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Type: Journal article
Title: A tool to measure whether business management capacity in general practice impacts on the quality of chronic illness care
Author: Holton, C.
Proudfoot, J.
Jayasinghe, U.
Grimm, J.
Bubner, T.
Winstanley, J.
Harris, M.
Beilby, J.
Citation: Health Services Management Research, 2010; 23(4):147-153
Publisher: Royal Society of Medicine Press Ltd.
Issue Date: 2010
ISSN: 0951-4848
Statement of
Christine H. Holton, Judith G. Proudfoot, Upali W. Jayasinghe, Jane Grimm, Tanya K. Bubner, Julie Winstanley, Mark F. Harris, Justin J. Beilby on behalf of the PracCap Research Team
Abstract: Our aim was to develop a tool to identify specific features of the business and financial management of practices that facilitate better quality care for chronic illness in primary care. Domains of management were identified, resulting in the development of a structured interview tool that was administered in 97 primary care practices in Australia. Interview items were screened and subjected to factor analysis, subscales identified and the overall model fit determined. The instrument's validity was assessed against another measure of quality of care. Analysis provided a four-factor solution containing 21 items, which explained 42.5% of the variance in the total scores. The factors related to administrative processes, human resources, marketing analysis and business development. All scores increased significantly with practice size. The business development subscale and total score were higher for rural practices. There was a significant correlation between the business development subscale and quality of care. The indicators of business and financial management in the final tool appear to be useful predictors of the quality of care. The instrument may help inform policy regarding the structure of general practice and implementation of a systems approach to chronic illness care. It can provide information to practices about areas for further development.
Keywords: PracCap Research Team
Chronic Disease
Practice Management, Medical
Quality of Health Care
Interviews as Topic
General Practice
Rights: © 2010 Royal Society of Medicine Press
DOI: 10.1258/hsmr.2010.010001
Appears in Collections:Aurora harvest
General Practice publications

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