Attributes of Primary Health Care, Grouped by Type, Showing Specificity to Primary Health Care and Best Information Source for Measurement
Best Information Source for Evaluation | |||||
---|---|---|---|---|---|
Attribute* | Specific to Primary Care | Patient | Clinician Report | Administrative Data | Chart |
+ = Appropriate source mentioned by 1 or 2 experts; ++ = best source according to several experts (this attribute was introduced at the last consensus event); +++ = best source according to all experts. | |||||
* Attributes in alphabetical order within groupings. | |||||
† Although the quality of comprehensiveness is not specific to primary health care, the content is. | |||||
‡ Proposed at the last meeting but not submitted for consensus. | |||||
Clinical practice attributes | |||||
Accessibility, fist-contact | Yes | +++ | |||
Accessibility-accommodation | Not assessed | ||||
Comprehensiveness of services | No (?)† | ++ | ++ | + | + |
Informational continuity (new)‡ | Not assessed | ||||
Management continuity | No | +++ | + | ||
Technical quality of clinical care | No | ++ (peer) | ++ | ||
Practice structural dimensions | |||||
Clinical information management | No | + | ++ | + | + |
Multidisciplinary team | No | + | +++ | ||
Quality improvement process | No | +++ | + | ||
System integration | No | + | +++ | ||
Person-oriented dimensions | |||||
Advocacy | No | ++ | ++ | ||
Continuity – relational | Yes | +++ | + | ||
Cultural sensitivity | No | +++ | + | ||
Family-centered care | Yes | +++ | + | + | |
Interpersonal communication | No | +++ | + | ||
Respectfulness | No | +++ | |||
Whole-person care | No | +++ | + | ||
Community-oriented dimensions | |||||
Client/community participation | No | ++ | ++ | ||
Equity | Not assessed | ++ | + | + | |
Intersectoral team | Yes | +++ | + | ||
Population orientation | Yes | + | ++ | + | |
System performance dimensions | |||||
Accountability | No | ++ (peer) + (self) | ++ | ||
Availability | No | + | + (self) | ++ | |
Efficiency/productivity | No | +++ | + |