The implementation of medical revalidation: an assessment using normalisation process theory

Background Medical revalidation is the process by which all licensed doctors are legally required to demonstrate that they are up to date and fit to practise in order to maintain their licence. Revalidation was introduced in the United Kingdom (UK) in 2012, constituting significant change in the reg...

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Vydáno v:BMC health services research Ročník 17; číslo 1; s. 749 - 14
Hlavní autoři: Tazzyman, Abigail, Ferguson, Jane, Hillier, Charlotte, Boyd, Alan, Tredinnick-Rowe, John, Archer, Julian, de Bere, Sam Regan, Walshe, Kieran
Médium: Journal Article
Jazyk:angličtina
Vydáno: London BioMed Central 21.11.2017
BioMed Central Ltd
Springer Nature B.V
BMC
Témata:
Accreditation - methods
Accreditation - statistics & numerical data
Analysis
Clinical Competence - standards
Data analysis
Data collection
Design
Ethics
governance and law
Health Administration
Health care industry
Health Informatics
Health policy
Health services
Humans
Intervention
Interviews
Laws, regulations and rules
Medical practices
Medical profession
Medical regulation
Medicine
Medicine & Public Health
Normalisation process theory
Nursing Research
Patient care
Patient Care - standards
Patient Safety - standards
Physicians
Physicians - standards
Policy implementation
Public Health
Qualitative research
reform
Research Article
Research ethics
Revalidation
United Kingdom
Writers
United Kingdom > UK
Normalisation process theory
Medical regulation
Revalidation
Policy implementation
ISSN:1472-6963, 1472-6963
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Shrnutí:Background Medical revalidation is the process by which all licensed doctors are legally required to demonstrate that they are up to date and fit to practise in order to maintain their licence. Revalidation was introduced in the United Kingdom (UK) in 2012, constituting significant change in the regulation of doctors. The governing body, the General Medical Council (GMC), envisages that revalidation will improve patient care and safety. This potential however is, in part, dependent upon how successfully revalidation is embedded into routine practice. The aim of this study was to use Normalisation Process Theory (NPT) to explore issues contributing to or impeding the implementation of revalidation in practice. Methods We conducted seventy-one interviews with sixty UK policymakers and senior leaders at different points during the development and implementation of revalidation: in 2011 ( n  = 31), 2013 ( n  = 26) and 2015 ( n  = 14). We selected interviewees using purposeful sampling. NPT was used as a framework to enable systematic analysis across the interview sets. Results Initial lack of consensus over revalidation’s purpose, and scepticism about its value, decreased over time as participants recognised the benefits it brought to their practice (coherence category of NPT). Though acceptance increased across time, revalidation was not seen as a legitimate part of their role by all doctors. Key individuals, notably the Responsible Officer (RO), were vital for the successful implementation of revalidation in organisations (cognitive participation category). The ease with which revalidation could be integrated into working practices varied greatly depending on the type of role a doctor held and the organisation they work for and the provision of resources was a significant variable in this (collective action category). Formal evaluation of revalidation in organisations was lacking but informal evaluation was taking place. Revalidation had not yet reached the stage where feedback was being used for improvement (reflexive monitoring category). Conclusions Requiring all organisations to use the same revalidation model made revalidation easy to integrate into existing work for some but problematic for others. In order for revalidation to be fully embedded and successful, impeding factors, such as a lack of resources, need to be addressed.
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ISSN:1472-6963
1472-6963
DOI:10.1186/s12913-017-2710-5