title: [The Quality indicator project of the German college of general practice and family medicine (DEGAM): development of indicators based on the guidelines dementia, neck pain and sore throat].
abstract: A debate on the application of quality indicators (QIs) arose among the members of the German College of General Practitioners and Family Physicians (DEGAM) when two QI systems for ambulatory care (QISA and AQUIK) were published in a short time interval. A research question that emanated from this discussion was whether appropriate QI might be developed based on German general practice guidelines. In spring 2010, the DEGAM guideline committee (SLK) decided to conduct a project on guideline-based development of QIs using the DEGAM guidelines for dementia, neck pain and sore throat. All members of the SLK were invited to participate in the development process which comprised three face-to-face meetings and four paper-pencil ratings. Finally, 17 QIs for the three guidelines on dementia (n=8), neck pain (n=7) and sore throat (n=2) emerged. These QIs received different ratings in the dimensions relevance, practicability, and appropriateness for public reporting as well as for pay for performance. In this project, guideline authors themselves developed QIs based on German general practice guidelines for the first time ever. Not before practice administration systems facilitate the availability of data in the context of clinical documentation, the practicability of the new QIs can be proven in real every-day practice.
authors: Institut für Allgemeinmedizin, Universitätsklinikum Hamburg-Eppendorf. m.scherer@uke.de
authors: Martin
authors: M
authors: Scherer
authors: Anja
authors: A
authors: Wollny
authors: Horst Christian
authors: HC
authors: Vollmar
authors: Jean-Francois
authors: JF
authors: Chenot
authors: Erika
authors: E
authors: Baum
authors: Anne
authors: A
authors: Barzel
authors: Martin
authors: M
authors: Beyer
authors: Günther
authors: G
authors: Egidi
authors: Petra
authors: P
authors: Kaufmann-Kolle
authors: Armin
authors: A
authors: Mainz
authors: Uwe
authors: U
authors: Popert
authors: Guido
authors: G
authors: Schmiemann
authors: Karen
authors: K
authors: Voigt
authors: Hans-Otto
authors: HO
authors: Wagner
authors: Joachim
authors: J
authors: Szecsenyi
mesh_terms: D019985:Benchmarking / Q000592:standards; D003142:Communication; D003479:Curriculum / Q000592:standards; D003704:Dementia / Q000175:diagnosis* / Q000628:therapy*; D004502:Education, Medical, Continuing; D005194:Family Practice / Q000193:education*; D058006:General Practice / Q000193:education*; D005858:Germany; D019983:Guideline Adherence / Q000592:standards*; D006801:Humans; D019547:Neck Pain / Q000175:diagnosis* / Q000628:therapy*; D010353:Patient Education as Topic / Q000592:standards; D010612:Pharyngitis / Q000175:diagnosis* / Q000628:therapy*; D010817:Physician-Patient Relations; D019984:Quality Indicators, Health Care / Q000592:standards*; D012955:Societies, Medical; D017749:Total Quality Management / Q000592:standards; D016896:Treatment Outcome