PMID: 8608333Nov 1, 1995Paper

Partnering with physicians to achieve quality improvement

The Joint Commission Journal on Quality Improvement
A C ConwayD E Wennberg

Abstract

The Maine Medical Assessment Foundation (MMAF) has successfully involved hundreds of Maine physicians in study groups to analyze data on small-area variation and assess physician decision-making patterns. In 1991 the MMAF model was replicated across a tri-state area (Maine, New Hampshire, Vermont) in an effort called the Outcomes Dissemination Project, which is funded by a five-year grant from the U.S. Agency for Health Care Policy and Research. Five specialty study groups, each meeting three times a year, examine local and national utilization data, examine guidelines and research findings, participate in outcomes studies and patient education, and disseminate their findings through specialty society presentations and other feedback efforts. The MMAF study group process is based on the beliefs that medicine is a subculture with a complex set of professional values, beliefs, socialization processes, and norms, and that quality improvement efforts work best when they are nonpunitive and educational. (1) Physicians are willing to change their practices if they are brought into a culturally appropriate improvement program. (2) Related specialties (for example, internists and family practitioners) can often work together effectivel...Continue Reading

References

Jan 1, 1990·Quality Assurance in Health Care : the Official Journal of the International Society for Quality Assurance in Health Care·R B KellerD N Soule
Dec 11, 1987·International Journal of Technology Assessment in Health Care·A L Greer

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Citations

Aug 8, 2001·Journal of Evaluation in Clinical Practice·G D SandersD K Owens
May 12, 2006·Medical Care Research and Review : MCRR·Bryan J WeinerMark Becker
Dec 8, 1997·Journal of Health Services Research & Policy·S Nutley, P C Smith
Apr 26, 2002·Journal of General Internal Medicine·Ida SimKathryn M McDonald
Apr 20, 2000·Medical Decision Making : an International Journal of the Society for Medical Decision Making·G D SandersD K Owens

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