Programme no. 741-OP
Quality Improvement
Danish general practitioners a-priori attitudes toward a mandatory nationwide accreditation
Frans Boch Waldorff*1, Dagny Ros Nicolaisdóttir2, Marius Brostrøm Kousgaard3, Susanne Reventlow4, Jens Søndergaard5, Thorkil Thorsen6, Merethe Kirstine Kousgaard Andersen7, Line Bjørnskov Pedersen8, Cecilie Lybeck Hutters9, Volkert Dirk Siersma10, Flemming Bro11
1Department of Public Health, University of Copenhagen,The Research Unit for General Practice and Section of General Practice,Copenhagen,Denmark;Institute of Public Health, University of Southern Denmark,Research Unit Of General Practice,Odense,Denmark, 2Department of Public Health, University of Copenhagen,The Research Unit for General Practice and Section of General Practice,Copenhagen,Denmark, 3Department of Public Health, University of Copenhagen,The Research Unit for General Practice and Section of General Practice,Copenhagen,Denmark, 4Department of Public Health, University of Copenhagen,The Research Unit for General Practice and Section of General Practice,Copenhagen,Denmark, 5Institute of Public Health, University of Southern Denmark,Research Unit Of General Practice,Odense,Denmark, 6Department of Public Health, University of Copenhagen,The Research Unit for General Practice and Section of General Practice,Copenhagen,Denmark, 7Institute of Public Health, University of Southern Denmark,Research Unit Of General Practice,Odense,Denmark, 8Institute of Public Health, University of Southern Denmark,Research Unit Of General Practice,Odense,Denmark;Department of Business and Economics, University of Southern Denmark,COHERE,Odense,Denmark, 9Institute of Public Health, University of Southern Denmark,Research Unit Of General Practice,Odense,Denmark, 10Department of Public Health, University of Copenhagen,The Research Unit for General Practice and Section of General Practice,Copenhagen,Denmark, 11Section for General Medical Practice, Department of Public Health, Aarhus University,Research Unit for General Practice,Aarhus,Denmark
* = Presenting author
Objectives: To describe and analyze Danish GPs’ a-priory attitudes and expectations towards a nationwide mandatory accreditation.
Background:

Accreditation is a widely used tool for quality management in healthcare systems worldwide. From 2016 all Danish general practitioners (GPs) have to undergo a mandatory accreditation based on the Danish Quality Model. GPs’ a-priori attitudes and expectations to a mandatory nationwide accreditation have not been surveyed before.

Results:

A total of 1906 (56%) respondents returned the questionnaire. Non-responders and responders did not differ with respect to age, practice organization, sex, or region. A total of 45% of the GPs had negative attitudes towards accreditation versus 23% with positive attitudes. Groups of GPs with more negative attitudes were: GP aged 50 or older (50% vs. 38%), females (51% vs. 39%), GPs from region North Denmark (54%), and GPs from partnership practices (55% vs. 41%).

Material/Methods:

A nationwide survey among all Danish general practitioners (3403) working in the publicly funded health system in December 2014. The survey was done electronically and we obtained email addresses from the Danish Medical Association.

The questionnaire was developed by healthcare researches inspired by the present literature. It consisted of items with these themes: Attitudes towards various aspects of accreditation, present organization of tasks, job satisfaction, and organization. For most items, the respondents could fill in free text comments. The questionnaire was pilot tested among 15 GPs for feasibility and understanding. For analysis we used chi square and logistic regression models. Free text comments were categorized into themes.

Conclusion:

A large proportion of Danish GPs have a negative a-priory attitude towards a nationwide mandatory accreditation for general practice. Implementation strategies should take these negative attitudes into consideration.

Points for discussion: How can accreditation in primary care be part of quality improvement?

How can job satisfaction be affected by accreditation?