developing general practice: the role of the apo method eva lena strandberg phd, audit facilitator...
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Developing General Practice:The Role of the APO Method
Eva Lena Strandberg Phd, Audit Facilitator
Lund University, Dept. of Clinical Sciences Malmö, Family Medicine, Malmö University Hospital
16th Nordic Congress of General PracticeCopenhagen, Denmark
Eva Lena Strandberg
Overall aim
Eva Lena Strandberg
To explore
• the role of the APO method
• its possibilities in GPs’ development
I. The perceived meaning of a (w)holistic view among general practitioners and district nurses in Swedish primary care BMC Fam Pract, 2007, 8:8
II. The meaning of quality work from the general practitioner’s perspective BMC Fam Pract, 2006, 7:6
III. Influence of self-registration on audit participants and their non-participating colleagues Scand J Prim Health Care, 2005;23:42-46
IV. Can a holistic view be measured? A pilot study of the use of audit in general practitioners’ decision making Manuscript
Eva Lena Strandberg
Explorer
Eva Lena Strandberg
Methods
Eva Lena Strandberg
Case study methodology
• Exploratory• Descriptive
Eva Lena Strandberg
The APO method
How do we act?1st registration
How should we act?
Follow-up meeting
Did we change?2nd
registration
Need for change?
Guidelines Actions
Holistic view
Eva Lena Strandberg
• Attitude
• Knowledge
• Circumstances
I. Holistic view
Holistic view
Eva Lena Strandberg
• Attitude
• KnowledgeFactual
Tacit
• Circumstances
I. Holistic view
Eva Lena Strandberg
II. Quality development
GPs’ quality work
Influence of self-registration
Eva Lena Strandberg
III. Influence
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A. Före B. Omedelbartföre
C. Registrerings-period
D. Omedelbartefter
E. Efter
Deltagare Icke deltagare
Can holistic view be measured?
Eva Lena Strandberg
Based on the developed definition of the concept of holistic view
• develop an APO protocol• test the protocol
IV. Measurig holistic view
Results
Eva Lena Strandberg
Pilot audit:• 8 of 10 GPs registrered• 255 consultations; 153 with
patients from their own list
IV. Measuring holistic view
Summary
Eva Lena Strandberg
• To achieve systematism in work with quality requires harmony between external demands and needs of the profession’s autonomy
• The APO method satisfies the profession’s need for self-determination and reflection
• The APO method has a role in developing general practice in the broad sense
Developing General Practice:The Role of the APO Method
Thank you for your attention!