Comparative assessment of the quality of the primary care system: A survey of family physicians' perspective at a tertiary health facility and a new family medicine training facility in the Lagos State health system

Modern telemedicine offers to hospitals a whole range of opportunities to improve the appropriateness of their care provision, to offer new services to primary care and to contribute to patient engagement. In this chapter, the authors briefly discuss their approach to facilitate the collaborative production of region-wide telemedicine roadmaps involving the hospitals, explicitly based on national and regional healthcare strategic priorities. In addition, as an operational contribution to support their approach, they introduce a conceptual frame for evaluating and prioritizing multiple ICT-enhanced innovation interventions, within an all-inclusive plan. The proposed frame captures relevant evaluation criteria belonging to four broad categories: the systemic benefits related to the quality of care; direct economic factors; the cultural viability; and the technological feasibility. As an example, the authors simulate an application of our conceptual frame to the comparative assessment of three kinds of telemedicine-enhanced interventions: (i) to improve the care processes driven by the hospital, (ii) to support health professionals, and (iii) to promote citizen’s engagement.

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A háziorvosok teljesítményének minőségi értékelése. Mi a probléma a háziorvosi indikátorokkal?

Orvosi Hetilap ◽

10.1556/650.2016.30378 ◽

2016 ◽

Vol 157 (9) ◽

pp. 328-335 ◽

Cited By ~ 2

Author(s):

László Róbert Kolozsvári ◽

Imre Rurik

Keyword(s):

Primary Care ◽

Family Physicians ◽

Indicator System ◽

Care Quality ◽

Proper Solution ◽

Care Services ◽

Primary Care Services ◽

Primary Care Quality ◽

Quality Of Primary Care

The Hungarian primary care quality indicator system has been introduced in 2009, and has been continuously developed since then. The system offers extra financing for family physicians who are achieving the expected levels of indicators. There are currently 16 indicators for adult and mixed practices and 8 indicators are used in paediatric care. Authors analysed the influencing factors of the indicators other than those related to the performance of family physicians. Expectations and compliance of patients, quality of outpatient (ambulatory) care services, insufficient flow of information, inadequate primary care softwares which need to be updated could be considered as the most important factors. The level of financial motivations should also be significantly increased besides changes in the reporting system. It is recommended, that decision makers in health policy and financing have to declare clearly their expectations, and professional bodies should find the proper solution. These indicators could contribute properly to the improvement of the quality of primary care services in Hungary. Orv. Hetil., 2016, 157(9), 328–335.

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Effectiveness of a primary care clinical ultrasound classroom for family physicians as a formative intervention system, a quasi-experimental trial

Medicine ◽

10.1097/md.0000000000019914 ◽

2020 ◽

Vol 99 (27) ◽

pp. e19914

Author(s):

Fernando Diego-Domínguez ◽

Miguel Torrecilla-García ◽

Jesús Casado-Huerga ◽

Maria Ángeles Paule-Sánchez ◽

Clara Isabel Soria-López ◽

...

Keyword(s):

Primary Care ◽

Family Physicians ◽

Experimental Trial ◽

System A ◽

Quasi Experimental ◽

Formative Intervention

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The quality of feedback from outpatient departments at referral hospitals to the primary care providers in the Western Cape: a descriptive survey

South African Family Practice ◽

10.4102/safp.v61i6.5077 ◽

2019 ◽

Vol 61 (6) ◽

Author(s):

Robert Mash ◽

Herma Steyn ◽

Muideen Bello ◽

Klaus Von Pressentin ◽

Liezel Rossouw ◽

...

Keyword(s):

