Effectiveness of Standardized Regular Inspecting Visits as a Type of Administrative Supervision on Function of Private Physician Offices

Volume 2 - Issue 3

Mojgan Dadashi¹, Roya Andarz-Habibi¹, Mojtaba Soltani², Nasrin Abassi¹, Mohamadreza Cheraghzadeh¹, Seyedeh Rahimeh Ghoreishi¹, Afsaneh Sheikh Sofla¹ and Sadaf Alipour^3,4*

Received: June 23, 2018;   Published: July 03, 2018

DOI: 10.32474/RRHOAJ.2018.02.000136

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Abstract

Introduction: One of the mainstays for maintenance of standards of health care in medical facilities and offices is to have a constant supervision over their processes and products. We designed a study to evaluate the effectiveness of regular inspecting visits of private physician offices.

Methods: A “study checklist” consisting of 11 items under the topic of regulations and rules, and 7 items under the topic of performance, was designed, validated and used in the inspections. Results of two consecutive inspections were recorded and compared.

Instructions regarding defects in provided services were given to the doctors during inspections, and various feedbacks as dictated by present regulations were provided to them.

Results: participants were 300 general practitioners office. After the first round of inspections of all the offices, the feedback consisted of: oral warning to the doctor about noticed failures or notice about the substandard practice in the inspection records of the doctor in 32.3% of cases, warning letter of defects in 46.3%, and summoning the doctor for a written statement in 21.3%. Mean scores after gathering and computing scores of each office in first and second rounds of inspections in rules and performance topics were respectively 84, 92, 50, and 58. Among all items, installing tariffs exposed to customers’ view had the highest improvement in score.

Conclusion: Our work demonstrates that regular inspector visits of private doctor offices is an effective method for supervision on these centers.

Keywords: Supervision; Inspection; Checklist; Quality of care; Physician office; Accreditation

Abstract| Introduction| Materials and Methods| Results| Discussion| Conclusion| References|