TY - JOUR

T1 - Almost half of the Danish general practitioners have negative a priori attitudes towards a mandatory accreditation programme

AU - Waldorff, Frans Boch

AU - Nicolaisdottir, Dagny Ros

AU - Kousgaard, Marius Brostrøm

AU - Reventlow, Susanne

AU - Søndergaard, Jens

AU - Thorsen, Thorkil

AU - Andersen, Merethe Kirstine

AU - Pedersen, Line Bjørnskov

AU - Bisgaard, Louise

AU - Hutters, Cecilie Lybeck

AU - Bro, Flemming

N1 - PMID: 27585527

PY - 2016/9

Y1 - 2016/9

N2 - INTRODUCTION: The objective of this study was to analyse Danish general practitioners' (GPs) a priori attitudes and expectations towards a nationwide mandatory accreditation programme.METHODS: This study is based on a nationwide electronic survey comprising all Danish GPs (n = 3,403).RESULTS: A total of 1,906 (56%) GPs completed the questionnaire. In all, 861 (45%) had a negative attitude towards accreditation, whereas 429 (21%) were very positive or posi-tive. The negative attitudes towards accreditation were associated with being older, male and with working in a singlehanded practice. A regional difference was observed as well. GPs with negative expectations were more likely to agree that accreditation was a tool meant for external control (odds ratio (OR) = 1.87 (95% confidence interval (CI): 1.18-2.95)), less likely to agree that accreditation was a tool for quality improvement (OR = 0.018 (95% CI: 0.013-0.025)), more likely to agree that it would affect job satisfaction negatively (OR = 21.88 (95% CI: 16.10-29.72)), and they were generally less satisfied with their present job situation (OR = 2.51 (95% CI: 1.85-3.41)).CONCLUSION: Almost half of the GPs had negative attitudes towards accreditation.FUNDING: The three Research Units for General Practice in Odense, Aarhus and Copenhagen initiated and funded this study.TRIAL REGISTRATION: The survey was recommended by the Danish Multipractice Committee (MPU 02-2015) and evaluated by the Danish Data Agency (2015-41-3684).

AB - INTRODUCTION: The objective of this study was to analyse Danish general practitioners' (GPs) a priori attitudes and expectations towards a nationwide mandatory accreditation programme.METHODS: This study is based on a nationwide electronic survey comprising all Danish GPs (n = 3,403).RESULTS: A total of 1,906 (56%) GPs completed the questionnaire. In all, 861 (45%) had a negative attitude towards accreditation, whereas 429 (21%) were very positive or posi-tive. The negative attitudes towards accreditation were associated with being older, male and with working in a singlehanded practice. A regional difference was observed as well. GPs with negative expectations were more likely to agree that accreditation was a tool meant for external control (odds ratio (OR) = 1.87 (95% confidence interval (CI): 1.18-2.95)), less likely to agree that accreditation was a tool for quality improvement (OR = 0.018 (95% CI: 0.013-0.025)), more likely to agree that it would affect job satisfaction negatively (OR = 21.88 (95% CI: 16.10-29.72)), and they were generally less satisfied with their present job situation (OR = 2.51 (95% CI: 1.85-3.41)).CONCLUSION: Almost half of the GPs had negative attitudes towards accreditation.FUNDING: The three Research Units for General Practice in Odense, Aarhus and Copenhagen initiated and funded this study.TRIAL REGISTRATION: The survey was recommended by the Danish Multipractice Committee (MPU 02-2015) and evaluated by the Danish Data Agency (2015-41-3684).

KW - Journal Article

M3 - Journal article

C2 - 27585527

VL - 63

SP - 1

EP - 5

JO - Danish Medical Journal

JF - Danish Medical Journal

SN - 2245-1919

IS - 9

M1 - A5266

ER -