title: A knowledge audit of the managers of primary care organizations: top priority is how to use routinely collected clinical data for quality improvement.
abstract: Technology has provided improved access to the rapidly expanding evidence base and to computerized clinical data recorded as part of routine care. A knowledge audit identifies from within this mass of information the knowledge requirements of a professional group or organization, enabling implementation of an appropriately tailored knowledge-management strategy. The objective of the study is to describe perceived knowledge gaps and recommend an appropriate knowledge-management strategy for primary care. The sample comprised 18 senior managers of Primary Care Trusts: the Chairman, Chief Executive Officer, or Research and Development Lead. A series of interviews were recorded verbatim, transcribed and analysed. Knowledge requirements were broad, suggesting that a broadly based knowledge-management strategy is needed in primary care. The biggest gap in current knowledge identified is how to perform needs assessment and quality improvement using aggregated routinely collected, general practice computer data.
authors.affiliation: Primary Care Informatics, Department of Community Health Sciences, St. George's Hospital Medical School, London, UK. slusigna@sghms.ac.uk
authors.forename: Simon
authors.initials: S
authors.lastname: De Lusignan
authors.forename: Sally
authors.initials: S
authors.lastname: Wells
authors.forename: Adrienne
authors.initials: A
authors.lastname: Shaw
authors.forename: Gill
authors.initials: G
authors.lastname: Rowlands
authors.forename: Tessa
authors.initials: T
authors.lastname: Crilly
mesh_terms: D003625:Data Collection; D006270:Health Facility Administrators; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D019451:Information Management; D008131:London; D016347:Medical Records Systems, Computerized; D011320:Primary Health Care / Q000458:organization & administration*; D013222:State Medicine; D017749:Total Quality Management / Q000458:organization & administration*