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Less AND More Are Needed to Assess Primary Care
Rebecca S Etz1, Martha M Gonzalez2, E Marshall Brooks2
1From the Department of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, VA (RSE, MMG, EMB); Departments of Family Medicine & Community Health, Epidemiology & Biostatistics, and Sociology, Case Western Reserve University, Cleveland, OH (KCS). Rebecca.Etz@vcuhealth.org.
Journal of the American Board of Family Medicine : JABFM
|January 8, 2017
Summary
Federal investment aims to reduce clinical quality measurement burdens. However, current measures inadequately capture essential primary care domains impacting patient and community health outcomes.
Area of Science:
- Health Services Research
- Primary Care Quality Improvement
- Health Policy Analysis
Background:
- Growing recognition of inadequate clinical quality measures in primary care.
- Federal initiatives focus on reducing measurement burden.
- Need for measures reflecting patient and population health outcomes at sustainable costs.
Purpose of the Study:
- To identify the gap between current clinical quality measures and essential primary care domains.
- To inform efforts for more relevant quality measurement in primary care.
Main Methods:
- Analysis of the universe of current clinical quality measures.
- Comparison with critical domains for high-quality primary care.
Main Results:
- A significant discrepancy exists between what is currently measured and what is critical for quality primary care.
- Current measures do not adequately capture domains affecting patient-centered and community health.
Conclusions:
- Reducing measurement burden requires concurrent efforts to enhance measure relevance.
- Future primary care quality measurement must align with patient and community health outcomes.
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