TY - JOUR
T1 - Developing indicators and measures of high-quality for Australian general practice
AU - Metusela, Christine
AU - Cochrane, Natalie
AU - van Werven, Hannah
AU - Usherwood, Tim
AU - Ferdousi, Shahana
AU - Messom, Ray
AU - O'Halloran, Diana
AU - Fasher, Michael
AU - Page, Andrew
AU - Trankle, Steven
AU - Abbott, Penelope
AU - Tannous, W. Kathy
AU - Peters, Kath
AU - Meisinger, Kirsten
AU - Reath, Jennifer
PY - 2022
Y1 - 2022
N2 - Background: Rising health costs and health inequity are major challenges in Australia, as internationally. Strong primary health care is well evidenced to address these challenges. Primary Health Networks (PHNs) work with general practices to collect data and support quality improvement; however, there is no consensus regarding what defines high quality. This paper describes the development of an evidence-based suite of indicators and measures of high-quality general practice for the Australian context. Methods: We reviewed the literature to develop a suitable framework and revise quality assurance measures currently in use, then reviewed these in three workshops with general practitioners, practice managers, nurses, consumers and PHN staff in western Sydney. We used a descriptive qualitative research approach to analyse the data. Results: A total of 125 evidence-based indicators were agreed to be relevant, and 80 were deemed both relevant and feasible. These were arranged across a framework based on the Quadruple Aim, and include structure, process and outcome measures. Conclusions: The agreed suite of indicators and measures will be further validated in collaboration with PHNs across Australia. This work has the potential to inform health systems innovation both nationally and internationally.
AB - Background: Rising health costs and health inequity are major challenges in Australia, as internationally. Strong primary health care is well evidenced to address these challenges. Primary Health Networks (PHNs) work with general practices to collect data and support quality improvement; however, there is no consensus regarding what defines high quality. This paper describes the development of an evidence-based suite of indicators and measures of high-quality general practice for the Australian context. Methods: We reviewed the literature to develop a suitable framework and revise quality assurance measures currently in use, then reviewed these in three workshops with general practitioners, practice managers, nurses, consumers and PHN staff in western Sydney. We used a descriptive qualitative research approach to analyse the data. Results: A total of 125 evidence-based indicators were agreed to be relevant, and 80 were deemed both relevant and feasible. These were arranged across a framework based on the Quadruple Aim, and include structure, process and outcome measures. Conclusions: The agreed suite of indicators and measures will be further validated in collaboration with PHNs across Australia. This work has the potential to inform health systems innovation both nationally and internationally.
UR - https://hdl.handle.net/1959.7/uws:65771
U2 - 10.1071/PY21164
DO - 10.1071/PY21164
M3 - Article
SN - 1836-7399
VL - 28
SP - 215
EP - 223
JO - Australian Journal of Primary Health
JF - Australian Journal of Primary Health
IS - 3
ER -