Department of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada; Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada.
Sunnybrook Health Sciences Centre, Toronto, ON, Canada.
Can J Gastroenterol Hepatol. 2016;2016:4983790. doi: 10.1155/2016/4983790. Epub 2016 Sep 18.
. Audit and feedback (A/F) reports are one of the few knowledge translation activities that can effect change in physician behavior. In this study, we pilot-tested an endoscopist A/F report to elicit opinions about the proposed report's usability, acceptability and usefulness, and implications for knowledge translation. . Semi-structured qualitative interviews were conducted with eleven endoscopists in Ontario, Canada. We tested an A/F report template comprising 9 validated, accepted colonoscopy quality indicators populated with simulated data. Interview transcripts were coded using techniques such as constant comparison and themes were identified inductively over several team meetings. . Four interrelated themes were identified: (1) overall perceptions of the A/F report; (2) accountability and consequences for poor performance; (3) motivation to change/improve skills; and (4) training for performance enhancement and available resources. The A/F report was well received; however, participants cited some possible threats to the report's effectiveness including the perceived threat of loss of privileges or licensing and the potential for the data to be dismissed. . Participants agreed that A/F has the potential to improve colonoscopy performance. However, in order to be effective in changing physician behavior, A/F must be thoughtfully implemented with attention to the potential concerns of its recipients.
. 审核与反馈（A/F）报告是为数不多的能够改变医生行为的知识转化活动之一。在这项研究中，我们对内镜医师的 A/F 报告进行了试点测试，以征求对拟议报告的可用性、可接受性和有用性的意见，以及对知识转化的影响。. 在加拿大安大略省，我们对 11 名内镜医师进行了半结构化的定性访谈。我们测试了一个 A/F 报告模板，其中包含 9 个经过验证和接受的结肠镜检查质量指标，并使用模拟数据填充。使用诸如不断比较等技术对访谈记录进行编码，并在多次团队会议上进行归纳，以确定主题。. 确定了四个相互关联的主题：（1）对 A/F 报告的总体看法；（2）对绩效不佳的问责制和后果；（3）改变/提高技能的动机；以及（4）绩效提升培训和可用资源。A/F 报告受到了好评；然而，参与者指出了该报告可能存在一些有效性威胁，包括失去特权或执照的潜在威胁，以及数据可能被驳回的潜在威胁。. 参与者一致认为，A/F 有可能提高结肠镜检查的性能。然而，为了有效地改变医生的行为，A/F 必须经过深思熟虑的实施，要注意其接受者的潜在关注。
