Professional practice assessment in ambulatory private rheumatology: a pilot evaluation of the medical file content for rheumatoid arthritis.
OBJECTIVE
Professional Practice Assessment (PPA) has become an obligation for all physicians in France, however its modalities remain unclear. The objective of this work was to evaluate the feasibility and accuracy of a PPA for private practice rheumatologists performed in the context of a network.


METHODS
A list of items considered mandatory to collect during an outpatient visit for rheumatoid arthritis, was prepared by the network. Non hospital-based rheumatologists, members of the network then evaluated some of their patient files selected by chronological order over a one-month period of time using this list. These files were then assessed by another private rheumatologist, member of the group, randomly allocated, using the same list of items.


RESULTS
Eighty percent of the private-practice doctors accepted to participate. The mean time to evaluate 15 patient files was 2 hours. Agreement between auto-evaluation and external evaluation for each file was good (agreement statistic, 0.75-1.0). Items mandatory to collect were collected in a high proportion of cases (84.6%).


CONCLUSIONS
PPA can be performed in the context of a network, auto-evaluation is a valid method and when the list of items is decided on by the network, the data are collected satisfactorily.
Fechtenbaum
J
J
Paris Descartes University, Medicine Faculty, UPRES-EA 4058, APHP, Rheumatology B Department, Cochin Hospital, Paris, France.
Gossec
L
L
Nataf
H
H
Boumier
P
P
Breuillard
P
P
Gaud Listrat
V
V
Giraud
B
B
Hudry
C
C
Lecoq D'Andre
F
F
Izou Fouillot
M-A
MA
Maheu
E
E
Nguyen
M
M
Simonnet
J
J
Dougados
M
M
D000553:Ambulatory Care / Q000592:standards*; D001172:Arthritis, Rheumatoid / Q000628:therapy*; D003625:Data Collection / Q000592:standards; D005602:France; D006801:Humans; D008499:Medical Records / Q000592:standards*; D010865:Pilot Projects; D011364:Professional Practice / Q000592:standards*; D012219:Rheumatology / Q000592:standards*