From: Performance measurement systems in primary health care: a systematic literature review
Title and author | Data extraction | Election criteria | Record reliability | |||||||
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Subject search terms | Article keywords | Publication Year | Research country or corresponding author | Organization promoting the study | Confirmation that the study refers to health services in primary health care | The study provides a complete structure of an organizational performance measurement system in the service | The study refers to the performance measurement system with replicable methodology in health services in primary care | The study refers to the operational performance measurement system | Classification: Rosalind Franklin Qualitative Research Appraisal Instrument (RF-QRA) | |
T—Performance evaluation and ranking of regional primary health care and public health Systems in Iran A—Rashidian et al | health performance measurement, Primary Health Care | Efficiency; Health care evaluation mechanisms; Primary health care; Program evaluation; Public health | 2021 | Iran | University of Medical Sciences of Iran | Yes, Performance measurement systems in primary health care units | Yes, using Weighted Factor Analysis (WFA), Equal Weighting (EW), Stochastic Frontier Analysis (SFA) and Data Envelopment Analysis (DEA) | Yes, with a greater focus on comparison with other health units | Yes | RF-QRA—Level 2 Credibility: Strong Transferability: Strong Dependability: Sound Confirmability: Sound |
T—Primary health care performance: a scoping review of the current state of measurement in Africa A—Bresick, G et al | health performance measurement, Primary Health Care | SYSTEM, INCOME | 2019 | África do Sul | Primafamed PHC African Network | Yes, Performance measurement systems in primary health care units | Yes, using the Primary Healthcare Performance Initiative | Yes | Yes | RF-QRA—Level 1 Credibility: Strong Transferability: Strong Dependability: Strong Confirmability: Strong |
T—Evidence gap map of performance measurement and management in primary healthcare systems in low-income and middle-income countries A—Munar, W et al | health performance measurement | DISTINCTIVE COMPETENCES, DYNAMIC CAPABILITIES, QUALITY IMPROVEMENT, INTERVENTIONS | 2019 | EUA | Milken Institute of Public Health, George Washington Universit, USA | Yes, gap map with evidence for performance measurement systems in primary health care units | Yes, using the PMM (Performance Measurement and Management) Cycle and EGMs (Evidence Gap Maps) | Yes | Yes, with variables for strategic and tactical level | RF-QRA—Level 1 Credibility: Strong Transferability: Strong Dependability: Strong Confirmability: Strong |
T—PHC Progression Model: a novel mixed-methods tool for measuring primary health care system capacity A—Ratcliffe, HL et al | health performance measurement | There are no keywords | 2019 | EUA | Ariadne Labs, Brigham and Women's Hospital & Harvard TH Chan School of Public Health, Boston, Massachusetts, EUA | Yes, Performance measurement systems in primary health care units | Yes, using a reformulation of the PHCPI | Yes | Yes, for the central management and operational level | RF-QRA—Level 2 Credibility: Strong Transferability: Strong Dependability: Sound Confirmability: Sound |
T—Quality of primary care from patients' perspective: a cross sectional study of outpatients' experience in public health facilities in rural Malawi A—Dullie, L et al | health performance measurement | Primary care, Primary care performance, Primary care assessment tool, Patient experience measurement, Health services, Malawi | 2018 | Malawi | Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway Partners In Health, Blantyre, Neno, Malawi University of Malawi College of Medicine, Blantyre, Malawi | Yes, Performance measurement systems in primary health care units | Yes, using the Malawian version of the primary care assessment tool (PCAT-Mw) | Yes | Yes with other clinical approaches | RF-QRA—Level 2 Credibility: Strong Transferability: Strong Dependability: Sound Confirmability: Sound |
T—Creating performance intelligence for primary health care strengthening in Europe A—Barbazza, E et al | health performance measurement | Primary health care, Performance assessment, Health systems, Measurement, Primary care, Europe | 2020 | Holanda | Amsterdam UMC, Department of Public Health, University of Amsterdam, Amsterdam Public Health research institute, Meibergdreef 9, 1105 AZ, Amsterdam, the Netherlands WHO European Centre for Primary Health Care, Health Services Delivery Programme, Division of Health Systems and Public Health, Tole Bi 88, Almaty, Kazakhstan | Yes, Performance measurement systems in primary health care units | Yes, using Focus Groups and Survey | Yes | Yes, with different types of approaches | RF-QRA—Level 2 Credibility: Strong Transferability: Strong Dependability: Sound Confirmability: Sound |
