A tool to measure whether business management capacity in general practice impacts on the quality of chronic illness care

C Holton; J Proudfoot; U W Jayasinghe; J Grimm; T Bubner; Julie Winstanley; M F Harris; J Beilby

doi:10.1258/hsmr.2010.010001

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A tool to measure whether business management capacity in general practice impacts on the quality of chronic illness care

Journal article

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A tool to measure whether business management capacity in general practice impacts on the quality of chronic illness care

C Holton, J Proudfoot, U W Jayasinghe, J Grimm, T Bubner, Julie Winstanley, M F Harris and J Beilby

Health Services Management Research, Vol.23(4), pp.147-153

2010

DOI: https://doi.org/10.1258/hsmr.2010.010001

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Abstract

chronic illness

general practice

management

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.

Details

Title: A tool to measure whether business management capacity in general practice impacts on the quality of chronic illness care
Authors: C Holton (Author) - University of Adelaide
J Proudfoot (Author) - University of New South Wales
U W Jayasinghe (Author) - University of New South Wales
J Grimm (Author) - University of New South Wales
T Bubner (Author) - University of Adelaide
Julie Winstanley (Author) - University of the Sunshine Coast - Faculty of Science, Health and Education
M F Harris (Author) - University of New South Wales
J Beilby (Author) - University of Adelaide
Publication details: Health Services Management Research, Vol.23(4), pp.147-153
Publisher: Royal Society of Medicine Press Ltd.
Date published: 2010
DOI: 10.1258/hsmr.2010.010001
ISSN: 0951-4848
Organisation Unit: University of the Sunshine Coast, Queensland
Language: English
Record Identifier: 99449899102621
Output Type: Journal article

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