The Effectiveness of the Breakthrough Series Methodology

Abstract

In the context of substantial government expenditure on Primary Care Collaboratives in Australia, this study aimed to review the information available about the effectiveness of the Breakthrough Series methodology as an alternative quality improvement method and a form of continuing professional development for general practitioners (GPs) in Australia. A wide and comprehensive search was conducted seeking articles that provided information about four questions raised by GPs involved in the Monash Arthritis and Musculoskeletal Quality Improvement Program (AMQuIP) project: (1) follow-up studies (2) the generalisability, sustainability and validity of the methodology (3) randomised controlled trials using the methodology, and (4) continuing professional development programs. The search was conducted using several databases. The search found 102 articles, with 31 containing information relevant to the questions raised. Three articles reported and eight commented on follow-up; 25 commented on generalisability, 15 on sustainability, five on validity. No randomised controlled trials were located that used the methodology but seven commented on randomised controlled trials; three commented on continuing professional development. While the articles provide valuable information, many authors suggested further research is needed to provide greater insight into and understanding of the methodology as an alternative quality improvement method for use both in Australia and overseas.