Quality circles have meanwhile established themselves nationwide as voluntary medical initiative. They promote the transfer of knowledge into practice and the formation of professional networks.
The quality circle (QZ) is one of the multitude of quality promotion instruments and methods that are used in outpatient medical and psychotherapeutic care outstanding place. For 20 years now, doctors and psychotherapists have come together in smaller groups in order to reflect on their daily work, to question it critically and to look together for the best possible solutions for patient care. Quality circles offer structure in which the participants can voluntarily and independently work on issues relating to quality promotion. Many quality circles work with real data from their practices or use processed data, for example from the feedback reports of the disease management programs. In this way, the quality of care can be mapped, compared with available evidence sources and improved on this basis.
The idea of the quality circles in the medicine comes from the Netherlands. In 1988 Richard Grol published systematic elaboration on the peer review concept in medicine, “Peer Review in General Practice - Methods, Standards, Protocols” (). Scientists and stakeholders around Prof. Dr. med. Ferdinand Gerlach, Prof. Dr. med. Joachim Szecsenyi and Dr. med. Thomas Ruprecht up. The concept of the quality circle as group-based medical peer review was implemented in Germany. Quality circles were introduced as an instrument of quality assurance in outpatient medicine. In the early 1990s, quality circles were established as part of model projects, funded by the Federal Ministry of Health, the National Association of Statutory Health Insurance Physicians (KBV) and the Central Institute for Statutory Health Insurance. The first moderator trainings for QZ moderators took place.
The quality assurance guidelines of the KBV, which came into force in 1993 according to § 135 Abs. 3 SGB V (today: § 75 Abs. 7) describe quality circles for the first time as recognized method of Quality assurance in outpatient care (Section B.4). Various projects, especially on pharmacotherapy, contributed to the establishment of quality circles nationwide as voluntary, internal medical initiative.
Quality circles have meanwhile established themselves nationwide as voluntary medical initiative. They promote the transfer of knowledge into practice and the formation of professional networks.
The quality circle (QZ) is one of the multitude of quality promotion instruments and methods that are used in outpatient medical and psychotherapeutic care outstanding place. For 20 years now, doctors and psychotherapists have come together in smaller groups in order to reflect on their daily work, to question it critically and to look together for the best possible solutions for patient care. Quality circles offer structure in which the participants can voluntarily and independently work on issues relating to quality promotion. Many quality circles work with real data from their practices or use processed data, for example from the feedback reports of the disease management programs. In this way, the quality of care can be mapped, compared with available evidence sources and improved on this basis.
The idea of the quality circles in the medicine comes from the Netherlands. In 1988 Richard Grol published systematic elaboration on the peer review concept in medicine, “Peer Review in General Practice - Methods, Standards, Protocols” (). Scientists and stakeholders around Prof. Dr. med. Ferdinand Gerlach, Prof. Dr. med. Joachim Szecsenyi and Dr. med. Thomas Ruprecht up. The concept of the quality circle as group-based medical peer review was implemented in Germany. Quality circles were introduced as an instrument of quality assurance in outpatient medicine. In the early 1990s, quality circles were established as part of model projects, funded by the Federal Ministry of Health, the National Association of Statutory Health Insurance Physicians (KBV) and the Central Institute for Statutory Health Insurance. The first moderator trainings for QZ moderators took place.
The quality assurance guidelines of the KBV, which came into force in 1993 according to § 135 Abs. 3 SGB V (today: § 75 Abs. 7) describe quality circles for the first time as recognized method of Quality assurance in outpatient care (Section B.4). Various projects, especially on pharmacotherapy, contributed to the establishment of quality circles nationwide as voluntary, internal medical initiative.
KBV and Kassenärztliche Vereinigungen (KVen) promote quality circle work through organizational and financial support, information and further training offers for moderators and tutors according to train-the-trainer concept, which is summarized in the manual quality circle of the KBV (). The manual now contains 29 didactically prepared modules that provide impetus for structured work in circle and provide moderation aids, including on the topics of patient case conference, patient safety, multimedia, hygiene management in practices / MVZ or QEP® () in the quality circle. A mix of methods of lecture presentations, card technology, work with moderation posters, work in small groups, case discussions, expert surveys, literature research, reading work, coaching, role-playing and so on helps to make quality circle work interesting and varied.
