PURPOSE: The aim of this study was to rate the importance of primary healthcare (PHC) attributes in evaluations of PHC organizational models in Canada. METHODS: Using the Delphi process, we conducted a consensus consultation with 20 persons recognized by peers as Canadian PHC experts, who rated the importance of PHC attributes within professional and community-oriented models of PHC. RESULTS: ATTRIBUTES RATED AS ESSENTIAL TO ALL MODELS WERE DESIGNATED CORE ATTRIBUTES: first-contact accessibility, comprehensiveness of services, relational continuity, coordination (management) continuity, interpersonal communication, technical quality of clinical care and clinical information management. Overall, while all were important, non-core attributes - except efficiency/productivity - were rated as more important in community-oriented than in professional models. Attributes rated as essential for community-oriented models were equity, client/community participation, population orientation, cultural sensitivity and multidisciplinary teams. CONCLUSION: Evaluation tools should address core attributes and be customized in accordance with the specific organizational models being evaluated to guide health reforms.
PURPOSE: The aim of this study was to rate the importance of primary healthcare (PHC) attributes in evaluations of PHC organizational models in Canada. METHODS: Using the Delphi process, we conducted a consensus consultation with 20 persons recognized by peers as Canadian PHC experts, who rated the importance of PHC attributes within professional and community-oriented models of PHC. RESULTS: ATTRIBUTES RATED AS ESSENTIAL TO ALL MODELS WERE DESIGNATED CORE ATTRIBUTES: first-contact accessibility, comprehensiveness of services, relational continuity, coordination (management) continuity, interpersonal communication, technical quality of clinical care and clinical information management. Overall, while all were important, non-core attributes - except efficiency/productivity - were rated as more important in community-oriented than in professional models. Attributes rated as essential for community-oriented models were equity, client/community participation, population orientation, cultural sensitivity and multidisciplinary teams. CONCLUSION: Evaluation tools should address core attributes and be customized in accordance with the specific organizational models being evaluated to guide health reforms.
Authors: Elizabeth Muggah; William Hogg; Simone Dahrouge; Grant Russell; Elizabeth Kristjansson; Laura Muldoon; Rose Anne Devlin Journal: Can Fam Physician Date: 2014-01 Impact factor: 3.275
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Authors: Kurt C Stange; Paul A Nutting; William L Miller; Carlos R Jaén; Benjamin F Crabtree; Susan A Flocke; James M Gill Journal: J Gen Intern Med Date: 2010-06 Impact factor: 5.128
Authors: Debra G Morgan; Julie G Kosteniuk; Norma J Stewart; Megan E O'Connell; Andrew Kirk; Margaret Crossley; Vanina Dal Bello-Haas; Dorothy Forbes; Anthea Innes Journal: Home Health Care Serv Q Date: 2015