Development and pilot study of the Primary Care Practice Improvement Tool (PC-PIT) : an innovative approach

Crossland, Lisa, Janamian, Tina, Sheehan, Mary, Siskind, Victor, Hepworth, Julie, & Jackson, Claire (2014) Development and pilot study of the Primary Care Practice Improvement Tool (PC-PIT) : an innovative approach. Medical Journal of Australia, 201(3 Sup), S52-S55.

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Abstract

Objective

To assess the usability and validity of the Primary Care Practice Improvement Tool (PC-PIT), a practice performance improvement tool based on 13 key elements identified by a systematic review. It was co-created with a range of partners and designed specifically for primary health care.

Design

This pilot study examined the PC-PIT using a formative assessment framework and mixed-methods research design.

Setting and participants

Six high-functioning general practices in Queensland, Australia, between February and July 2013. A total of 28 staff participated — 10 general practitioners, six practice or community nurses, 12 administrators (four practice managers; one business manager and eight reception or general administrative staff).

Main outcome measures

Readability, content validity and staff perceptions of the PC-PIT.

Results

The PC-PIT offers an appropriate and acceptable approach to internal quality improvement in general practice. Quantitative assessment scores and qualitative data from all staff identified two areas in which the PC-PIT required modification: a reduction in the indicative reading age, and simplification of governance-related terms and concepts.

Conclusion

The PC-PIT provides an innovative approach to address the complexity of organisational improvement in general practice and primary health care. This initial validation will be used to develop a suite of supporting, high-quality and free-to-access resources to enhance the use of the PC-PIT in general practice. Based on these findings, a national trial is now underway.

Impact and interest:

2 citations in Scopus
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5 citations in Web of Science®

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ID Code: 74307
Item Type: Journal Article
Refereed: Yes
Keywords: Primary health care , General practice , Evaluation , Quality improvement
DOI: 10.5694/mja14.00262
ISSN: 1326-5377
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > PUBLIC HEALTH AND HEALTH SERVICES (111700)
Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > PUBLIC HEALTH AND HEALTH SERVICES (111700) > Primary Health Care (111717)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Schools > School of Psychology & Counselling
Current > Schools > School of Public Health & Social Work
Deposited On: 23 Jul 2014 22:17
Last Modified: 24 Jul 2014 21:31

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