Continuous quality improvement: effects on professional practice and healthcare outcomes in primary care

持续质量改进:对初级保健专业实践和医疗保健结果的影响

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Abstract

This is a protocol for a Cochrane Review (Intervention). The objectives are as follows: PRIMARY AIMS: Is CQI effective for improving professional practice and healthcare outcomes compared to no intervention and is the magnitude of effect modified by the following factors? Intensity of the CQI implementation strategy. Organisation‐wide CQI strategy or support for CQI. Team performance and participation. Complexity of the targeted change. Type of healthcare setting. Healthcare professional performance at baseline. SECONDARY AIMS: Is CQI effective for improving professional practice and healthcare outcomes compared to: single interventions to change health professionals’ behaviour (classified according to the Cochrane Effective Practice and Organisation of Care (EPOC) Group taxonomy); or multifaceted interventions to change health professionals’ behaviour (classified according to the Cochrane EPOC Group taxonomy); or tailored interventions to overcome identified barriers to change; or other organisational change interventions with a team‐based component (e.g. Business Process Reengineering)?

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