Haj-Ali Wissam, Hutchison Brian
Health Quality Ontario, Institute of Health Policy Management and Evaluation, University of Toronto, Toronto, ON.
Departments of Family Medicine and Health Research Methods, Evidence and Impact, Centre for Health Economics and Policy Analysis, McMaster University Hamilton, ON.
Healthc Policy. 2017 Feb;12(3):66-79.
A systematic approach to Primary Care Performance Measurement is needed to provide useful information on a regular basis to inform planning, management and quality improvement at both the practice and system levels. Based on an environmental scan, a summit of primary care stakeholders and a stakeholder survey and supported by Measures and Technical Working Groups, the Ontario Primary Care Performance Measurement Steering Committee, representing 20 stakeholder organizations, identified system- and practice-level measurement priorities and related specific performance measures across nine domains of primary care performance. This initiative addressed measures' selection and technical specification. It did not include data collection. Lessons learned in Ontario can assist other jurisdictions developing frameworks for monitoring and reporting on primary care performance. Cross-country alignment could lead to a coordinated approach to measure and target areas for primary care performance improvement in Canada.
需要一种系统的初级保健绩效评估方法，以便定期提供有用信息，为实践和系统层面的规划、管理及质量改进提供依据。基于环境扫描、初级保健利益相关者峰会以及利益相关者调查，并在措施和技术工作组的支持下，代表20个利益相关者组织的安大略省初级保健绩效评估指导委员会确定了初级保健绩效九个领域的系统和实践层面的评估重点及相关具体绩效指标。该倡议涉及指标的选择和技术规范。它不包括数据收集。安大略省吸取的经验教训可帮助其他司法管辖区制定监测和报告初级保健绩效的框架。跨国协调一致可促成一种协调的方法，以衡量和确定加拿大初级保健绩效改进的目标领域。
