[EQA-17: proposing a synthetic indicator to measure the outcomes of primary care teams in people over 14 years].
There are many indicators to measure different aspects of the Primary Health Care activities. However, the interpretation of most of them it is difficult because the majority give partial information. This work proposes a standardised model to calculation of a synthetic indicator to measure the product of primary care teams. We made this work based on the sequential realization of a bibliographical review, a retrospective study to know registered morbidity, and the consent of a working group. For the design of the synthetic indicator we carried out a sequential working methodology in six phases: (1) identification and selection of components for the indicator; (2) determination of theoretical prevalences and coverages; (3) ponderation of the components; (4) establishment of standards; (5) formulation of the components; (6) application of the scale and calculation of the indicator. Ten health problems were selected; that supposed a standardised scale of 17 items (EQA-17). The 10 problems of health which composed this synthetic indicator contemplate the realization of activities of promotion of the health (smoking cessation), activities of primary prevention (tetanus and influenza vaccination), care of acute problems (prescription of antibiotics), and care of chronic diseases (diabetes, chronic obstructive pulmonary disease, hypertension, patients with high-risk cardiovascular index, atrial fibrillation, and heart failure). The concept of a synthetic indicator to measure the level of quality of the product generated by the primary care teams could be useful for the improvement of the current evaluation models in primary care services.
Servicio de Atención Primaria Tarragona-Valls, Gerencia de Ambito Tarragona-Terres de l'Ebre, Institut Català de la Salut. avila.tarte.ics@gencat.net
Angel
A
Vila Córcoles
Xabier
X
Ansa Echevarría
Albert
A
Gómez Sorribes
Joan
J
Fort Sabaté
Jordi Grifoll
JG
Llorens
Ignacio
I
Pascual Morón
D000293:Adolescent; D000328:Adult; D000368:Aged; D006801:Humans; D008875:Middle Aged; D008962:Models, Theoretical; D010043:Outcome and Process Assessment, Health Care / Q000592:standards*; D010348:Patient Care Team; D011320:Primary Health Care; D019984:Quality Indicators, Health Care / Q000592:standards*; D012107:Research Design