169 The Audit Of Personal Performance As A Tool Of Quality Improvement

Author(s): 
N.Muiziene (Kaunas University of Medicine, Department of Family Medicine) I.Ovhed (Blekinge Institute for research and development) A.Jurgutis (Klaipeda University Department of Public Health)
Text: 
The Danish audit form was used as a tool for quality improvement for Lithuanian and Russian family doctors suggested by Blekinge Institute for research and development. The aim of this research is to look to the differences between Scandinavian, Lithuanian and Russian doctors in managing their patients with the respiratory tract infections. The second step is to evaluate the changes in performance of Lithuanian and Russian doctors after the knowledge gained during the quality seminars. The method is descriptive cross sectional study, repeated after one year. The results of the first audit revealed that Russian general practitioners do not take care of children below six. The differences in detecting the focus of infection appeared between Scandinavian and Lithuanian doctors. More ears and lungs infections were diagnosed in Denmark (11% and 20%) and Sweden (14% and 15%), less in Lithuania (4% and 3%) and Russia (3% and 5%). Lithuanian and Russian doctors have more pharynx and bronchi infections. In the treatment of the infections the use of antibiotics was studied. No choice of antibiotics in viral infections was marked in 62% in Denmark, 54% in Sweden and 55% in Lithuania, but only 5% in Russia. The choice of antibiotics in treatment of bacterial infections was penicillin V in Scandinavia and amoxicillin in Lithuania and Russia. Further results for comparison the changes of the performance after the quality seminars will be presented after the second auditing by the doctors.
Literature: 
169 THE AUDIT OF PERSONAL PERFORMANCE AS A TOOL OF QUALITY IMPROVEMENT