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Closing the gap: a review of factors affecting quality improvement interventions at the primary care level

Objective: The aim of this review is to analyse quality improvement interventions at the primary care level. Quality improvement interventions attempt to close the gap between clinical research and practice. The objectives of this review are to identify, synthesise and evaluate research literature r...

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Main Author: Zeelie, Andrea
Other Authors: Gilson, Lucy
Format: Thesis
Language:English
Published: Health Economics Unit 2015
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access_status_str Open Access
author Zeelie, Andrea
author2 Gilson, Lucy
author_browse Gilson, Lucy
Zeelie, Andrea
author_facet Gilson, Lucy
Zeelie, Andrea
author_sort Zeelie, Andrea
collection Thesis
description Objective: The aim of this review is to analyse quality improvement interventions at the primary care level. Quality improvement interventions attempt to close the gap between clinical research and practice. The objectives of this review are to identify, synthesise and evaluate research literature relevant to primary care regarding quality improvement interventions; as well as identify the enabling and constraining factors impacting quality improvement at the primary care level. Design: This review involved a qualitative, systematic review of previously undertaken qualitative research. Data sources: Data was sourced from electronic databases PubMed and CINAHL. Study selection: Articles were selected based on their relevance and published in English in an academic journal between June 2001 and June 2011, using qualitative data collection and analysis methods to assess a quality improvement intervention at the primary care level. Data extraction: Data was extracted from the articles' 'findings' and 'discussion' sections. Data synthesis: 110 articles were identified, 11 of which were included. Thematic analysis occurred in three stages: line-by-line coding, creation of descriptive themes, and creation of analytical themes. Conclusion: Interventions aimed at quality improvement in primary care do not experience uniform ease of implementation. It is possible to create the conditions necessary for success by harnessing human capital; creating a nurturing, supportive and collaborative working environment; and providing inspirational leadership through management.
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institution University of Cape Town (South Africa)
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license_str Not specified — see source repository
provenance_str_mv Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository
publishDate 2015
publishDateRange 2015
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publisher Health Economics Unit
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spelling oai:open.uct.ac.za:11427/14364 Closing the gap: a review of factors affecting quality improvement interventions at the primary care level Zeelie, Andrea Gilson, Lucy Health Economics Objective: The aim of this review is to analyse quality improvement interventions at the primary care level. Quality improvement interventions attempt to close the gap between clinical research and practice. The objectives of this review are to identify, synthesise and evaluate research literature relevant to primary care regarding quality improvement interventions; as well as identify the enabling and constraining factors impacting quality improvement at the primary care level. Design: This review involved a qualitative, systematic review of previously undertaken qualitative research. Data sources: Data was sourced from electronic databases PubMed and CINAHL. Study selection: Articles were selected based on their relevance and published in English in an academic journal between June 2001 and June 2011, using qualitative data collection and analysis methods to assess a quality improvement intervention at the primary care level. Data extraction: Data was extracted from the articles' 'findings' and 'discussion' sections. Data synthesis: 110 articles were identified, 11 of which were included. Thematic analysis occurred in three stages: line-by-line coding, creation of descriptive themes, and creation of analytical themes. Conclusion: Interventions aimed at quality improvement in primary care do not experience uniform ease of implementation. It is possible to create the conditions necessary for success by harnessing human capital; creating a nurturing, supportive and collaborative working environment; and providing inspirational leadership through management. 2015-10-28T05:14:18Z 2015-10-28T05:14:18Z 2012 Master Thesis Masters MPH http://hdl.handle.net/11427/14364 eng application/pdf Health Economics Unit Faculty of Health Sciences University of Cape Town
spellingShingle Health Economics
Zeelie, Andrea
Closing the gap: a review of factors affecting quality improvement interventions at the primary care level
thesis_degree_str Master's
title Closing the gap: a review of factors affecting quality improvement interventions at the primary care level
title_full Closing the gap: a review of factors affecting quality improvement interventions at the primary care level
title_fullStr Closing the gap: a review of factors affecting quality improvement interventions at the primary care level
title_full_unstemmed Closing the gap: a review of factors affecting quality improvement interventions at the primary care level
title_short Closing the gap: a review of factors affecting quality improvement interventions at the primary care level
title_sort closing the gap a review of factors affecting quality improvement interventions at the primary care level
topic Health Economics
url http://hdl.handle.net/11427/14364
work_keys_str_mv AT zeelieandrea closingthegapareviewoffactorsaffectingqualityimprovementinterventionsattheprimarycarelevel