GROUP PEER-REVIEW IN PSYCHIATRY - THE RELATIONSHIP TO QUALITY IMPROVEMENT AND QUALITY CARE

Objective: This study sought to elucidate the contribution of peer rev iew groups involving psychiatrists to quality improvement and quality care. Method: Audio-taped interviews of groups engaged in peer review were analysed using a qualitative methodology. Participants' views of the ways in which they experienced and conceptualised peer review were explored. Results: The views of participants in peer review groups we re analysed, and categories evolved which identified differences in ho w they perceived the structure and function of group peer review. Conc lusions: Participants in the groups studied perceived peer review as a professional growth forum within a quality improvement framework prov iding critical review of treatment, continuing education, and a sense of collegiality. Boundaries of acceptable practice were tested and def ined. At its best, participation in peer review groups enhanced reflec tive practice which achieved new understandings of clinical work In th is regard, peer review is seen as a highly desirable method for the ma intenance of professional standards.