title: Diffusion of a quality improvement programme among allied health professionals.
abstract: OBJECTIVE
  To assess the diffusion of a quality improvement (QI) programme among allied health professions in The Netherlands.
  
  
  METHODS
  Descriptive study, based on a questionnaire distributed to allied health professionals; response rate, 63%.
  
  
  METHODS
  All subsectors in health care were covered, including primary care and institutional care. The participants were either salaried or self-employed in private practice.
  
  
  METHODS
  The governing boards of the professional associations developed a QI policy. This study reports the evaluation of the diffusion of this policy.
  
  
  METHODS
  Respondents' knowledge of the QI programme and their opinions with respect to the relevance of 15 QI activities. Respondents were asked whether they were currently taking part in QI activities and, if not, whether they intended to participate in them in the near future. In addition, the advantages of the QI programme and the barriers to further implementation which respondents perceived were assessed.
  
  
  RESULTS
  Most of the health professionals were familiar with the QI programme. The relevance of the QI activities for the profession was rated. Continuing education was ranked highest in priority. The respondents perceived the advantages of many of the QI activities. At the time of the study, less than one-third of the respondents were taking part in peer review, or complying with national guidelines. Respondents listed a number of barriers to further implementation.
  
  
  CONCLUSIONS
  The perceived advantages and barriers related to implementation appear to differ per QI activity. Consequently, implementation strategies should differ per QI activity and be tailored to the specific advantages and barriers of each one.
authors.affiliation: NIVEL Netherlands Institute of Primary Health Care, Utrecht. e.sluijs@nivel.nl
authors.forename: E M
authors.initials: EM
authors.lastname: Sluijs
authors.forename: J
authors.initials: J
authors.lastname: Dekker
mesh_terms: D000488:Allied Health Personnel / Q000592:standards*; D001291:Attitude of Health Personnel; D004059:Diffusion of Innovation; D006801:Humans; D009426:Netherlands; D011785:Quality Assurance, Health Care / Q000458:organization & administration*; D011795:Surveys and Questionnaires