RCGP Quick guide: Diagnostic AnalysisPublished: 10th January 2016
Grol et al define this analysis as looking at the group which will be affected by a change and the setting in which that change will occur before the start of implementation of the change. This approach allows the improvement to be adapted to both these factors and then is more likely to be effective.
- Identify stakeholders, their goals and interests. In a general practice setting this would normally include patients, all the primary care team and perhaps those from your at scale organization.
- Consider factors that will influence the implementation of the improvement. This can be divided into several areas:
- Their knowledge and skills related to the improvement.
- Their motivation to introduce the change.
- Their past experiences in this area.
- Team working
- Physical resources e.g. premises, equipment.
- Legislation and social
- Identify any subgroups in the stakeholders. There may be differences in approach within any group e.g. patients may not all wish to see a certain type of improvement, or doctors may hold different opinions on a guideline. Methods to identify the elements of the components include Interviews, Focus groups, Observation, Surveys, and QI tools (Fishbone diagram, Diagnostic survey, Diagnostic analysis)
Having then considered the elements and what are enablers or barriers you can plan your improvement to take account of them.