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A problem-oriented systems approach to primary care system development: development and initial testing of the

Ali Rafik Shukor1, Erica Barbazza2, Niek Klazinga2

  • 1Department of Public and Occupational Health, Amsterdam UMC, University of Amsterdam, Amsterdam Public Health research institute, Meibergdreef 9, Amsterdam, 1105 AZ, The Netherlands. shukor@gmail.com.

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Summary

A new tool, the Problem-Oriented Primary Care System Development Record (PCSDR), facilitates data-driven primary care system development. Initial testing shows it effectively manages diverse data for evidence-based improvements.

Keywords:
Health policyPerformance assessmentPrimary care frameworkPrimary care system developmentProblem-oriented record

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Area of Science:

  • Health Services Research
  • Public Health Policy
  • Health Systems Analysis

Background:

  • Global policy emphasis on data-driven approaches for evidence-based primary care system development.
  • Need for tools to support contextualized primary care system development.

Purpose of the Study:

  • To describe the development and initial testing of the Problem-Oriented Primary Care System Development Record (PCSDR) prototype.
  • To evaluate the PCSDR's utility in enabling a data-driven and contextualized approach to primary care system development.

Main Methods:

  • Development of an electronic record (PCSDR) for systematic data input, classification, structuring, storage, processing, and analysis.
  • Utilized the WHO's PHC-IMPACT framework and classification system for data coding.
  • Tested PCSDR functionalities through a case study of primary care system development in Tajikistan.

Main Results:

  • The Tajikistan case study confirmed the PCSDR as a conceptually sound and effective tool for managing diverse data types.
  • Demonstrated the PCSDR's capability as a data entry and management system with query and analytics functions.
  • Highlighted the PCSDR's potential for health services research and evidence-based primary care system development.

Conclusions:

  • The PCSDR provides a data system for contextualized, evidence-based primary care system development.
  • Effectively synthesizes primary care system development and performance assessment principles.
  • Empowers analysts to use performance assessment frameworks for health system analysis, improvement, and developing learning health systems.