Document Detail


A randomised trial of peer review: the UK National Chronic Obstructive Pulmonary Disease Resources and Outcomes Project.
MedLine Citation:
PMID:  20726448     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Peer review has been widely employed within the NHS to facilitate health quality improvement but has not been rigorously evaluated. This article reports the largest randomised trial of peer review ever conducted in the UK. The peer review intervention was a reciprocal supportive exercise that included clinicians, hospital management, commissioners and patients which focused on the quality of the provision of four specific evidence-based aspects of chronic obstructive pulmonary disease care. Follow up at 12 months demonstrated few quantitative differences in the number or quality of services offered in the two groups. Qualitative data in contrast suggested many benefits of peer review in most but not all intervention units and some control teams. Findings suggest peer review in this format is a positive experience for most participants but is ineffective in some situations. Its longer term benefits and cost effectiveness require further study. The generic findings of this study have potential implications for the application of peer review throughout the NHS.
Authors:
C M Roberts; R A Stone; R J Buckingham; N A Pursey; B D W Harrison; D Lowe; J M Potter
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Clinical medicine (London, England)     Volume:  10     ISSN:  1470-2118     ISO Abbreviation:  Clin Med     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-08-23     Completed Date:  2010-09-14     Revised Date:  2011-03-18    
Medline Journal Info:
Nlm Unique ID:  101092853     Medline TA:  Clin Med     Country:  England    
Other Details:
Languages:  eng     Pagination:  223-7     Citation Subset:  IM    
Affiliation:
Clinical Effectiveness and Evaluation Unit, Royal College of Physicians.
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MeSH Terms
Descriptor/Qualifier:
Evidence-Based Medicine
Great Britain
Humans
Outcome Assessment (Health Care)*
Peer Review, Health Care*
Pulmonary Disease, Chronic Obstructive / therapy*
Quality of Health Care
State Medicine / organization & administration*,  standards
Comments/Corrections
Comment In:
Clin Med. 2010 Dec;10(6):639-40   [PMID:  21416672 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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