Transcript FRENCH EXPERIMENTATION OF MEDICAL PRACTICE ASSESSMENT (EPP

FRENCH EXPERIMENTATION OF
MEDICAL PRACTICE ASSESSMENT
(EPP)
2004, June 15th
Docteur ORTOLAN
Congrès Equip- Novembre
2004
Context (1)

Definition
voluntary action, no sanction
 auto evaluation
 medical references (linked to the Evidence
Base Medicine): medical files and clinical
practice
 accompanied by practitioners entitled
by ANAES
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Docteur ORTOLAN
Congrès Equip- Novembre
2004
Context (2)
Union of liberal physicians (URML) of
Ile de France in charge of the
experimentation of the medical
practice assessment (EPP)
 URML Ile de France has to evaluate
this process : immediately and 6
months later
 A satisfaction questionnaire

Docteur ORTOLAN
Congrès Equip- Novembre
2004
Context (3)

Health quality research
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Since August, a law about the Social
Security Reform has established the
obligation of assessment for every
French practitioner.
Docteur ORTOLAN
Congrès Equip- Novembre
2004
Objectives
In France, assessment is no
traditionally considered as a way for
the health quality improvement
 Could opinions change when
assessment is achieved ?
 Does this kind of assessment have a
real impact on the professional
practice ?

Docteur ORTOLAN
Congrès Equip- Novembre
2004
Method
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A satisfaction questionnaire has been send to
forty doctors who have finished the medical
practice assessment since more than 6 months.
Questions about the valorisation, the
representation of this particular assessment
method, about consequences and benefits in
their daily exercise especially in their medical
files
Analyse by URML Ile de France
Docteur ORTOLAN
Congrès Equip- Novembre
2004
Main results (1)
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32 questionnaires were answered
the answer rate reaches 80 per cent.
half assessment had been carried out
individually and the other half in groups
75% of respondents which realized their
assessment in a group still keep contacts
with members of the group
Docteur ORTOLAN
Congrès Equip- Novembre
2004
Main results (2) : Epp’s impact
on the medical practice
The most important change :medical
files actualization more frequent
 80% of respondents have changed
their medical files’ content, 60%
changed the presentation
 Benefits : patient’s follow up,
medical files’ administration,
improvement of disease detection

Docteur ORTOLAN
Congrès Equip- Novembre
2004
Main results (3) : Epp’s impact
on the medical practice
80% of respondents feel like a
change of their practice due to this
assessment (improvement of their
practice, a very good patients follow
up)
 84 % of respondents consider EPP
as formative
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Docteur ORTOLAN
Congrès Equip- Novembre
2004
Main results (4) : Evaluation of
this assessment method
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75 % have advised this assessment
method
Assessed practitioners do not increase the
value of their successful assessment
(patient, colleagues)
wish to be allowed to stick up a certificate
in their waiting room.
75% of respondents declare they had
read all medical references available for
the EPP
Docteur ORTOLAN
Congrès Equip- Novembre
2004
Main results (5) : Medical formation
and other kind of evaluation

70% of respondents have take part
in a medical formation since the end
of their EPP

Only 35% of assessed physicians
have take part in another kind of
medical assessment
Docteur ORTOLAN
Congrès Equip- Novembre
2004
Main results (6) : EPP by assessed
practitioners - Representation
Most of the respondents agree the
idea of EPP as a way to start actions
for health quality improvement.
 According to assessed practitioners,
analyze the medical practice permits
to obtain useful information for
health quality
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Docteur ORTOLAN
Congrès Equip- Novembre
2004
Main results (7) :Prospect
75 % of respondents would like to
continue this approach :
new assessment,
 meetings with the group members

Docteur ORTOLAN
Congrès Equip- Novembre
2004
The conclusions drawn
Among physicians evaluated, a lot of
them agree auto evaluation is formative.
This result will be used for generalize this
kind of medical formation.
 This kind of process could also be used
as an efficient medical formation
approach to ameliorate immediately
physicians’ practices
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Docteur ORTOLAN
Congrès Equip- Novembre
2004
Conclusion
Since the Law of Social Security
Reform of august, more than 900
physicians registered at URML for
EPP. So, in 2005, a larger evaluation
of the process could be lead.
Docteur ORTOLAN
Congrès Equip- Novembre
2004