Primary Care ◽

Family Physicians ◽

Primary Care Providers ◽

Research Network ◽

Western Cape ◽

Care Providers ◽

Referral Hospitals ◽

Outpatient Departments ◽

Descriptive Survey

Background: Coordinating care for patients is a key characteristic of effective primary care. Family physicians in the Western Cape formed a research network to enable them to perform practical research on key questions from clinical practice. The initial question selected by the network focused on evaluating the quality of referrals to and feedback from outpatient departments at referral hospitals to primary care providers in the Western Cape.Methods: A descriptive survey combined quantitative data collected from the medical records with quantitative and qualitative data collected from the patients by questionnaire. Family physicians collected data on consecutive patients who had attended outpatient appointments in the last three months. Data were analysed using the Statistical Package for the Social Sciences.Results: Seven family physicians submitted data on 141 patients (41% male, 59% female; 46% metropolitan, 54% rural). Referrals were to district (18%), regional (28%) and tertiary hospitals (51%). Referral letters were predominantly biomedical. Written feedback was available in 39% of patients. In 32% of patients, doctors spent time obtaining feedback; the patient was the main source of information in 53% of cases, although many patients did not know what the hospital doctor thought was wrong (36%). The quality of referrals differed significantly by district and type of practitioner, while feedback differed significantly by level of hospital.Conclusion: Primary care providers did not obtain reliable feedback on specialist consultations at referral hospital outpatients. Attention must be given to barriers to care as well as communication, coordination and relationships across the primary–secondary interface.

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Policies on Telemedicine-Enhanced Hospital Services

Healthcare Administration ◽

10.4018/978-1-4666-6339-8.ch010 ◽

2015 ◽

pp. 163-176

Author(s):

Angelo Rossi Mori ◽

Mariangela Contenti ◽

Rita Verbicaro

Keyword(s):

Primary Care ◽

Quality Of Care ◽

Patient Engagement ◽

Health Professionals ◽

Evaluation Criteria ◽

Comparative Assessment ◽

Care Provision ◽

Conceptual Frame ◽

Care Processes

Modern telemedicine offers to hospitals a whole range of opportunities to improve the appropriateness of their care provision, to offer new services to primary care and to contribute to patient engagement. In this chapter, the authors briefly discuss their approach to facilitate the collaborative production of region-wide telemedicine roadmaps involving the hospitals, explicitly based on national and regional healthcare strategic priorities. In addition, as an operational contribution to support their approach, they introduce a conceptual frame for evaluating and prioritizing multiple ICT-enhanced innovation interventions, within an all-inclusive plan. The proposed frame captures relevant evaluation criteria belonging to four broad categories: the systemic benefits related to the quality of care; direct economic factors; the cultural viability; and the technological feasibility. As an example, the authors simulate an application of our conceptual frame to the comparative assessment of three kinds of telemedicine-enhanced interventions: (i) to improve the care processes driven by the hospital, (ii) to support health professionals, and (iii) to promote citizen's engagement.

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Patients' Perceived Quality of Family Physicians' Primary Care with or without 'Family Medicine' in the Clinic Name

Korean Journal of Family Medicine ◽

10.4082/kjfm.2016.37.5.303 ◽

2016 ◽

Vol 37 (5) ◽

pp. 303 ◽

Cited By ~ 2

Author(s):

Ka Young Kim ◽

Kangjin Lim ◽

Eal Whan Park ◽

Eun Young Choi ◽

Yoo Seock Cheong

Keyword(s):

Primary Care ◽

Family Medicine ◽

Family Physicians ◽

Perceived Quality

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The role of family medicine in improvising efficiency, equity and quality of primary healthcare services. Is it significant?

European Journal for Person Centered Healthcare ◽

10.5750/ejpch.v4i2.1089 ◽

2016 ◽

Vol 4 (2) ◽

pp. 316

Author(s):

Wan Puteh Sharifa Ezat ◽

Supasit Pannarunothai ◽

Mohd Ismail Nurul Azwa ◽

Ahmad Nurmawati

Keyword(s):

Primary Care ◽

Family Medicine ◽

Healthcare System ◽

Primary Healthcare ◽

Healthcare Services ◽

Practical Consideration ◽

Primary Care System ◽

The Family

Primary care is a critical component of any healthcare system and a multiplicity of studies has demonstrated that primary care improves individual and population health outcomes. The provision of more effective and equitable healthcare to populations can be provided through an established primary care system, which is delivered and strengthened by the role of the family medicine specialist. The objective of our study is to describe the rationale for considering family medicine as an essential component of primary healthcare, to provide evidence of its efficiency, equitability and quality, with a practical consideration of its implementation by providing examples from various countries. We conclude that family medicine as an important component in any primary healthcare system and that it is vital to increasing the person-centeredness of individual and population care.

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