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Framework for primary care organizations: the importance of a structural domain

PURPOSE: Conceptual frameworks for primary care have evolved over the last 40 years, yet little attention has been paid to the environmental, structural and organizational factors that facilitate or moderate service delivery. Since primary care is now of more interest to policy makers, it is importa...

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Detalles Bibliográficos
Autores principales: Hogg, William, Rowan, Margo, Russell, Grant, Geneau, Robert, Muldoon, Laura
Formato: Texto
Lenguaje:English
Publicado: Oxford University Press 2008
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2533520/
https://www.ncbi.nlm.nih.gov/pubmed/18055502
http://dx.doi.org/10.1093/intqhc/mzm054
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author Hogg, William
Rowan, Margo
Russell, Grant
Geneau, Robert
Muldoon, Laura
author_facet Hogg, William
Rowan, Margo
Russell, Grant
Geneau, Robert
Muldoon, Laura
author_sort Hogg, William
collection PubMed
description PURPOSE: Conceptual frameworks for primary care have evolved over the last 40 years, yet little attention has been paid to the environmental, structural and organizational factors that facilitate or moderate service delivery. Since primary care is now of more interest to policy makers, it is important that they have a comprehensive and balanced conceptual framework to facilitate their understanding and appreciation. We present a conceptual framework for primary care originally developed to guide the measurement of the performance of primary care organizations within the context of a large mixed-method evaluation of four types of models of primary care in Ontario, Canada. METHODS: The framework was developed following an iterative process that combined expert consultation and group meetings with a narrative review of existing frameworks, as well as trends in health management and organizational theory. RESULTS: Our conceptual framework for primary care has two domains: structural and performance. The structural domain describes the health care system, practice context and organization of the practice in which any primary care organization operates. The performance domain includes features of health care service delivery and technical quality of clinical care. CONCLUSION: As primary care evolves through demonstration projects and reformed delivery models, it is important to evaluate its structural and organizational features as these are likely to have a significant impact on performance.
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spelling pubmed-25335202009-02-25 Framework for primary care organizations: the importance of a structural domain Hogg, William Rowan, Margo Russell, Grant Geneau, Robert Muldoon, Laura Int J Qual Health Care Papers PURPOSE: Conceptual frameworks for primary care have evolved over the last 40 years, yet little attention has been paid to the environmental, structural and organizational factors that facilitate or moderate service delivery. Since primary care is now of more interest to policy makers, it is important that they have a comprehensive and balanced conceptual framework to facilitate their understanding and appreciation. We present a conceptual framework for primary care originally developed to guide the measurement of the performance of primary care organizations within the context of a large mixed-method evaluation of four types of models of primary care in Ontario, Canada. METHODS: The framework was developed following an iterative process that combined expert consultation and group meetings with a narrative review of existing frameworks, as well as trends in health management and organizational theory. RESULTS: Our conceptual framework for primary care has two domains: structural and performance. The structural domain describes the health care system, practice context and organization of the practice in which any primary care organization operates. The performance domain includes features of health care service delivery and technical quality of clinical care. CONCLUSION: As primary care evolves through demonstration projects and reformed delivery models, it is important to evaluate its structural and organizational features as these are likely to have a significant impact on performance. Oxford University Press 2008-10 2007-11-30 /pmc/articles/PMC2533520/ /pubmed/18055502 http://dx.doi.org/10.1093/intqhc/mzm054 Text en © The Author 2007. Published by Oxford University Press on behalf of International Society for Quality in Health Care (ISQua); All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org
spellingShingle Papers
Hogg, William
Rowan, Margo
Russell, Grant
Geneau, Robert
Muldoon, Laura
Framework for primary care organizations: the importance of a structural domain
title Framework for primary care organizations: the importance of a structural domain
title_full Framework for primary care organizations: the importance of a structural domain
title_fullStr Framework for primary care organizations: the importance of a structural domain
title_full_unstemmed Framework for primary care organizations: the importance of a structural domain
title_short Framework for primary care organizations: the importance of a structural domain
title_sort framework for primary care organizations: the importance of a structural domain
topic Papers
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2533520/
https://www.ncbi.nlm.nih.gov/pubmed/18055502
http://dx.doi.org/10.1093/intqhc/mzm054
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