ArticleBMJ open2025
Recommendations for strengthening primary healthcare delivery models for chronic disease management in Mendoza: a RAND/UCLA modified Delphi panel.
Article in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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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.
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Who cites it
2 citing papers in PubMed.
- Social prescribing interventions in response to older adults' needs in community settings - nurses' perspectives: a qualitative study.Journal of research in nursing : JRN · 2026Article
- Cluster randomised controlled trial for service delivery redesign of primary care for people with diabetes: study protocol.BMJ open · 2026Article
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPrimary healthcare (PHC) should be the cornerstone of equitable, efficient and high-quality healthcare in low- and middle-income countries. However, numerous challenges undermine its effectiveness in these settings.
objectiveTo identify recommendations to improve PHC by integrating user preferences and provider capacity to deliver patient-centred and competent care in the Mendoza Province, Argentina.
designModified RAND Corporation/University of California, Los Angeles (RAND/UCLA) Delphi method.
settingHealth system of the Province of Mendoza, Argentina.
participants32 public health experts from Mendoza.
interventionsProposals were developed from secondary data, the People's Voice Survey, an electronic cohort of people with diabetes, qualitative studies of users' and professionals' experiences and reviews of interventions in primary care. PRIMARY OUTCOME: Experts had to evaluate proposals according to five criteria selected from the evidence to decision framework (impact, resource requirements, acceptability, feasibility and measurability).
resultsThe 19 final recommendations emphasise policy continuity, evidence-based policy-making and standardisation of healthcare processes. Key areas include optimising healthcare processes, managing appointments for non-communicable diseases and ensuring competency-based training in PHC. Implementing performance-based incentives and improving financial sustainability were also highlighted. Other recommendations focus on the Digital Transformation Act, user participation in healthcare design and skills development for active engagement. Collaborative definitions of quality care, incident reporting systems and performance metrics are critical to improving healthcare quality.
conclusionThis process provided decision-makers with contextualised information for health policy development. These interventions represent a step towards improving PHC, particularly chronic disease management, and provide a foundation for future regional research and health policy.
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Registered trials
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