ArticleInternational journal for quality in health care : journal of the International Society for Quality in Health Care2008
Framework for primary care organizations: the importance of a structural domain.
Article in International journal for quality in health care : journal of the International Society for Quality in Health Care, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 71 papers, 5 of them syntheses that pooled it.
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Who cites it
71 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- Assessment of Interprofessional Collaborative Practices and Outcomes in Adults With Diabetes and Hypertension in Primary Care: A Systematic Review and Meta-analysis.JAMA network open · 2021Pooled it
- Quality indicators for care of depression in primary care settings: a systematic review.Systematic reviews · 2017Pooled it
- Identification, summary and comparison of tools used to measure organizational attributes associated with chronic disease management within primary care settings.Journal of evaluation in clinical practice · 2014Pooled it
- A narrative synthesis of the impact of primary health care delivery models for refugees in resettlement countries on access, quality and coordination.International journal for equity in health · 2013Pooled it
- The breadth of primary care: a systematic literature review of its core dimensions.BMC health services research · 2010Pooled it
- 'It's what we should be doing anyway': using financial incentives to promote relational continuity in Australian General Practice-a nested case study analysis.Family practice · 2025Trial
- Factors facilitating the implementation of a clinical decision support system in primary care practices: a fuzzy set qualitative comparative analysis.BMC health services research · 2023Trial
- Construction of an index system for workplace services by family doctors in China: a two-round Delphi study.BMC primary care · 2026Article
- Community detection and management of mild cognitive impairment in Shanghai: a mixed-methods study.Health policy and planning · 2025Article
- Comprehensiveness in Primary Care: A Scoping Review.The Milbank quarterly · 2025Article
- Civic Education as Community Capacity Building for Primary Care.Journal of CME · 2025Article
- Older people's challenges accessing health services in central Nepal: a qualitative study using the domain of access framework.BMC health services research · 2024Article
- Access to primary health care: perspectives of primary care physicians and community stakeholders.BMC primary care · 2024Article
- Nurturing an organizational context that supports team-based primary mental health care: A grounded theory study.PloS one · 2024Article
- General practitioners in front of COVID-19: Italy in European comparative perspective.Frontiers in sociology · 2024Article
- Protocol for Establishing a Stakeholder Group for Primary Care Research into Cancer Using a Modified 7P Framework and an e-Delphi Process.HRB open research · 2023Article
- Clinical skills of general practitioners in Nairobi, Kenya: a cross-sectional study.BJGP open · 2022Article
- Organization of primary care.Primary health care research & development · 2022Review
- Perceived extrinsic barriers hinder community detection and management of mild cognitive impairment: a cross-sectional study of general practitioners in Shanghai, China.BMC geriatrics · 2022Article
- The Medical Nemesis of Primary Health Care Implementation: Evidence From Ghana.Health services insights · 2022Article
11 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeConceptual frameworks for primary care have evolved over the last 40 years, yet little attention has been paid to the environmental, structural and organizational factors that facilitate or moderate service delivery. Since primary care is now of more interest to policy makers, it is important that they have a comprehensive and balanced conceptual framework to facilitate their understanding and appreciation. We present a conceptual framework for primary care originally developed to guide the measurement of the performance of primary care organizations within the context of a large mixed-method evaluation of four types of models of primary care in Ontario, Canada.
methodsThe framework was developed following an iterative process that combined expert consultation and group meetings with a narrative review of existing frameworks, as well as trends in health management and organizational theory.
resultsOur conceptual framework for primary care has two domains: structural and performance. The structural domain describes the health care system, practice context and organization of the practice in which any primary care organization operates. The performance domain includes features of health care service delivery and technical quality of clinical care.
conclusionAs primary care evolves through demonstration projects and reformed delivery models, it is important to evaluate its structural and organizational features as these are likely to have a significant impact on performance.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.