Assessing primary care organization and performance: Literature synthesis and proposition of a consolidated framework.

Details

Serval ID
serval:BIB_3DB9E0B507DC
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Assessing primary care organization and performance: Literature synthesis and proposition of a consolidated framework.
Journal
Health policy
Author(s)
Senn N., Breton M., Ebert S.T., Lamoureux-Lamarche C., Lévesque J.F.
ISSN
1872-6054 (Electronic)
ISSN-L
0168-8510
Publication state
Published
Issued date
20/10/2020
Peer-reviewed
Oui
Language
english
Notes
Publication types: Journal Article
Publication Status: aheadofprint
Abstract
Many frameworks describing primary care (PC) organization exist. This study proposes a consolidated framework based on the synthesis of published frameworks for the assessment of primary care organization and performance.
We conducted a review of the literature to identify relevant existing frameworks that aimed to describe PC organization or/and monitor its activities. First, we extracted all domains from the frameworks and then hierarchically organized them into domains, dimensions and elements. Second, we mapped key domains. Third, we grouped together domains covering the same field to build a consolidated framework. Finally, the consolidated framework was assessed by 10 international experts in PC evaluation using a survey.
We retained seven frameworks. The consolidated framework comprises four domains: 1) population needs; 2) organization and structure of PC practices; 3) delivery of PC services and 4) patient and population health outcomes. We added five connecting constructs to the framework in order to link the domains: accessibility, appropriateness, productivity, efficiency, effectiveness, equity and integration. None of the previously published frameworks encompassed all domains, dimensions and elements of the new consolidated framework.
We propose a consolidated framework of PC organization based on the synthesis of seven published frameworks. This unitary framework may provide a foundation for comparative assessment across various contexts to support researchers and policy makers.
Keywords
Consolidated, Framework, Health services research, Organization of primary care, Primary care, Primary care performance
Pubmed
Open Access
Yes
Create date
16/11/2020 15:23
Last modification date
15/12/2020 7:26
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