Evidence map›Paper›PMID 31478023›Full record

ArticleBMJ global health2019

Quality, safety and performance management in primary health care: from scoping review to research priority setting and implementation plan in the Eastern Mediterranean Region.

Racha Fadlallah, Lama Bou-Karroum, Fadi El-Jardali, Lama Hishi, Alaa Al-Akkawi, Ibrahim George Tsolakian, Nour Hemadi, Randa S Hamadeh, Raeda AbuAlRub, Randah R Hamadeh and 1 more

Abstract readScoping Review
PubMed Full text at PMC Publisher
In one paragraph

Article in BMJ global health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–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

7 citing papers in PubMed.

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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

11 authors.

Racha FadlallahHealth Management and Policy Department, American University of Beirut, Beirut, Lebanon.
Lama Bou-KarroumHealth Management and Policy Department, American University of Beirut, Beirut, Lebanon.
Fadi El-JardaliHealth Management and Policy Department, American University of Beirut, Beirut, Lebanon.
Lama HishiHealth Management and Policy Department, American University of Beirut, Beirut, Lebanon.
Alaa Al-AkkawiHealth Management and Policy Department, American University of Beirut, Beirut, Lebanon.
Ibrahim George TsolakianClinical Research Institute, American University of Beirut Medical Center, Beirut, Lebanon.
Nour HemadiHealth Management and Policy Department, American University of Beirut, Beirut, Lebanon.
Randa S HamadehPrimary Healthcare Department, Minstry of Public Health, Beirut, Lebanon.
Raeda AbuAlRubDepartment of Community and Mental Health Nursing, Jordan University of Science and Technology, Irbid, Jordan.
Randah R HamadehDepartment of Family and Community Medicine, Arabian Gulf University, Manama, Bahrain.
Chokri ArfaNational Institute of Labor and Social Studies (INTES), University of Carthage, Tunis, Tunisia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionStrong primary health care (PHC) leads to better health outcomes, improves health equity and accelerates progress towards universal health coverage (UHC). The Astana Declaration on PHC emphasised the importance of quality care to achieve UHC. A comprehensive understanding of the quality paradigm of PHC is critical, yet it remains elusive in countries of the Eastern Mediterranean Region (EMR). This study used a multistep approach to generate a policy-relevant research agenda for strengthening quality, safety and performance management in PHC in the EMR.

methodsA multistep approach was adopted, encompassing the following steps: scoping review and generation of evidence and gap maps, validation and ranking exercises, and development of an approach for research implementation. We followed Joanna Briggs Institute guidelines for conducting scoping reviews and a method review of the literature to build the evidence and gap maps. For the validation and ranking exercises, we purposively sampled 55 high-level policy-makers and stakeholders from selected EMR countries. We used explicit multicriteria for ranking the research questions emerging from the gap maps. The approach for research implementation was adapted from the literature and subsequently tailored to address the top ranked research question.

resultsThe evidence and gap maps revealed limited production of research evidence in the area of quality, safety and performance management in PHC by country and by topic. The priority setting exercises generated a ranked list of 34 policy-relevant research questions addressing quality, safety and performance management in PHC in the EMR. The proposed research implementation plan involves collaborative knowledge generation with policy-makers along with knowledge translation and impact assessment.

conclusionStudy findings can help inform and direct future plans to generate, disseminate and use research evidence to enhance quality, safety and performance management in PHC in EMR and beyond. Study methodology can help bridge the gap between research and policy-making.

Indexed as

evidence and gap maphealth policy and systemsknowledge translationpatient safetyperformance managementprimary healthcarepriority settingquality of careresearch implementationscooping review

Identifiers

PMID31478023
PMCPMC6703301

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

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.