SynthesisPloS one2019
Primary health care quality indicators: An umbrella review.
Synthesis in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 4 of them syntheses that pooled 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.
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.
Who cites it
31 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- A systematic review of international performance indicators and metrics relevant to UK general practice.BMJ open quality · 2025Pooled it
- Quality indicators for the primary prevention of cardiovascular disease in primary care: A systematic review.PloS one · 2024Pooled it
- Rural and urban differences in quality of dementia care of persons with dementia and caregivers across all domains: a systematic review.BMC health services research · 2023Pooled it
- The bigger, the better? A systematic review on the impact of mergers on primary care organizations.European journal of public health · 2021Pooled it
- Mapping Quality Indicators in Primary Health Care: A Scoping Review of Contemporary Approaches and Persistent Measurement Gaps.Healthcare (Basel, Switzerland) · 2026Review
- Primary Care Cost Sharing in Medicare Advantage.JAMA health forum · 2026Article
- Primary Care Continuity and Utilization Patterns for Veterans With Homeless Experience.JAMA network open · 2026Observational
- Integrating evidence synthesis into doctoral research: A guide for family medicine and primary care.African journal of primary health care & family medicine · 2025Article
- Quality indicators of outpatient palliative care: A systematic review.Asia-Pacific journal of oncology nursing · 2025Review
- The Development of Quality Indicators to Assess Family Wellbeing Outcomes Following Engagement with Children's Mental Health Services in Ontario, Canada.European journal of investigation in health, psychology and education · 2025Article
- Quality of Care for Hypertension in Primary Health Care in South Africa: Cross-Sectional Feasibility Study.Healthcare (Basel, Switzerland) · 2025Article
- Enhancing primary care quality improvement through national data collection and validation: the primary care quality initiative in Sweden.Scandinavian journal of primary health care · 2025Article
- Did the organization of primary care practices during the COVID-19 pandemic influence quality and safety? - an international survey.BMC health services research · 2024Article
- Selection of primary health care quality indicators in Europe: A Delphi study protocol.PloS one · 2024Article
- Article
- Successes and challenges towards improving quality of primary health care services: a scoping review.BMC health services research · 2023Article
- Scale Measurement of Health Primary Service Utilization among the Migrant International Population.European journal of investigation in health, psychology and education · 2023Article
- Identifying indicators sensitive to primary healthcare nurse practitioner practice: A review of systematic reviews.PloS one · 2023Review
- Organization of primary care.Primary health care research & development · 2022Review
- Impact of the primary care residents on the productivity of the ambulatory health centres in Portugal: a cross-sectional study.BMC medical education · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Nowadays, evaluating the quality of health services, especially in primary health care (PHC), is increasingly important. In a historical perspective, the Department of Health (United Kingdom) developed and proposed a range of indicators in 1998, and lately several health, social and political organizations have defined and implemented different sets of PHC quality indicators. Some systematic reviews in PHC quality indicators are reported but only in specific contexts and conditions. The aim of this study is to characterize and provide a list of indicators discussed in the literature to support managers and clinicians in decision-making processes, through an umbrella review on PHC quality indicators. The methodology was performed according to PRISMA Statement. Indicators from 33 eligible systematic reviews were categorized according to the dimensions of care, function, type of care, domains and condition contexts. Of a total of 727 indicators or groups of indicators, 74.5% (n = 542) were classified in process category and 89.5% (n = 537) with chronic type of care (n = 428; 58.8%) and effective domain (n = 423; 58.1%) with the most frequent values in categorizations by dimensions. The results of this overview of reviews are valuable and imply the need for future research and practice regarding primary health care quality indicators in the most varied conditions and contexts to generate new discussions about their use, comparison and implementation.
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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.