engleski

How to detect an expert for respiratory infection in general/family medicine

Professional expert should be recognized according to quality control elements. Nowadeys, structural elements have to step aside to make place for elements of process and outcomes. If one wish to assess quality of medical service, question of experience and working results became relevant. In surgery, how many specific procedures one have done and with what results are two elements to assess professional expert. However such approach is not evident in general/family medicine. Aim: To investigate quality control elements for detect expert for respiratory infection in general/family medicine. Design: 9-year retrospective study of one family medicine practice has been done. Set of data describing process and outcome of work has been collected: number of type of procedures, specific morbidity and mortallity and other disposable data. Results: During study period 36, 922 office visits and 507 home visits have been performed. According to morbidity data respiratory infections have been responsible for around 20% morbidity. If one in fifth reason for one encounter was respiratory infection, physician have made 7600 consultations on the basis of respirators infections. According to mortality register 64 persons have died during study period, but respiratory infections have not been cause of death in any case. According to specific study done 1995 in the observed practice 85% of first clinical decision related to respiratory infections have shown to be correct, and rate of severe complication have been minimal. Conclusion: Based on routine data collected in general/family practice one can get insight in expertise and performance of the physician.

general/family medicine; respiratory infections; quality control elements

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