[Structured public health quality circle on the topic of diabetes management in general practice].
The efficacy of quality circles has not yet been evaluated in controlled studies in Germany. The Central Research Institute for Ambulatory Health Care in Germany conducted a prospective controlled trial in order to evaluate the effects of structured quality circles on the process of quality ambulatory care for diabetic patients. Following a training for moderators (two for each quality circle) two quality circles undertook five sessions. In a representative random sample (25 diabetic patients per practice), the quality of diabetes care was evaluated before and after participation in the quality circles and was compared to the results of a control group without peer review. The participation in a quality circle resulted in a significant and relevant improvement of the quality concerning the detection of diabetes related complications.
Hartmann
P
P
Zentralinstitut für die kassenärztliche Versorgung, Bundesrepublik Deutschland, Köln.
Grüsser
M
M
Jörgens
V
V
D003920:Diabetes Mellitus / Q000628:therapy*; D017719:Diabetic Foot / Q000517:prevention & control; D003929:Diabetic Neuropathies / Q000517:prevention & control; D003930:Diabetic Retinopathy / Q000517:prevention & control; D004502:Education, Medical, Continuing; D005194:Family Practice / Q000193:education*; D005858:Germany; D006801:Humans; D008332:Management Quality Circles; D010380:Peer Review; D018794:Problem-Based Learning; D011446:Prospective Studies; D011785:Quality Assurance, Health Care
Strukturierte kassenärztliche Qualitätszirkel zum Thema Diabetikerbetreuung in der Praxis.