T—Development of a performance measurement system for general practitioners' office in China's primary healthcare A—Ruan, WJ et al | health performance measurement | General practice, Performance measurement system, Quality of health service, Focus group method, Delphi method | 2022 | China | General Practice Ward/International Medical Center Ward, General Practice Medical Center, West China Hospital, Sichuan University, Chengdu, China | Yes, Performance measurement systems in primary health care unit doctors' offices | Yes, using the Index pool: Delphi method and survey | Yes | Yes, for the central management and operational level in 3-level productivity | RF-QRA—Level 2 Credibility: Strong Transferability: Strong Dependability: Sound Confirmability: Sound |
T—Improving the quality of primary care by allocating performance-based targets, in a diverse insured population A—Peled, R., Porath, A. & Wilf-Miron, R | health performance measurement | Public health, Quality improvement, Quality measurement, Quality indicators | 2017 | Israel | Maccabi Healthcare Services (MHS) Department Health Systems Management, Faculty Health Sciences, Ben Gurion University of the Negev, Beer Sheva, 65,321, Israel Peres Academy Center, Rehovot, Israel | Yes, focused on community health | Yes, but the study does not describe the relationship of the indicators, only the domains | Yes | Yes with other clinical approaches | RF-QRA—Level 4 Credibility: sound Transferability: Sound Dependability: Sound Confirmability: Sound |
T—A conceptual framework for measuring community health workforce performance within primary health care systems A—Agarwal et al | health performance measurement | Community health worker, Primary health care, Health metrics, Healthcare quality indicators, Health information systems | 2019 | EUA | Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA | Yes, focused on the quality of services provided by community health workers | Yes, with breakdown for the various areas of primary care | Yes | Yes, focused on the operation of Community Health Agents | RF-QRA—Level 1 Credibility: Strong Transferability: Strong Dependability: Strong Confirmability: Strong |
T—A systematic review: the dimensions to evaluate health care performance and an implication during the pandemic A—Amer et al | health performance measurement | Balanced scorecard, Performance, Indicators, Health, Hospital, Evaluation, Assessment, COVID-19 | 2022 | Hungria | Doctoral School of Health Sciences, Faculty of Health Sciences, University of Pécs, Pécs, Hungary Faculty of Health Sciences, Institute for Health Insurance, University of Pécs, Pécs, Hungary | Yes, with a systematic review of all KPIs found | Yes | Yes, with many KPIs available for use in primary care | Yes | RF-QRA—Level 2 Credibility: Strong Transferability: Strong Dependability: Sound Confirmability: Sound |
T—Population segments as a tool for health care performance reporting: an exploratory study in the Canadian province of British Columbia A—Langton et al | health performance measurement | Primary care, Performance measurement, Population segmentation, Risk adjustment, Health care costs, Administrative data | 2020 | Canadá | Centre for Health Services and Policy Research, The University of British Columbia (UBC), 201–2206 East Mall, Vancouver, BC, V6T 1Z3, Canada School of Population and Public Health, UBC, Vancouver, BC, Canada | Yes, in a large district of the country of study | Yes, focused on costs and access to the service | Yes, from the use of longitudinal data with logistic regression to create KPIs | Yes | RF-QRA—Level 1 Credibility: Strong Transferability: Strong Dependability: Strong Confirmability: Strong |
T—Evidence-based indicators for the measurement of quality of primary care using health insurance claims data in Switzerland: results of a pragmatic consensus process A—Blozik et al | health performance measurement | Quality indicator, Quality assessment, Quality measurement, Claims data, Health insurance, Evidence-based, Consensus process | 2018 | Suiça | Swiss Quality Indicator for Primary Care (SQIPRICA) Working Group | Yes | Yes, focused on the quality of services provided and clinical monitoring | Yes | Yes | RF-QRA—Level 2 Credibility: Strong Transferability: Strong Dependability: Sound Confirmability: Sound |
T—Evaluation of the implementation progress through key performance indicators in a new multimorbidity patient-centered care model in Chile A—Varela et al | health performance measurement | Multimorbidity, Key performance indicators, Implementation, Progress, Patient-centered, Model | 2023 | Chile | the Centro de Innovacion en Salud ANCORA UC (CISAUC), together with the Servicio Metropolitano Sur Oriente (SSMSO) and National Found of Health (FONASA), | Yes | Yes, based on pre-existing methods implemented in the service | Yes | Yes | RF-QRA—Level 2 Credibility: Strong Transferability: Strong Dependability: Sound Confirmability: Sound |
T—Health facility management and primary health care performance in Uganda A—Kim et al., 2022 | health performance measurement | Management, Health facilities, Primary health care, Quality, Essential drugs | 2022 | Uganda | Performance Monitoring for Action (PMA) project (www.pmadata.org) | Yes | Yes | Yes | Yes | RF-QRA—Level 2 Credibility: Strong Transferability: Strong Dependability: Sound Confirmability: Sound |