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Eva Lena Strandberg. Developing General Practice: The Role of the APO Method Eva Lena Strandberg Phd, Audit Facilitator Lund University, Dept. of Clinical Sciences Malmö, Family Medicine, Malmö University Hospital 16th Nordic Congress of General Practice Copenhagen, Denmark.

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Eva Lena Strandberg

Developing General Practice:The Role of the APO MethodEva Lena StrandbergPhd, Audit Facilitator Lund University, Dept. of Clinical Sciences Malmö, Family Medicine, Malmö University Hospital16th Nordic Congress of General PracticeCopenhagen, Denmark

overall aim
Eva Lena Strandberg

To explore

the role of the APO method

its possibilities in GPs’ development

Overall aim
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The perceived meaning of a (w)holistic view among general practitioners and district nurses in Swedish primary care BMC Fam Pract, 2007, 8:8
  • The meaning of quality work from the general practitioner’s perspective BMC Fam Pract, 2006, 7:6
  • Influence of self-registration on audit participants and their non-participating colleagues Scand J Prim Health Care, 2005;23:42-46
  • Can a holistic view be measured? A pilot study of the use of audit in general practitioners’ decision making Manuscript

Eva Lena Strandberg

explorer
Explorer

Eva Lena Strandberg

methods
Methods

Eva Lena Strandberg

Case study methodology

Exploratory

Descriptive

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Eva Lena Strandberg

How do we act?

1st registration

Did we change?

2nd registration

How should we act?

Follow-up meeting

Need for change?

Guidelines

Actions

The APO method

holistic view
Holistic view

Eva Lena Strandberg

Attitude

Knowledge

Circumstances

I. Holistic view

holistic view1
Holistic view

Eva Lena Strandberg

Attitude

Knowledge

Factual

Tacit

Circumstances

I. Holistic view

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Eva Lena Strandberg

II. Quality development

GPs’ quality work

influence of self registration
Influence of self-registration

Eva Lena Strandberg

III. Influence

can holistic view be measured
Can holistic view be measured?

Eva Lena Strandberg

Based on the developed definition of

the concept of holistic view

develop an APO protocol

test the protocol

IV. Measurig holistic view

results
Results

Eva Lena Strandberg

Pilot audit:

8 of 10 GPs registrered

255 consultations; 153 with patients from their own list

IV. Measuring holistic view

summary
Summary

Eva Lena Strandberg

To achieve systematism in work with quality requires harmony between external demands and needs of the profession’s autonomy

The APO method satisfies the profession’s need for self-determination and reflection

The APO method has a role in developing general practice in the broad sense

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