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Canadian Quality Circle pilot project in osteoporosis

Rationale, methods, and feasibility

Alexandra Papaioannou, MD FRCPC
Associate Professor in the Department of Medicine at McMaster University

Lehana Thabane, PhD
Associate Professor in the Department of Clinical Epidemiology and Biostatistics at McMaster University and is Director of Biostatistics at the Father Sean O’Sullivan Research Centre and Centre for Evaluation of Medicines at St Joseph’s Healthcare in Hamilton

Amiram Gafni, PhD
Professor in the Department of Clinical Epidemiology and Biostatistics at McMaster University

Anthony Hodsman, MD FRCPC
Professor in the Department of Medicine at the University of Western Ontario in London

Brent Kvern, MD
Postgraduate Program Director in Family Medicine at the University of Manitoba in Winnipeg

Dan Johnstone
National Professional Relations Manager at Proctor and Gamble Pharmaceuticals in Toronto, Ont

Nathalie Plumley
The Canadian Quality Circle’s Project Manager at Proctor and Gamble Pharmaceuticals

Alanna Baldwin, Med
Project Manager of the pilot study in the Primary Health Care Research Unit at the University of Manitoba in Winnipeg

M. Doupe, PhD
Associate Director of the Primary Health Care Research Unit

Alan Katz, MB ChB CCFP
Director of the Primary Health Care Research Unit

Lena Salach, MA
Director of Research and Professional Development for the Ontario College of Family Physicians in Toronto

Jonathan D. Adachi, MD FRCPC
Professor in the Department of Medicine at McMaster University

Correspondence to: Mr George Ioannidis, 25 Charlton Ave E, Suite 501, Hamilton, ON L8N 1Y2; telephone 905 529-1317; fax 519 579-8341; e-mail g.ioannidis{at}sympatico.ca

PROBLEM ADDRESSED Family physicians are not adequately following the 2002 Osteoporosis Canada guidelines for providing optimal care to patients with osteoporosis.

OBJECTIVE OF PROGRAM The Canadian Quality Circle (CQC) pilot project was developed to assess the feasibility of the CQC project design and to gather informationfor implementing a national study of quality circles (QCs). The national study would assess whether use ofQCs could improve family physicians’ adherence to the osteoporosis guidelines.

PROGRAM DESCRIPTION The pilot project enrolled 52 family physicians and involved 7 QCs. The project had 3 phases: training and baseline data collection, educational intervention and follow-up data collection, and sessions on implementing strategies for care.

CONCLUSION Findings from the pilot study showed that the CQC project was well designed and well received. Use of QCs appeared to be feasible for transferring knowledge and giving physicians an opportunity to analyze work-related problems and develop solutions to them.