OECD Health Care Quality Indicator Project. The expert panel on primary care prevention and health promotion.
OBJECTIVE
This article describes a project undertaken as part of the Organization for Economic Co-operation and Development (OECD)'s Healthcare Quality Indicator (HCQI) Project, which aimed to develop a set of quality indicators representing the domains of primary care, prevention and health promotion, and which could be used to assess the performance of primary care systems.


METHODS
Existing quality indicators from around the world were mapped to an organizing framework which related primary care, prevention, and health promotion. The indicators were judged against the US Institute of Medicine's assessment criteria of importance and scientific soundness, and only those which met these criteria and were likely to be feasible were included. An initial large set of indicators was reduced by the primary care expert panel using a modified Delphi process.


RESULTS
A set of 27 indicators was produced. Six of them were related to health promotion, covering health-related behaviours that are typically targeted by health education and outreach campaigns, 13 to preventive care with a focus on prenatal care and immunizations and eight to primary clinical care mainly addressing activities related to risk reduction. The indicators selected placed a strong emphasis on the public health aspects of primary care.


CONCLUSIONS
This project represents an important but preliminary step towards a set of measures to evaluate and compare primary care quality. Further work is required to assess the operational feasibility of the indicators and the validity of any benchmarking data drawn from international comparisons. A conceptual framework needs to be developed that comprehensively captures the complex construct of primary care as a basis for the selection of additional indicators.
Marshall
Martin
M
University of Manchester, Manchester, UK.
Klazinga
Niek
N
Leatherman
Sheila
S
Hardy
Charlie
C
Bergmann
Eckhard
E
Pisco
Luis
L
Mattke
Soeren
S
Mainz
Jan
J
D019985:Benchmarking; D032921:Consensus; D003245:Consensus Statements as Topic; D019049:Developed Countries; D006293:Health Promotion / Q000592:standards*; D006801:Humans; D007390:International Agencies; D007391:International Cooperation; D010865:Pilot Projects; D011320:Primary Health Care / Q000592:standards*; D011322:Primary Prevention / Q000592:standards*; D011785:Quality Assurance, Health Care; D019984:Quality Indicators, Health Care / Q000145:classification