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Table 2 List of records included in the extraction data, eligibility criteria and reliability of records for projects studying Performance Measurement Systems

From: Performance measurement systems in primary health care: a systematic literature review

Title and author

Data extraction

Election criteria

Record reliability

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