OPEN Research Support

Frans Boch Waldorff
Research Unit of General Practice, Department of Public Health, University of Southern Denmark

Project management
Project status    Closed
Data collection dates
Start 01.10.2019  
End 31.12.2024  

Accreditation in Danish General Practice (AKIAP)

Short summary

The overall goal of the project is to create new knowledge about the implementation and possible effects (intended as well as unintended) of the introduction of the Danish Quality Model in general practice with a view to improving the basis for the accreditation model's continuation and specific design in general practice.



Accreditation is a procedure in which a recognized evaluates an organization on the basis of a predefined set of quality standards. This usually involves a formal site visit by a team of surveyors The evaluation results in a decision on the granting of accreditation status. Accreditation has become a widespread tool for quality control and improvement in healthcare, and many resources are spent on developing and implementing accreditation systems across the world. Nevertheless,solid evidence for the effects of accreditation is generally lacking, and this is particularly true for general practice.

In 2014 it was decided to implement a mandatory accreditation scheme in Danish general practice in the period 2016-2018. This study examines the possible effects of the accredition scheme.


The project consists of 2 sub-projects, all of which relate to the overall purpose, and which together will contribute to a more nuanced evaluation. The following are the 2 sub-projects.

1. The attending physician's attitude, expectations and experience of accreditation (based on survey in 2016, 2017 and 2018 and 2019). Further linking of register data with data from surveys and information from accreditation documents.

2. The clinical, patient-experienced, organizational and financial effects of accreditation in general practice. will be surveyed in a stepped wedge design with municipalities as clusters.

Description of the cohort

All Danish General practitioners.

Data and biological material

Data from IKAS, questionnaires and national registers.

Collaborating researchers and departments

Research Unit of General Practice, Department of Public Health, University of Southern Denmark

  • Professor Jens Søndergaard
  • Associate Professor Line Bjørnskov Pedersen
  • Assistant Professor Merethe Kousgaard Andersen
  • Statistician Sonja Wehberg
  • Post Doc Helle Riisgaard