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Family Practice Vol. 11, No. 4, 460-467
© Oxford University Press 1994

research-article

Quality Assurance in General Practice: the State of the Art in Europe

RICHARD GROL*, RICHARD BAKER, MICHEL WENSING and ANNELIES JACOBS

Centre for Research on Quality in Family Practice (WOK) Postbox 9101, 6500 HB Nijmegen, The Netherlands

*Corresponding author

‘Quality assurance’ (QA) is an important new development in general practice. In order to describe the state of the art in this field a preliminary survey was performed by the WONCA European Working Party on Quality in General Practice (EQuiP) in 17 European countries. The results revealed considerable differences in the systems and organization of general practice care [such as practice form, list size, the role of the general practitioner (GP), remuneration], which will have an impact on setting up QA. The preliminary findings demonstrated that most countries are only just beginning the implementation of QA. Nevertheless, there are many valuable developments and experiments concerned with the methodology, procedures and structures for it. In order to accelerate the speed of adoption of QA and to avoid the repetition of mistakes, policy makers and GPs from different parts of Europe should study examples in their fellow countries. A clearing house of QA projects in general practice can help to inform them on valuable developments.


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