Survey of general practice audit in Leeds.
OBJECTIVE
To determine general practitioners' attitudes to medical audit and to establish what initiatives are already being undertaken; to define future ideas for audit and perceived difficulties in implementing audit in primary care.


METHODS
Analysis of responses to a self administered postal questionnaire.


METHODS
Urban conurbation with a population of about 750,000.


METHODS
386 general practitioners on the general medical list of Leeds Family Practitioner Committee.


METHODS
Extent of recording of practice activity data and outcome measures and clinical data, use of data, and audit performed; ideas for audit and perceived difficulties.


RESULTS
317 doctors responded to the questionnaire (individual response rate 82%) from 121 practices (practice response rate 88%). In all, 206 doctors thought that audit could improve the quality of care; 292 collected practice activity data, though 143 of them did not use it. A total of 111 doctors recorded some outcome measures, though half of them did not use them. Varying proportions of doctors had registers, for various diseases (136 had at least one register), disease management policies (60 doctors), and prescribing policies. In all, 184 doctors met monthly with other members of the primary health care team.


CONCLUSIONS
Much poorly focused data collection is taking place. Some doctors have experience in setting up basic information systems and practice policies, and some audit is being performed. The family health services authorities need to take seriously the perceived difficulties of time, organisation, and resources concerned with audit.
Webb
S J
SJ
Department of General Practice, University of Leeds, St James's Hospital.
Dowell
A C
AC
Heywood
P
P
D001291:Attitude of Health Personnel; D003625:Data Collection; D004739:England; D005194:Family Practice / Q000592:standards*; D008485:Medical Audit; D011795:Surveys and Questionnaires; D014505:Urban Population