Evidence map›Paper›PMID 30539675›Full record

ArticleThe European journal of general practice2019

Re-thinking performance assessment for primary care: Opinion of the expert panel on effective ways of investing in health.

Dionne Kringos, Sabina Nuti, Christian Anastasy, Margaret Barry, Liubove Murauskiene, Luigi Siciliani, Jan De Maeseneer

Abstract read
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Article in The European journal of general practice, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. A Multi-dimensional Framework of Valued Output for Primary Care in England.Applied health economics and health policy · 2024
    Review
  4. Article
  5. Organization of primary care.Primary health care research & development · 2022
    Review
  6. Article
  7. Variability in the assessment of children's primary healthcare in 30 European countries.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2021
    Article
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Dionne Kringosa Amsterdam Public Health research institute, Department of Public Health , University of Amsterdam, Amsterdam UMC , Amsterdam , The Netherlands.
Sabina Nutib Laboratorio Management e Sanità, Institute of Management , Sant'Anna School of Advanced Studies , Pisa , Italy.
Christian Anastasyc Inspection Générale des Affaires Sociales , Paris , France.
Margaret Barryd Health Promotion Research Centre , National University of Ireland Galway , Galway , Ireland.
Liubove Murauskienee Public Health Institute , Vilnius University , Vilnius , Lithuania.
Luigi Sicilianif Department of Economics and Related Studies , University of York , York , UK.
Jan De Maeseneerg Department of Family Medicine and Primary Health Care , Ghent University , Ghent , Belgium.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn 2017, the European Commission (EC) identified as a policy priority the performance assessment of primary care systems, which relates to a country's primary care structure, services delivery and outcomes. The EC requested its Expert Panel on Effective Ways of Investing in Health (Expert Panel) to provide an opinion on ways for improving performance assessment of primary care.

objectivesTo provide an overview of domains and dimensions to be taken into consideration in assessing primary care and specific indicators to be collected and analysed to improve understanding of primary care performance.

methodsA sub-group of the Expert Panel performed a literature review. The opinion was drafted, improved and approved through working-group discussions, consultations with the EC, the Expert Group on Health Systems Performance Assessment, and a public hearing.

resultsDrawing on the main characteristics of primary care, we propose essential elements of a primary care performance assessment system based on specific indicators. We identified ten domains with accompanying dimensions for which comparative key indicators and descriptive indicators are proposed: (1) universal and accessible care, (2) integrated, (3) person-centred, (4) comprehensive and community-oriented care, (5) provided by a team accountable for addressing a vast majority of personal health needs, (6) sustained partnership with patients and informal caregivers, (7) coordination, (8) continuity of care, (9) primary care organization, and (10) human resources.

conclusionThe identified characteristics and criteria for development of a primary care performance assessment system provides a starting point for strengthening the coherence of assessment frameworks across countries and exchanging best practices.

Indexed as

Outcome and Process Assessment, Health CareQuality Indicators, Health CareDelivery of Health CareEuropean UnionHumansPrimary Health Carehealth informationhealth systemsindicatorsperformance assessmentPrimary care

Identifiers

PMID30539675
PMCPMC6394311

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Registered trials

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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.