ArticleFrontiers in public health2018
Continuous Quality Improvement and Comprehensive Primary Health Care: A Systems Framework to Improve Service Quality and Health Outcomes.
Article in Frontiers in public health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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Who cites it
22 citing papers in PubMed.
- Qualitative Evaluation of a Complex Intervention to Improve Rheumatic Heart Disease Secondary Prophylaxis.Journal of the American Heart Association · 2018Trial
- Enhancing employee experience and workplace well-being in oncology: a bottom-up co-construction approach in healthcare institutions in Québec.BMC health services research · 2026Article
- Managing urinary incontinence: evaluating the role of practice facilitators in enhancing quality improvement and digital integration in primary care.Implementation science communications · 2026Article
- Lean practice implementation in French healthcare: a longitudinal case study.BMC health services research · 2026Article
- The landscape of research in quality in primary care: A bibliometric analysis of articles between 2000 and 2025.Journal of family medicine and primary care · 2026Article
- A scoping review of continuous quality improvement in healthcare system: conceptualization, models and tools, barriers and facilitators, and impact.BMC health services research · 2024Article
- Article
- Supporting healthy lifestyles for First Nations women and communities through co-design: lessons and early findings from remote Northern Australia.Frontiers in clinical diabetes and healthcare · 2024Article
- Is a bio-psychosocial approach model possible at the first level of health services in the Democratic Republic of Congo? An organizational analysis of six health centers in South Kivu.BMC health services research · 2023Article
- Program Report: Improving Patient Experience at an Outpatient Clinic Using Continuous Improvement Tools.Healthcare (Basel, Switzerland) · 2023Article
- Counting what counts: a systematic scoping review of instruments used in primary healthcare services to measure the wellbeing of Indigenous children and youth.BMC primary care · 2023Article
- Practice environment determinants of job satisfaction among midwives at healthcare facilities in Accra Metropolis: A multicentre study.PloS one · 2023Article
- Implementing health system improvement: resources and strategies for interprofessional teams.BMJ open quality · 2023Article
- Improving Primary Care Quality Through Supportive Supervision and Mentoring: Lessons From the African Health Initiative in Ethiopia, Ghana, and Mozambique.Global health, science and practice · 2022Article
- Three Pivots for Improving Health Care Provider Performance.Global health, science and practice · 2022Article
- Pushing poverty off limits: quality improvement and the architecture of healthcare values.BMC medical ethics · 2021Article
- Improving the efficiency and reducing variability in patient flow in an outpatient parenteral antibiotic therapy unit of a tertiary care hospital.Future healthcare journal · 2021Article
- Article
- Prediction of Obstetric Patient Flow and Horizontal Allocation of Medical Resources Based on Time Series Analysis.Frontiers in public health · 2021Article
- Systems integration to promote the mental health of Aboriginal and Torres Strait Islander children: protocol for a community-driven continuous quality improvement approach.BMC public health · 2020Article
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Continuous quality improvement (CQI) processes for improving clinical care and health outcomes have been implemented by primary health-care services, with resultant health-care impacts. But only 10-20% of gain in health outcomes is contributed by health-care services; a much larger share is determined by social and cultural factors. This perspective paper argues that health care and health outcomes can be enhanced through applying CQI as a systems approach to comprehensive primary health care. Referring to the Aboriginal and Torres Strait Islander Australian context as an example, the authors provide a systems framework that includes strategies and conditions to facilitate evidence-based and local decision making by primary health-care services. The framework describes the integration of CQI vertically to improve linkages with governments and community members and horizontally with other sectors to influence the social and cultural determinants of health. Further, government and primary health-care service investment is required to support and extend integration and evaluation of CQI efforts vertically and horizontally.
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Registered trials
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.