TY - JOUR
T1 - A problem-oriented systems approach to primary care system development: development and initial testing of the problem-oriented primary care system development record
AU - Shukor, Ali Rafik
AU - Barbazza, Erica
AU - Klazinga, Niek
AU - Kringos, Dionne Sofia
PY - 2020/8/1
Y1 - 2020/8/1
N2 - BACKGROUND: There is significant global policy interest related to enabling a data-driven approach for evidence-based primary care system development. This paper describes the development and initial testing of a prototype tool (the Problem-Oriented Primary Care System Development Record, or PCSDR) that enables a data-driven and contextualized approach to primary care system development. METHODS: The PCSDR is an electronic record that enables the systematic input, classification, structuring, storage, processing and analysis of different types of data related to the structure, function and performance of primary care systems over time. Data inputted into the PCSDR was coded using the WHO's PHC-IMPACT framework and classification system. The PCSDR's functionalities were tested by using a case study of primary care system development in Tajikistan. RESULTS: Tajikistan's case study demonstrated that the PCSDR is a potentially effective and conceptually-sound tool for the input, classification, structuring and storage of different data types from myriad sources. The PCSDR is therefore a basic data entry and data management system that enables query and analytics functions for health services research and evidence-based primary care system development functions. CONCLUSIONS: The PCSDR is a data system that enables a contextualized approach to evidence-based primary care system development. It represents a coherent and effective synthesis of the fields of primary care system development and performance assessment. The PCSDR enables analysts to leverage primary care performance assessment frameworks for a broad range of functions related to health systems analysis, improvement and the development of learning health systems.
AB - BACKGROUND: There is significant global policy interest related to enabling a data-driven approach for evidence-based primary care system development. This paper describes the development and initial testing of a prototype tool (the Problem-Oriented Primary Care System Development Record, or PCSDR) that enables a data-driven and contextualized approach to primary care system development. METHODS: The PCSDR is an electronic record that enables the systematic input, classification, structuring, storage, processing and analysis of different types of data related to the structure, function and performance of primary care systems over time. Data inputted into the PCSDR was coded using the WHO's PHC-IMPACT framework and classification system. The PCSDR's functionalities were tested by using a case study of primary care system development in Tajikistan. RESULTS: Tajikistan's case study demonstrated that the PCSDR is a potentially effective and conceptually-sound tool for the input, classification, structuring and storage of different data types from myriad sources. The PCSDR is therefore a basic data entry and data management system that enables query and analytics functions for health services research and evidence-based primary care system development functions. CONCLUSIONS: The PCSDR is a data system that enables a contextualized approach to evidence-based primary care system development. It represents a coherent and effective synthesis of the fields of primary care system development and performance assessment. The PCSDR enables analysts to leverage primary care performance assessment frameworks for a broad range of functions related to health systems analysis, improvement and the development of learning health systems.
KW - Health policy
KW - Performance assessment
KW - Primary care framework
KW - Primary care system development
KW - Problem-oriented record
UR - http://www.scopus.com/inward/record.url?scp=85088907841&partnerID=8YFLogxK
U2 - https://doi.org/10.1186/s12913-020-05581-z
DO - https://doi.org/10.1186/s12913-020-05581-z
M3 - Article
C2 - 32738904
SN - 1472-6963
VL - 20
SP - 706
JO - BMC Health Services Research
JF - BMC Health Services Research
IS - 1
M1 - 706
ER -