Nadia Sourial1, Claire Godard-Sebillotte2, Susan E Bronskill3, Georgia Hacker4, Isabelle Vedel5. 1. Assistant Professor in the Department of Management, Evaluation and Health Policy at the School of Public Health at the University of Montréal in Quebec. nadia.sourial@umontreal.ca. 2. Assistant Professor in the Division of Geriatric Medicine at McGill University in Montréal. 3. Scientist in the Institute of Health Policy, Management and Evaluation in the Dalla Lana School of Public Health at the University of Toronto in Ontario. 4. Research assistant in the Department of Family Medicine at McGill University. 5. Associate Professor in the Department of Family Medicine at McGill University.
Abstract
OBJECTIVE: To develop a framework of population-based primary care quality indicators adapted to patients with dementia and to identify a subset of stakeholder-driven priority indicators. DESIGN: Framework development was carried out through the selection of an initial framework based on a rapid review and identification of relevant indicators and enrichment based on existing dementia indicators and guidelines. Prioritization of indicators was carried out through a stakeholder survey. SETTING: Ontario, Quebec, New Brunswick, and Saskatchewan. PARTICIPANTS: Stakeholders in community dementia care (N=109) including clinicians, patients, caregivers, decision makers, and managers. MAIN OUTCOME MEASURES: Primary care quality indicators. RESULTS: The framework comprised 34 indicators across 8 domains of quality (access, integration, effective care, efficient care, equity, safety, population health, and patient-centred care). Access to a regular primary care provider, continuity of care, early-stage diagnosis, and access to home care were consistently rated as priorities. Equitable care was a specific priority among patients and caregivers; clinicians reported avoidable hospitalizations as among their priorities. CONCLUSION: A framework of indicators was established for persons with dementia that adds an important dimension to existing primary care and dementia quality indicators by providing primary care and population-based perspectives. This framework could set a foundation for the ongoing monitoring of primary care practices and policies for persons with dementia at a population level.
OBJECTIVE: To develop a framework of population-based primary care quality indicators adapted to patients with dementia and to identify a subset of stakeholder-driven priority indicators. DESIGN: Framework development was carried out through the selection of an initial framework based on a rapid review and identification of relevant indicators and enrichment based on existing dementia indicators and guidelines. Prioritization of indicators was carried out through a stakeholder survey. SETTING: Ontario, Quebec, New Brunswick, and Saskatchewan. PARTICIPANTS: Stakeholders in community dementia care (N=109) including clinicians, patients, caregivers, decision makers, and managers. MAIN OUTCOME MEASURES: Primary care quality indicators. RESULTS: The framework comprised 34 indicators across 8 domains of quality (access, integration, effective care, efficient care, equity, safety, population health, and patient-centred care). Access to a regular primary care provider, continuity of care, early-stage diagnosis, and access to home care were consistently rated as priorities. Equitable care was a specific priority among patients and caregivers; clinicians reported avoidable hospitalizations as among their priorities. CONCLUSION: A framework of indicators was established for persons with dementia that adds an important dimension to existing primary care and dementia quality indicators by providing primary care and population-based perspectives. This framework could set a foundation for the ongoing monitoring of primary care practices and policies for persons with dementia at a population level.
Authors: F Carinci; K Van Gool; J Mainz; J Veillard; E C Pichora; J M Januel; I Arispe; S M Kim; N S Klazinga Journal: Int J Qual Health Care Date: 2015-03-10 Impact factor: 2.038
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Authors: Andrea C Tricco; Jesmin Antony; Wasifa Zarin; Lisa Strifler; Marco Ghassemi; John Ivory; Laure Perrier; Brian Hutton; David Moher; Sharon E Straus Journal: BMC Med Date: 2015-09-16 Impact factor: 8.775