Systematic development of quality indicators for skin cancer management in primary care: a mixed-methods study protocol
Introduction Australia has the highest incidence of skin cancer in the world, with two out of three Australians expected to be diagnosed with skin cancer in their lifetime. Such incidence necessitates large-scale, effective skin cancer management practices. General practitioners (in mainstream pract...
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2022-06-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/12/6/e059829.full |
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| author | Frances Rapport Jeffrey Braithwaite Anne E Cust David Wilkinson Andrea Smith Bela Ines Laginha |
| author_facet | Frances Rapport Jeffrey Braithwaite Anne E Cust David Wilkinson Andrea Smith Bela Ines Laginha |
| author_sort | Frances Rapport |
| collection | DOAJ |
| description | Introduction Australia has the highest incidence of skin cancer in the world, with two out of three Australians expected to be diagnosed with skin cancer in their lifetime. Such incidence necessitates large-scale, effective skin cancer management practices. General practitioners (in mainstream practice and in skin cancer clinics) play an important role in skin cancer care provision, making decisions based on relevant evidence-based guidelines, protocols, experience and training. Diversity in these decision-making practices can result in unwarranted variation. Quality indicators are frequently implemented in healthcare contexts to measure performance quality at the level of the clinician and healthcare practice and mitigate unwarranted variation. Such measurements can facilitate performance comparisons between peers and a standard benchmark, often resulting in improved processes and outcomes. A standardised set of quality indicators is yet to be developed in the context of primary care skin cancer management.Aims This research aims to identify, develop and generate expert consensus on a core set of quality indicators for skin cancer management in primary care.Methods This mixed-methods study involves (1) a scoping review of the available evidence on quality indicators in skin cancer management in primary care, (2) identification and development of a core set of quality indicators through interviews/qualitative proforma surveys with participants, and (3) a focus group involving discussion of quality indicators according to Nominal Group Technique. Qualitative and quantitative data will be collected and analysed using thematic and descriptive statistical analytical methods.Ethics and dissemination Approval was granted by the university’s Research Ethics Committee (HREC no. 520211051532420). Results from this study will be widely disseminated in publications, study presentations, educational events and reports. |
| format | Article |
| id | doaj-art-1814ffd48ec84819a518c97193563df9 |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2022-06-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-1814ffd48ec84819a518c97193563df92025-01-28T13:15:09ZengBMJ Publishing GroupBMJ Open2044-60552022-06-0112610.1136/bmjopen-2021-059829Systematic development of quality indicators for skin cancer management in primary care: a mixed-methods study protocolFrances Rapport0Jeffrey Braithwaite1Anne E Cust2David Wilkinson3Andrea Smith4Bela Ines Laginha5Australian Institute of Health Innovation, Macquarie University, Macquarie Park, New South Wales, AustraliaNHMRC Partnership Centre in Health System Sustainability, Australian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, AustraliaUniversity of Sydney, a joint venture with Cancer Council NSW, The Daffodil Centre, Sydney, New South Wales, Australia1 Australian Institute of Health Innovation, Faculty of Medicine, Health and Human Sciences, Macquarie University, Sydney, New South Wales, AustraliaUniversity of Sydney, a joint venture with Cancer Council NSW, The Daffodil Centre, Sydney, New South Wales, AustraliaFaculty of Medicine, Health and Human Sciences, Australian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, AustraliaIntroduction Australia has the highest incidence of skin cancer in the world, with two out of three Australians expected to be diagnosed with skin cancer in their lifetime. Such incidence necessitates large-scale, effective skin cancer management practices. General practitioners (in mainstream practice and in skin cancer clinics) play an important role in skin cancer care provision, making decisions based on relevant evidence-based guidelines, protocols, experience and training. Diversity in these decision-making practices can result in unwarranted variation. Quality indicators are frequently implemented in healthcare contexts to measure performance quality at the level of the clinician and healthcare practice and mitigate unwarranted variation. Such measurements can facilitate performance comparisons between peers and a standard benchmark, often resulting in improved processes and outcomes. A standardised set of quality indicators is yet to be developed in the context of primary care skin cancer management.Aims This research aims to identify, develop and generate expert consensus on a core set of quality indicators for skin cancer management in primary care.Methods This mixed-methods study involves (1) a scoping review of the available evidence on quality indicators in skin cancer management in primary care, (2) identification and development of a core set of quality indicators through interviews/qualitative proforma surveys with participants, and (3) a focus group involving discussion of quality indicators according to Nominal Group Technique. Qualitative and quantitative data will be collected and analysed using thematic and descriptive statistical analytical methods.Ethics and dissemination Approval was granted by the university’s Research Ethics Committee (HREC no. 520211051532420). Results from this study will be widely disseminated in publications, study presentations, educational events and reports.https://bmjopen.bmj.com/content/12/6/e059829.full |
| spellingShingle | Frances Rapport Jeffrey Braithwaite Anne E Cust David Wilkinson Andrea Smith Bela Ines Laginha Systematic development of quality indicators for skin cancer management in primary care: a mixed-methods study protocol BMJ Open |
| title | Systematic development of quality indicators for skin cancer management in primary care: a mixed-methods study protocol |
| title_full | Systematic development of quality indicators for skin cancer management in primary care: a mixed-methods study protocol |
| title_fullStr | Systematic development of quality indicators for skin cancer management in primary care: a mixed-methods study protocol |
| title_full_unstemmed | Systematic development of quality indicators for skin cancer management in primary care: a mixed-methods study protocol |
| title_short | Systematic development of quality indicators for skin cancer management in primary care: a mixed-methods study protocol |
| title_sort | systematic development of quality indicators for skin cancer management in primary care a mixed methods study protocol |
| url | https://bmjopen.bmj.com/content/12/6/e059829.full |
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