BACKGROUND: The 1990 contract for general practitioners encouraged them to undertake minor surgical procedures in their practices. AIM: A study was undertaken to determine whether the subsequent expansion of general practitioner minor surgery activity was accompanied by changes in quality of care. METHOD: Data were analysed relating to minor operations conducted in 22 practices during April-June 1990 and April-June 1991. RESULTS: The volume of general practitioner minor surgery increased by 41% between the two study periods. Waiting time, accuracy of diagnosis, use of histology, adequacy of excision, complications and the need for corrective treatment in hospital did not change significantly between the two periods. CONCLUSION: The findings do not support suggestions that the expansion of general practitioner minor surgery activity following the 1990 contract has been associated with an erosion of quality of care.
BACKGROUND: The 1990 contract for general practitioners encouraged them to undertake minor surgical procedures in their practices. AIM: A study was undertaken to determine whether the subsequent expansion of general practitioner minor surgery activity was accompanied by changes in quality of care. METHOD: Data were analysed relating to minor operations conducted in 22 practices during April-June 1990 and April-June 1991. RESULTS: The volume of general practitioner minor surgery increased by 41% between the two study periods. Waiting time, accuracy of diagnosis, use of histology, adequacy of excision, complications and the need for corrective treatment in hospital did not change significantly between the two periods. CONCLUSION: The findings do not support suggestions that the expansion of general practitioner minor surgery activity following the 1990 contract has been associated with an erosion of quality of care.
Authors: J F Menárguez Puche; P A Alcántara Muñoz; J D González Caballero; A García Canovas; M López Piñera; J Cruzado Quevedo Journal: Aten Primaria Date: 2003-01 Impact factor: 1.137
Authors: Brian G Bell; Stephen Campbell; Andrew Carson-Stevens; Huw Prosser Evans; Alison Cooper; Christina Sheehan; Sarah Rodgers; Christine Johnson; Adrian Edwards; Sarah Armstrong; Rajnikant Mehta; Antony Chuter; Ailsa Donnelly; Darren M Ashcroft; Joanne Lymn; Pam Smith; Aziz Sheikh; Matthew Boyd; Anthony J Avery Journal: BMJ Open Date: 2017-02-17 Impact factor: 2.692
Authors: Anthony J Avery; Christina Sheehan; Brian Bell; Sarah Armstrong; Darren M Ashcroft; Matthew J Boyd; Antony Chuter; Alison Cooper; Ailsa Donnelly; Adrian Edwards; Huw Prosser Evans; Stuart Hellard; Joanne Lymn; Rajnikant Mehta; Sarah Rodgers; Aziz Sheikh; Pam Smith; Huw Williams; Stephen M Campbell; Andrew Carson-Stevens Journal: BMJ Qual Saf Date: 2020-11-10 Impact factor: 7.035