What is special about quality circles? They offer protected space, free from the interests of third parties, to exchange ideas with colleagues about care practice, and promote the transfer of knowledge into practice as well as the formation of professional networks. The knowledge gained in the quality circle is of direct benefit to the patient, not least through the wealth of experience of all QZ participants, but also through the comparison of the knowledge gained in the circle with external evidence.
The number of quality circles has increased steadily. In the meantime, around 9,500 with more than 68,000 participants are registered nationwide, around 7,500 of these circles work according to the criteria of the quality assurance guidelines of the KBV. The circle participants exchange ideas on variety of topics, the spectrum ranges from A for drug therapy to Z for cytology. Quality circles have found their way into various types of contracts as quality criterion and are criterion for the promotion of practice networks ().
20 years of successful quality circle work will also be the topic of specialist forum at this year's KBV trade fair. This takes place under the motto "Quality - Cooperation - Diversification" from March 26th to 28th, 2014 in Berlin ().
The greatest challenges of the quality circle work in the future are,
- to ensure the self-determined character of the circle work without the influence of third parties
- to spread the advantages of the circle work and to set new thematic and didactic impulses
- young doctors and psychotherapists for the circle work win
- to promote the evidence-based quality circle work and
- to make greater use of quality circles for cross-sector and cross-professional cooperation.
KBV and Kassenärztliche Vereinigungen (KVen) promote quality circle work through organizational and financial support, information and further training offers for moderators and tutors according to train-the-trainer concept, which is summarized in the manual quality circle of the KBV (). The manual now contains 29 didactically prepared modules that provide impetus for structured work in circle and provide moderation aids, including on the topics of patient case conference, patient safety, multimedia, hygiene management in practices / MVZ or QEP® () in the quality circle. A mix of methods of lecture presentations, card technology, work with moderation posters, work in small groups, case discussions, expert surveys, literature research, reading work, coaching, role-playing and so on helps to make quality circle work interesting and varied.
What is special about quality circles? They offer protected space, free from the interests of third parties, to exchange ideas with colleagues about care practice, and promote the transfer of knowledge into practice as well as the formation of professional networks. The knowledge gained in the quality circle is of direct benefit to the patient, not least through the wealth of experience of all QZ participants, but also through the comparison of the knowledge gained in the circle with external evidence.
Table < / b>The number of quality circles continues to increaseThe number of quality circles has increased steadily. In the meantime, around 9,500 with more than 68,000 participants are registered nationwide, around 7,500 of these circles work according to the criteria of the quality assurance guidelines of the KBV. The circle participants exchange ideas on variety of topics, the spectrum ranges from A for drug therapy to Z for cytology. Quality circles have found their way into various types of contracts as quality criterion and are criterion for the promotion of practice networks ().
20 years of successful quality circle work will also be the topic of specialist forum at this year's KBV trade fair. This takes place under the motto "Quality - Cooperation - Diversification" from March 26th to 28th, 2014 in Berlin ().
The greatest challenges of the quality circle work in the future are,
- to ensure the self-determined character of the circle work without the influence of third parties
- to spread the advantages of the circle work and to set new thematic and didactic impulses
- young doctors and psychotherapists for the circle work win
- to promote the evidence-based quality circle work and
- to make greater use of quality circles for cross-sector and cross-professional cooperation.
Some of these points are discussed in the opposite direction among the actors. It is clear, however, that quality circles have become indispensable as an instrument for promoting quality.
Ingrid Quasdorf, Susanne Kleudgen National Association of Statutory Health Insurance Physicians Department 7 - Cross-Sectoral Quality Promotion
1.Grol R, Mesker P, Schellevis F: Peer Review in General Practice - Methods, Standards, Protocols. Nijmegen University: Department of General Practice 1988.2.KBV (Hrsg.): Handbuch quality circles. 3. Edition. Cologne: Deutscher Ärzte-Verlag 2013.3.QEP - Quality and Development in Praxen® - the quality management system of the KBV, especially for practices and medical care centers.4.Framework for the recognition of practice networks according to Section 87 b, Paragraph 4 of the Social Code Book V. www.kbv.de/ media / sp / Rahmenvorgabe_Anerknung_Praxisnetze_Ausferti gung.pdf, 140129.5.www.kbv.de/messeanmeldung.php.
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