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What motivates general practitioners to change practice behaviour? A qualitative study of audit and feedback group sessions in Dutch general practice

OBJECTIVES: Adopting an attributional perspective, the current article investigates how audit and feedback group sessions contribute to general practitioners’ (GPs) motivation to change their practice behaviour to improve care. We focus on the contributions of the audit and feedback itself (content)...

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Autores principales: van Braak, Marije, Visser, Mechteld, Holtrop, Marije, Statius Muller, Ilona, Bont, Jettie, van Dijk, Nynke
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6549704/
https://www.ncbi.nlm.nih.gov/pubmed/31154299
http://dx.doi.org/10.1136/bmjopen-2018-025286
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author van Braak, Marije
Visser, Mechteld
Holtrop, Marije
Statius Muller, Ilona
Bont, Jettie
van Dijk, Nynke
author_facet van Braak, Marije
Visser, Mechteld
Holtrop, Marije
Statius Muller, Ilona
Bont, Jettie
van Dijk, Nynke
author_sort van Braak, Marije
collection PubMed
description OBJECTIVES: Adopting an attributional perspective, the current article investigates how audit and feedback group sessions contribute to general practitioners’ (GPs) motivation to change their practice behaviour to improve care. We focus on the contributions of the audit and feedback itself (content) and the group discussion (process). METHODS: Four focus groups, comprising a total of 39 participating Dutch GPs, discussed and compared audit and feedback of their practices. The focus groups were analysed thematically. RESULTS: Audit and feedback contributed to GPs’ motivation to change in two ways: by raising awareness about aspects of their current care practice and by providing indications of the possible impact of change. For these contributions to play out, the audit and feedback should be reliable and valid, specific, recent and recurrent and concern GPs’ own practices or practices within their own influence sphere. Care behaviour attributed to external, uncontrollable or unstable causes would not induce change. The added value of the group is twofold as well: group discussion contributed to GPs’ motivation to change by providing a frame of reference and by affording insights that participants would not have been able to achieve on their own. CONCLUSIONS: In audit and feedback group sessions, both audit and feedback information and group discussion can valuably contribute to GPs’ motivation to change care practice behaviour. Peer interaction can positively contribute to explore alternative practices and avenues for improvement. Local or regional peer meetings would be beneficial in facilitating reflection and discussion. An important avenue for future studies is to explore the contribution of audit and feedback and small-group discussion to actual practice change.
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spelling pubmed-65497042019-07-02 What motivates general practitioners to change practice behaviour? A qualitative study of audit and feedback group sessions in Dutch general practice van Braak, Marije Visser, Mechteld Holtrop, Marije Statius Muller, Ilona Bont, Jettie van Dijk, Nynke BMJ Open General practice / Family practice OBJECTIVES: Adopting an attributional perspective, the current article investigates how audit and feedback group sessions contribute to general practitioners’ (GPs) motivation to change their practice behaviour to improve care. We focus on the contributions of the audit and feedback itself (content) and the group discussion (process). METHODS: Four focus groups, comprising a total of 39 participating Dutch GPs, discussed and compared audit and feedback of their practices. The focus groups were analysed thematically. RESULTS: Audit and feedback contributed to GPs’ motivation to change in two ways: by raising awareness about aspects of their current care practice and by providing indications of the possible impact of change. For these contributions to play out, the audit and feedback should be reliable and valid, specific, recent and recurrent and concern GPs’ own practices or practices within their own influence sphere. Care behaviour attributed to external, uncontrollable or unstable causes would not induce change. The added value of the group is twofold as well: group discussion contributed to GPs’ motivation to change by providing a frame of reference and by affording insights that participants would not have been able to achieve on their own. CONCLUSIONS: In audit and feedback group sessions, both audit and feedback information and group discussion can valuably contribute to GPs’ motivation to change care practice behaviour. Peer interaction can positively contribute to explore alternative practices and avenues for improvement. Local or regional peer meetings would be beneficial in facilitating reflection and discussion. An important avenue for future studies is to explore the contribution of audit and feedback and small-group discussion to actual practice change. BMJ Publishing Group 2019-06-01 /pmc/articles/PMC6549704/ /pubmed/31154299 http://dx.doi.org/10.1136/bmjopen-2018-025286 Text en © Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY. Published by BMJ. This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See: https://creativecommons.org/licenses/by/4.0/.
spellingShingle General practice / Family practice
van Braak, Marije
Visser, Mechteld
Holtrop, Marije
Statius Muller, Ilona
Bont, Jettie
van Dijk, Nynke
What motivates general practitioners to change practice behaviour? A qualitative study of audit and feedback group sessions in Dutch general practice
title What motivates general practitioners to change practice behaviour? A qualitative study of audit and feedback group sessions in Dutch general practice
title_full What motivates general practitioners to change practice behaviour? A qualitative study of audit and feedback group sessions in Dutch general practice
title_fullStr What motivates general practitioners to change practice behaviour? A qualitative study of audit and feedback group sessions in Dutch general practice
title_full_unstemmed What motivates general practitioners to change practice behaviour? A qualitative study of audit and feedback group sessions in Dutch general practice
title_short What motivates general practitioners to change practice behaviour? A qualitative study of audit and feedback group sessions in Dutch general practice
title_sort what motivates general practitioners to change practice behaviour? a qualitative study of audit and feedback group sessions in dutch general practice
topic General practice / Family practice
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6549704/
https://www.ncbi.nlm.nih.gov/pubmed/31154299
http://dx.doi.org/10.1136/bmjopen-2018-025286
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