Fardy H J, Jeffs D
Illawarra General Practice Training Unit, Wollongong, NSW, Australia.
Fam Pract. 1994 Sep;11(3):325-9. doi: 10.1093/fampra/11.3.325.
The measurement of quality in any clinical discipline depends, in part, on a comparison with an accepted standard. Currently, such standards do not exist for the management of many common clinical situations in Australian general practice. As part of the General Practice Evaluation Programme, a group of Illawarra general practitioners (GPs) selected 'GP management of the menopause and asthma' for in-depth study, and were able to arrive at a consensus on 'principles of practice' and 'minimal acceptable care' for these conditions through a series of focus (research) group meetings. However, the process by which these standards were derived was felt, of itself, to be a valuable means of: (i) reducing professional isolation; (ii) promoting quality assurance; (iii) introducing peer review; (iv) introducing clinical audit; and (v) providing meaningful and targeted continuing medical education appropriate to Australian general practice. This paper describes the focus group methodology used in this process.
任何临床学科的质量衡量部分取决于与公认标准的比较。目前，澳大利亚全科医疗中许多常见临床情况的管理尚无此类标准。作为全科医疗评估项目的一部分，一群伊拉瓦拉全科医生选择“更年期和哮喘的全科医疗管理”进行深入研究，并通过一系列焦点（研究）小组会议就这些病症的“实践原则”和“最低可接受护理”达成了共识。然而，这些标准的制定过程本身就被认为是一种有价值的手段：（i）减少专业孤立；（ii）促进质量保证；（iii）引入同行评审；（iv）引入临床审计；以及（v）提供适合澳大利亚全科医疗的有意义且有针对性的继续医学教育。本文描述了该过程中使用的焦点小组方法。
