Moritz Kraus, Wolfgang Böcker, Yasmin Youssef, Svea Faber
[Controversies in promoting young talent in orthopedics and trauma surgery]
Orthopadie (Heidelberg, Germany)
healthcare regulators many countries undertake inspections healthcare providers publish inspection outcomes intention improving quality care comprehensive inspections general practices england care quality commission began first time 2014 assumed inspection rating raise standards improve care presence extent improvements unknown aim determine practice inspection ratings associated past performance prescribing indicators prescribing behaviour changes following inspection longitudinal study using dataset 6771 general practices england practice inspection date score linked monthly practicelevel data prescribing indicators relating antibiotics hypnotics nonsteroidal antiinflammatory drugs sample covers practices receiving first inspection september 2014 december 2018 regression analysis differential timing inspections used identify impact prescribing betterrated practices better prescribing period inspections began six months following inspections overall change prescribing observed however differences best worse rated practices reduced fully also true taking longerterm view little evidence practices responded anticipation inspection reacted differently ratings made public observed historic variation prescribing behaviour lessened process inspection ratings find change small appears come improvements among lowerrated practices deteriorations among higherrated practices inspection rating doubt impacts prescribing indicators largely unchanged