The province of Ontario in Canada is an example of a jurisdiction that is using a specific quality improvement mechanism, known as "audit and feedback," to help clinicians enhance the care they provide to long-term care (LTC) home residents. This program, launched in 2015, is unique in that the reports are provided across an entire jurisdiction. These reports were co-designed with clinicians, including medical directors, scientists, and other stakeholders, and are updated regularly to maintain their relevance to medical practice in LTC. The data for the reports is calculated using record linkage with available administrative data sources. The reports are updated with new data 4 times each year and emailed directly to physicians who have requested their report. The reports are designed to have an overall dashboard summarizing the practice level data with a comparison to all physicians in Ontario. More detailed information on their data such as trend data and resources for quality improvement are found in subsequent pages of the report. These reports are a tool to support physicians in quality improvement efforts in their LTC practice. We believe the role of a medical director is very important in both the uptake and use of these reports as the medical director would act as a trusted advisor who can influence quality of care overall within an LTC home. We are also testing a new format for delivering the reports in an interactive online format that enables more options for viewing practice data. Initial evaluation of these reports shows that there is a statistically significant impact on reducing the prescription of antipsychotic medications in LTC homes. In future, we hope to see a larger effect on the latest topic included in the reports: antibiotic prescribing.

中文翻译：

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通过对医生的审计和反馈，提高安大略省长期护理院的优质护理

加拿大安大略省就是一个使用特定质量改进机制（称为“审核和反馈”）的司法管辖区的例子，以帮助临床医生加强他们为长期护理 (LTC) 家庭居民提供的护理。该计划于 2015 年启动，其独特之处在于报告是在整个司法管辖区提供的。这些报告是与临床医生（包括医学主任、科学家和其他利益相关者）共同设计的，并定期更新以保持其与 LTC 医疗实践的相关性。报告的数据是使用与可用管理数据源的记录链接来计算的。这些报告每年更新 4 次新数据，并直接通过电子邮件发送给要求他们报告的医生。这些报告旨在有一个整体仪表板，汇总​​实践水平数据，并与安大略省的所有医生进行比较。有关其数据的更多详细信息，例如趋势数据和质量改进资源，请参见报告的后续页面。这些报告是支持医生在 LTC 实践中进行质量改进工作的工具。我们认为，医疗主任的角色对于这些报告的吸收和使用都非常重要，因为医疗主任将充当可信赖的顾问，可以影响 LTC 家庭内的整体护理质量。我们还在测试一种新格式，用于以交互式在线格式提供报告，从而为查看练习数据提供更多选项。对这些报告的初步评估表明，在减少 LTC 家庭中抗精神病药物的处方方面存在统计学上的显着影响。未来，我们希望看到报告中包含的最新主题产生更大的影响：抗生素处方。