The Arthritis and Musculoskeletal Quality Improvement Program (AMQUIP): A Breakthrough Series Methodology Project
AbstractThe Australian government had funded the National Primary Care Collaborative (NPCC) program with funding of $14.6million over three years. One of the pilots project was the Arthritis and Musculoskeletal Quality Improvement Program(AMQuIP).The study aims to optimize general practitioners (GPs) management of patients with osteoarthritis (OA) of the hipand knee by identifying gaps between their current practice and best practice. The Breakthrough Series Collaborativemethodology with several Plan-Do-Study-Act (PDSA) cycles was employed. Participants comprises of 12 GPs/practicesfrom two Victorian Divisions of general Practice (one rural, one metropolitan) with 10 patients per GP/practice. GPs/practicesattended an orientation and three learning workshops and a videoconference. GPs/practices completed PDSA cycles betweenworkshop and reported results at workshops. GPs/practices reported use of guidelines, change in patient management andchange in practice management/systems. All recruited patients completed the SF-12v2 Health Survey and WOMAC OAIndex Questionnaire twice. Follow up activities including focus groups and face-to-face interviews were held six months afterthe final workshop. All GPs/practices used the guidelines/key messages, introduced “new” management strategies to patients,and made positive changes to their practice management/systems. Patient reported positive changes and outcomes. Byusing a structured methodology and evidence-based guidelines/key messages; GPs can introduce new patient managementstrategies, and by identifying gaps in practice management systems, positive changes can be achieved.
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