PMID- 11412541
OWN - NLM
STAT- MEDLINE
DCOM- 20011204
LR  - 20201128
IS  - 0212-6567 (Print)
IS  - 1578-1275 (Electronic)
IS  - 0212-6567 (Linking)
VI  - 27
IP  - 8
DP  - 2001 May 15
TI  - [Acceptance of lot sampling: its applicability to the evaluation of the primary 
      care services portfolio].
PG  - 547-53
AB  - OBJECTIVE: To determine the applicability of the acceptance of lot quality 
      assurance sampling (LQAS) in the primary care service portfolio, comparing its 
      results with those given by classic evaluation. DESIGN: Compliance with the 
      minimum technical norms (MTN) of the service of diabetic care was evaluated 
      through the classic methodology (confidence 95%, accuracy 5%, representativeness 
      of area, sample of 376 histories) and by LQAS (confidence 95%, power 80%, 
      representativeness of primary care team (PCT), defining a lot by MTN and PCT, 
      sample of 13 histories/PCT). Effort, information obtained and its operative 
      nature were assessed. SETTING: 44 PCTs from Murcia Primary Care Region. 
      MEASUREMENTS AND MAIN RESULTS: Classic methodology: compliance with MTN ranged 
      between 91.1% (diagnosis, 95% CI, 84.2-94.0) and 30% (repercussion in viscera, 
      95% CI, 25.4-34.6). Objectives in three MTN were reached (diagnosis, history and 
      EKG). LQAS: no MTN was accepted in all the PCTs, <<01-diagnosis>> being the most 
      accepted (42 PCT, 95.6%) and <<07-Funduscopy>> the least accepted (24 PCT, 
      55.6%). In 9 PCT all were accepted (20.4%), and in 2 none were accepted (4.5%). 
      Data were analysed through Pareto charts. CONCLUSIONS: Classic methodology 
      offered accurate results, but did not identify which centres were those that did 
      not comply (general focus). LQAS was preferable for evaluating MTN and probably 
      coverage because: 1) it uses small samples, which foment internal 
      quality-improvement initiatives; 2) it is easy and rapid to execute; 3) it 
      identifies the PCT and criteria where there is an opportunity for improvement 
      (specific focus), and 4) it can be used operatively for monitoring.
FAU - Lopez-Picazo Ferrer, J
AU  - Lopez-Picazo Ferrer J
AD  - Unidad de Calidad. Gerencia de Atencion Primaria de Murcia. INSALUD.
LA  - spa
PT  - Comparative Study
PT  - English Abstract
PT  - Journal Article
TT  - Aceptacion de muestras por lotes: aplicabilidad en la evaluacion de cartera de 
      servicios de atencion primaria.
PL  - Spain
TA  - Aten Primaria
JT  - Atencion primaria
JID - 9111075
SB  - IM
MH  - Diabetes Mellitus/*therapy
MH  - Guideline Adherence/*statistics & numerical data
MH  - Humans
MH  - Primary Health Care/*standards
MH  - Quality Assurance, Health Care/*methods
MH  - Sampling Studies
MH  - Spain
PMC - PMC7677956
EDAT- 2001/06/20 10:00
MHDA- 2002/01/05 10:01
PMCR- 2013/04/05
CRDT- 2001/06/20 10:00
PHST- 2001/06/20 10:00 [pubmed]
PHST- 2002/01/05 10:01 [medline]
PHST- 2001/06/20 10:00 [entrez]
PHST- 2013/04/05 00:00 [pmc-release]
AID - S0212-6567(01)78858-0 [pii]
AID - 10.1016/s0212-6567(01)78858-0 [doi]
PST - ppublish
SO  - Aten Primaria. 2001 May 15;27(8):547-53. doi: 10.1016/s0212-6567(01)78858-0.