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Developing a performance framework for measuring comprehensive, community-based primary healthcare for people with
Sharon Johnston1, Matthew Hogel2, Ann N Burchell3
11Department of Family Medicine,University of Ottawa,Ottawa,Ontario,Canada.
Primary Health Care Research & Development
|December 3, 2015
Summary
A new performance measurement framework was developed to assess community-based primary healthcare for people with human immunodeficiency virus (HIV). This tool aims to improve care quality, but requires better data collection and use.
Area of Science:
- Healthcare quality improvement
- Public health policy
- Chronic disease management
Background:
- People with human immunodeficiency virus (HIV) are living longer, requiring complex chronic care management.
- Existing healthcare systems need adaptation to effectively manage long-term conditions like HIV.
- Performance measurement is crucial for system transformation and stakeholder reporting.
Purpose of the Study:
- To develop a performance measurement framework for comprehensive, community-based primary healthcare for people with HIV.
- To assess the quality of care provided to individuals living with HIV.
- To inform system improvements in HIV care delivery.
Main Methods:
- Semi-structured interviews were conducted with HIV providers, advocates, and policymakers.
- A draft performance framework was developed using existing HIV-specific indicators.
- Stakeholder input was incorporated to refine the framework.
Main Results:
- Stakeholders supported the framework's comprehensiveness but suggested additions for social determinants of health.
- Opinions varied on indicators for after-hours care access and behavioral risk screening.
- The framework was finalized with 79 indicators after incorporating feedback and expert review.
Conclusions:
- The developed framework is a comprehensive tool for performance measurement and improvement in HIV care.
- Further advancements in data collection and utilization are necessary for performance measurement to drive quality improvement.
- System-level improvements in data infrastructure are essential for effective HIV care management.
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