status quo of quo vadis? - KCE

2 Quality development in general practice in Belgium: status quo or quo vadis ? KCE Reports 76
2.5.5 France: an outlier 41
2.5.6 Conditions for implementation 41
3 EPA INSTRUMENT: APPLICABILITY IN THE BELGIAN CONTEXT 42
3.1 INTRODUCTION 42
3.2 METHODOLOGY 43
3.2.1 EPA instrument 43
3.2.2 Sampling 43
3.2.3 The process of the practice visit 44
3.2.4 Qualitative evaluation of the EPA process 44
3.3 RESULTS 45
3.3.1 Organisational process 45
3.3.2 Qualitative evaluation of the process 46
3.3.3 Outcome evaluation 50
3.4 DISCUSSION: EPA IN BELGIUM? 51
3.4.1 Organisational load for implementing the EPA procedure 51
3.4.2 Perception of the visitors and participant GPs 51
3.5 CONCLUSION: EPA PROJECT 52
4 ELEMENTS FOR A QUALITY DEVELOPMENT FRAMEWORK FOR GENERAL PRACTICE IN
BELGIUM: STATUS QUO OR QUO VADIS? 54
4.1 EVALUATION OF CURRENT QUALITY DEVELOPMENT INITIATIVES IN GENERAL PRACTICE IN BELGIUM 54
4.2 LESSONS FROM THE REVIEW OF FIVE COUNTRIES 54
4.3 10 ELEMENTS FOR A QUALITY FRAMEWORK IN BELGIUM 55
4.3.1 Need for professional culture change 57
4.3.2 Health Authorities in a future quality system 57
4.3.3 Stakeholders 57
4.3.4 Emphasis on the GP practice 58
4.3.5 Internal and external drivers for change 58
4.3.6 Organizational capacity of the practices for quality development; manpower and IT 58
4.3.7 Development of a set of quality indicators 59
4.3.8 Role of the scientific GP bodies 59
4.3.9 Importance of an independent trustworthy body 59
4.3.10 Financial support 60
5 REFERENCES 62
6 APPENDICES 70