Developing Iranian sub-national primary health care measurement framework: a mixed-method study

Archives of Public Health

Research

Mostafa Farahbakhsh¹  Ardeshir Khosravi²  Saber Azami-Aghdash³  Elham Ahmadnezhad⁴  Ramin Rezapour⁵  Jafar Sadegh Tabrizi⁵ 

[1] Department of Psychiatry, School of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran;Deputy for Public Health, Ministry of Health and Medical Education, Tehran, Iran;Medical Philosophy and History Research Center, Tabriz University of Medical Sciences, Tabriz, Iran;National Institute of Health Research (NIHR), Tehran University of Medical Sciences (TUMS), Tehran, Iran;Tabriz Health Services Management Research Center, Tabriz University of Medical Sciences, Tabriz, Iran;

关键词: Primary Health Care;    Iran;    Performance measurement;    Framework;    Key performance indicators;    Universal Health Coverage;   

DOI  :  10.1186/s13690-023-01108-0

 received in 2022-07-23, accepted in 2023-05-15,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundDesired health outcomes are more achievable through strong Primary Health Care (PHC). Using comprehensive and scientific tools, decision-makers are guided to formulate better PHC reforms and policies. This study introduces a sub-national framework based on the World Health Organization (WHO) proposed frameworks for the PHC performance measurement.MethodBy a mixed-method and qualitative approach, the Iranian sub-national PHC Measurement Framework (PHCMF) was developed through a review of the WHO’s PHC measurement conceptual framework (for selecting Key Performance Indicators (KPIs)), literature review (academic database), PHC-related national documents, consultations with an advisory committee of national experts (6-meetings), and the Delphi technique for finalizing the framework.ResultsThe Iranian sub-national PHCMF was finalized with 100 KPIs in three components including Health systems determinants, Service Delivery, and Health system objectives. Based on the result chain domain, most KPIs were related to the output (24 KPIs) and the least were related to the input and the process (9 KPIs).ConclusionRegarding the comprehensiveness of the developed measurement framework due to its focus on all PHC operational levers and key aspects of PHC systems’ performance, it can be used as a practical tool for assessing and improving the Iranian sub-national PHC system.

【 授权许可】

CC BY   
© The Author(s) 2023

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