agree with the following statements: |
Question 25.1 | I find the effort I have to put into reviewing the feedback negligible. |
Question 25.2 | I am satisfied with the amount of feedback given. |
Question 25.3 | The feedback should contain written advice that aims to improve my performance level and is easy to implement. |
Question 25.4 | If I received the feedback directly in my EMD (push system), I would use it more frequently. |
Question 25.5 | The feedback provided aims to support me in improving the performance level of my practice. |
Part 2.4 | Co-interventions |
Question 26 | Please indicate the extent to which you agree with the following statement: A discussion with other GPs regarding the feedback received seems a useful addition in order to arrive at changes in my medical practice. |
• Totally agree | |
• Rather agree | |
• Neutral | |
• Rather disagree | |
• Totally disagree | |
Question 27 | How satisfied are you regarding the support on using the Audit and getting feedback (webinar, film clip)? |
• Very satisfied | |
• Rather satisfied | |
• Neutral | |
• Rather dissatisfied | |
• Very dissatisfied | |
• I haven’t looked into it | |
Question 28 | How satisfied are you with the way questions and problems related to the audit were resolved? |
• Very satisfied | |
• Rather satisfied | |
• Neutral | |
• Rather dissatisfied | |
• Very dissatisfied | |
• I did not contact the helpdesk | |
Question 29 | Indicate the extent to which you agree with the following statement: The reminder helped me participate in the Audit. |
• Totally agree | |
• Rather agree | |
• Neutral | |
• Rather disagree | |
• Totally disagree | |
Question 30 | Non-mandatory question: Is there anything else you would like to mention? (open) |