Wong Sabrina T, Langton Julia M, Katz Alan, Fortin Martin, Godwin Marshall, Green Michael, Grunfeld Eva, Hassani Kasra, Kendall Claire, Liddy Clare, Ploeg Jenny, Wodchis Walter P, Haggerty Jeannie L
1Centre for Health Services and Policy Research; andSchool of Nursing,University of British Columbia,Vancouver,BC,Canada.
2Centre for Health Services and Policy Research,University of British Columbia,Vancouver,BC,Canada.
Prim Health Care Res Dev. 2019 Jan;20:e7. doi: 10.1017/S1463423618000518. Epub 2018 Nov 6.
AimTo describe the process by which the 12 community-based primary health care (CBPHC) research teams worked together and fostered cross-jurisdictional collaboration, including collection of common indicators with the goal of using the same measures and data sources. BACKGROUND: A pan-Canadian mechanism for common measurement of the impact of primary care innovations across Canada is lacking. The Canadian Institutes for Health Research and its partners funded 12 teams to conduct research and collaborate on development of a set of commonly collected indicators. METHODS: A working group representing the 12 teams was established. They undertook an iterative process to consider existing primary care indicators identified from the literature and by stakeholders. Indicators were agreed upon with the intention of addressing three objectives across the 12 teams: (1) describing the impact of improving access to CBPHC; (2) examining the impact of alternative models of chronic disease prevention and management in CBPHC; and (3) describing the structures and context that influence the implementation, delivery, cost, and potential for scale-up of CBPHC innovations.FindingsNineteen common indicators within the core dimensions of primary care were identified: access, comprehensiveness, coordination, effectiveness, and equity. We also agreed to collect data on health care costs and utilization within each team. Data sources include surveys, health administrative data, interviews, focus groups, and case studies. Collaboration across these teams sets the foundation for a unique opportunity for new knowledge generation, over and above any knowledge developed by any one team. Keys to success are each team's willingness to engage and commitment to working across teams, funding to support this collaboration, and distributed leadership across the working group. Reaching consensus on collection of common indicators is challenging but achievable.
描述12个基于社区的初级卫生保健（CBPHC）研究团队共同合作并促进跨辖区协作的过程，包括收集通用指标，目标是使用相同的测量方法和数据来源。背景：加拿大缺乏一个用于统一衡量全国初级保健创新影响的泛加拿大机制。加拿大卫生研究院及其合作伙伴资助了12个团队开展研究，并合作开发一套共同收集的指标。方法：成立了一个代表12个团队的工作组。他们采用了一个迭代过程，以考虑从文献和利益相关者那里确定的现有初级保健指标。就指标达成了一致意见，目的是在12个团队中实现三个目标：（1）描述改善获得CBPHC服务的影响；（2）研究CBPHC中慢性病预防和管理替代模式的影响；（3）描述影响CBPHC创新的实施、提供、成本和扩大规模潜力的结构和背景。结果：在初级保健的核心维度中确定了19个通用指标：可及性、全面性、协调性、有效性和公平性。我们还同意在每个团队内收集医疗保健成本和利用情况的数据。数据来源包括调查、卫生行政数据、访谈、焦点小组和案例研究。这些团队之间的合作奠定了一个独特的机会基础，以产生新知识，这超越了任何一个团队所开发的知识。成功的关键在于每个团队参与的意愿和跨团队合作的承诺、支持这种合作的资金以及工作组中的分布式领导。就收集通用指标达成共识具有挑战性，但可以实现。
