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Annals of Family Medicine 2:569-575 (2004)
© 2004 Annals of Family Medicine, Inc.
doi: 10.1370/afm.244
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Improving Test Ordering in Primary Care: The Added Value of a Small-Group Quality Improvement Strategy Compared With Classic Feedback Only

Wim H. J. M. Verstappen, MD, PhD1,2, Trudy van der Weijden, MD, PhD1, Willy I. Dubois, MSc1,{dagger}, Ivo Smeele, MD, PhD2, Jan Hermsen, MD3, Frans E. S. Tan, PhD4 and Richard P. T. M. Grol, PhD1

1 Centre for Quality of Care Research (WOK), Care and Public Health Research Institute (CAPHRI), and Department of Primary Care, Maastricht University, The Netherlands
2 Centre for Diagnostics and Consultation, St Jans Hospital, Weert, The Netherlands
3 Centre for Diagnostics and Consultation, Elkerliek Hospital, Helmond, The Netherlands
4 Medical Diagnostic Centre, Canisius-Wilhelmina Hospital, Nijmegen, The Netherlands
5 Department of Methodology and Statistics, Maastricht University, The Netherlands



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  		Figure 1. Structure of the 90-minute small-group quality improvement meeting.

 


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  		Figure 2. Flow of randomized trial. PCP = primary care physician.

 


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  		Figure 3. Baseline and follow-up measurements in mean total numbers of tests per 6 months at aggregated local practice group level for the 13 intervention and the 14 feedback local practice groups.

 




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