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Developing indicators and measures of high-quality for Australian general practice
Christine Metusela1, Natalie Cochrane2, Hannah van Werven3
1Department of General Practice, School of Medicine, Western Sydney University, Narellan Road and Gilchrist Drive, Campbelltown, NSW 2560, Australia; and Present address: School of Medicine, Faculty of Science, Medicine and Health, University of Wollongong, Northfields Avenue, Wollongong, NSW 2522, Australia.
Developing quality indicators for Australian general practice is crucial for addressing rising healthcare costs and inequities. This study created an evidence-based set of 80 feasible indicators to define high-quality primary care.
Area of Science:
- Health Services Research
- Primary Health Care Quality
- General Practice Indicators
Background:
- Rising healthcare costs and health inequity are significant global and Australian challenges.
- Strong primary health care is essential for addressing these issues.
- Defining high-quality general practice is currently lacking consensus.
Purpose of the Study:
- To develop an evidence-based suite of indicators and measures for high-quality general practice.
- To establish a framework for assessing general practice quality in Australia.
Main Methods:
- Literature review to develop a framework and revise existing quality assurance measures.
- Three workshops with general practitioners, practice managers, nurses, consumers, and Primary Health Network (PHN) staff.
- Descriptive qualitative research approach for data analysis.
Main Results:
- 125 evidence-based indicators were identified as relevant.
- 80 indicators were deemed both relevant and feasible for implementation.
- Indicators were organized within a Quadruple Aim framework, encompassing structure, process, and outcome measures.
Conclusions:
- The developed suite of indicators and measures requires further validation with PHNs nationwide.
- This research has the potential to drive health system innovation nationally and internationally.
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