Exploring why quality circles work in primary health care: a realist review protocol.

ABSTRACT:

Background

Quality circles (QCs) are commonly used in primary health care in Europe to consider and improve standard practice over time. They represent a complex social intervention that occurs within the fast-changing system of primary health care. Numerous controlled trials, reviews, and studies have shown small but unpredictable positive effect sizes on behavior change. Although QCs seem to be effective, stakeholders have difficulty understanding how the results are achieved and in generalizing the results with confidence. They also lack understanding of the active components of QCs which result in changes in the behavior of health care professionals. This protocol for a realist synthesis will examine how configurations of components and the contextual features of QCs influence

SUBMITTER: Rohrbasser A 

PROVIDER: S-EPMC4029275 | biostudies-literature | 2013 Dec

REPOSITORIES: biostudies-literature