Gebruik van kwaliteitsevaluaties door internisten

Objective

To obtain an insight into how internists and residents use quality assessments and their opinions on these assessments.

Design

Questionnaire survey.

Method

All 139 internists and residents who attended a national training day on internal medicine in 2012 were invited to answer questions anonymously on the actual use of various quality assessments and to give their opinion on these assessments. The questionnaire consisted of closed and free text questions. The answers were analysed using descriptive statistics. The qualitative information was analysed together by the investigators.

Results

In total 123 doctors (88% of the 139 attendants at the training day) from 45 training hospitals (74% of all internal medicine residency training programs) participated in this study. All respondents had recently participated as an individual or as a member of a group in one or more quality assessments. Medical departments and group practices carried out quality assessments more often than required in many cases. Respondents recognised and acknowledged the advantages of quality assessments. The disadvantages of quality assessments related to the methods, the ways assessments were used and undesirable effects. Most of the medical departments and group practices developed policies on how to follow up on the assessment results. Individual performance data was also discussed in the majority of cases.

Conclusion

Internists (whether or not undergoing training) make extensive and intensive use of quality assessments. The benefits and the weaknesses of quality assessments are both acknowledged. Proactive efforts are required so that improvements can be made in addition to the assessments.

Conflict of interest and financial support: ICMJE forms provided by the authors are available online along with the full text of this article.