Developing Iranian sub-national primary health care measurement framework: a mixed-method study

被引:2
|
作者
Rezapour, Ramin [1 ]
Khosravi, Ardeshir [2 ]
Farahbakhsh, Mostafa [3 ]
Ahmadnezhad, Elham [4 ]
Azami-Aghdash, Saber [5 ]
Tabrizi, Jafar Sadegh [1 ]
机构
[1] Tabriz Univ Med Sci, Tabriz Hlth Serv Management Res Ctr, Tabriz, Iran
[2] Minist Hlth & Med Educ, Deputy Publ Hlth, Tehran, Iran
[3] Tabriz Univ Med Sci, Sch Med, Dept Psychiat, Tabriz, Iran
[4] Univ Tehran Med Sci, Natl Inst Hlth Res NIHR, Tehran, Iran
[5] Tabriz Univ Med Sci, Med Philosophy & Hist Res Ctr, Tabriz, Iran
关键词
Primary Health Care; Iran; Performance measurement; Framework; Key performance indicators; Universal Health Coverage; PERFORMANCE;
D O I
10.1186/s13690-023-01108-0
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
BackgroundDesired health outcomes are more achievable through strong Primary Health Care (PHC). Using comprehensive and scientific tools, decision-makers are guided to formulate better PHC reforms and policies. This study introduces a sub-national framework based on the World Health Organization (WHO) proposed frameworks for the PHC performance measurement.MethodBy a mixed-method and qualitative approach, the Iranian sub-national PHC Measurement Framework (PHCMF) was developed through a review of the WHO's PHC measurement conceptual framework (for selecting Key Performance Indicators (KPIs)), literature review (academic database), PHC-related national documents, consultations with an advisory committee of national experts (6-meetings), and the Delphi technique for finalizing the framework.ResultsThe Iranian sub-national PHCMF was finalized with 100 KPIs in three components including Health systems determinants, Service Delivery, and Health system objectives. Based on the result chain domain, most KPIs were related to the output (24 KPIs) and the least were related to the input and the process (9 KPIs).ConclusionRegarding the comprehensiveness of the developed measurement framework due to its focus on all PHC operational levers and key aspects of PHC systems' performance, it can be used as a practical tool for assessing and improving the Iranian sub-national PHC system.
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页数:10
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