1. Developing General Practice: The Role of the APO Method Eva Lena Strandberg Phd, Audit Facilitator Lund University, Dept. of Clinical Sciences Malmö, Family Medicine, Malmö University Hospital 16th Nordic Congress of General Practice Copenhagen, Denmark Eva Lena Strandberg

2. Overall aim Eva Lena Strandberg To explore the role of the APO method its possibilities in GPs’ development

3. I.The perceived meaning of a (w)holistic view among general practitioners and district nurses in Swedish primary care BMC Fam Pract, 2007, 8:8 II.The meaning of quality work from the general practitioner’s perspective BMC Fam Pract, 2006, 7:6 III.Influence of self-registration on audit participants and their non-participating colleagues Scand J Prim Health Care, 2005;23:42-46 IV.Can a holistic view be measured? A pilot study of the use of audit in general practitioners’ decision making Manuscript Eva Lena Strandberg

4. Explorer Eva Lena Strandberg

5. Methods Eva Lena Strandberg Case study methodology Exploratory Descriptive

6. Eva Lena Strandberg The APO method How do we act? 1st registration How should we act? Follow-up meeting Did we change? 2nd registration Need for change? Guidelines Actions

7. Holistic view Eva Lena Strandberg Attitude Knowledge Circumstances I. Holistic view

8. Holistic view Eva Lena Strandberg Attitude Knowledge Factual Tacit Circumstances I. Holistic view

9. Eva Lena Strandberg II. Quality development GPs’ quality work

10. Influence of self-registration Eva Lena Strandberg III. Influence

11. Can holistic view be measured? Eva Lena Strandberg Based on the developed definition of the concept of holistic view develop an APO protocol test the protocol IV. Measurig holistic view

12. Results Eva Lena Strandberg Pilot audit: 8 of 10 GPs registrered 255 consultations; 153 with patients from their own list IV. Measuring holistic view

13. Summary Eva Lena Strandberg To achieve systematism in work with quality requires harmony between external demands and needs of the profession’s autonomy The APO method satisfies the profession’s need for self-determination and reflection The APO method has a role in developing general practice in the broad sense

14. http://www.lu.se/o.o.i.s/12575

15. Developing General Practice: The Role of the APO Method Thank you for your attention! eva-lena.strandberg@med.lu.se