Král Norbert, Seifert Bohumil, Kovář Jan, Mucha Cyril, Vojtíšková Jana, Bednár Jáchym, Martin Seifert
First Faculty of Medicine, Charles University, Institute of General Practice, Prague, Czech Republic.
J Family Med Prim Care. 2018 Jan-Feb;7(1):5-10. doi: 10.4103/jfmpc.jfmpc_167_17.
Although informal meetings of healthcare professionals in smaller groups are common in the area of primary care in the Czech Republic, the method of quality circles is not in wide use. The aim of our project is to use this method to help new general practitioners (GPs) when they take over a medical practice and to suggest measures to improve the organization and overall attractiveness of new practices, as well as patient satisfaction.
For the purposes of this observation, an already existing informal group formed by healthcare professionals and their trainees was used. The group met a total of four times in a 6-month period. In the first meeting, problematic areas were identified. In the second, specific issues of newly starting to practice were discussed, with time to consider suggestions for improvements. The third meeting consisted of an analysis of the suggested measures and their implementation, and in the fourth, these measures and their effects were evaluated.
On the basis of the discussion in the first and second meetings, suggestions were made, and then, during the third meeting, structured into three dimensions: (1) The organization of work, including clinical activities, (2) the attractiveness of the practice and the satisfaction levels of the patients, (3) the satisfaction levels of the employees. In each area, specific measures were proposed. The new doctors' feedback in the fourth phase of the project was positive. The main problems the new doctors faced were related to their lack of knowledge and experience with buying or starting their own practice, as well as being an effective team leader.
Despite the application of small groups being significantly larger, it was demonstrated that if GPs are given direction and clear goals in their meetings, these meetings can be very constructive. Small groups thus offer a good platform for young GPs in starting their own practice, giving them the capacity to do so.
在捷克共和国，医疗保健专业人员以较小团体形式进行的非正式会议在初级保健领域很常见，但质量圈方法并未得到广泛应用。我们项目的目的是使用这种方法来帮助新的全科医生（GP）接管医疗业务，并提出措施以改善新业务的组织和整体吸引力，以及患者满意度。
为了此次观察，使用了一个由医疗保健专业人员及其实习生组成的现有非正式团体。该团体在6个月内共会面四次。在第一次会议上，确定了问题领域。在第二次会议上，讨论了新开始执业的具体问题，并留出时间考虑改进建议。第三次会议包括对建议措施及其实施情况的分析，在第四次会议上，对这些措施及其效果进行了评估。
根据第一次和第二次会议的讨论，提出了建议，然后在第三次会议期间，将这些建议归纳为三个方面：（1）工作组织，包括临床活动；（2）业务的吸引力和患者的满意度；（3）员工的满意度。在每个领域都提出了具体措施。项目第四阶段新医生的反馈是积极的。新医生面临的主要问题与他们在购买或开办自己的业务方面缺乏知识和经验，以及作为有效的团队领导者有关。
尽管应用的小组规模明显更大，但事实证明，如果在会议中给全科医生指明方向和明确目标，这些会议会非常有建设性。因此，小团体为年轻的全科医生开办自己的业务提供了一个很好的平台，使他们有能力这样做。
