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A problem-oriented systems approach to primary care system development: development and initial testing of the problem-oriented primary care system development record

BACKGROUND: There is significant global policy interest related to enabling a data-driven approach for evidence-based primary care system development. This paper describes the development and initial testing of a prototype tool (the Problem-Oriented Primary Care System Development Record, or PCSDR)...

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Autores principales: Shukor, Ali Rafik, Barbazza, Erica, Klazinga, Niek, Kringos, Dionne Sofia
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7395390/
https://www.ncbi.nlm.nih.gov/pubmed/32738904
http://dx.doi.org/10.1186/s12913-020-05581-z
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author Shukor, Ali Rafik
Barbazza, Erica
Klazinga, Niek
Kringos, Dionne Sofia
author_facet Shukor, Ali Rafik
Barbazza, Erica
Klazinga, Niek
Kringos, Dionne Sofia
author_sort Shukor, Ali Rafik
collection PubMed
description BACKGROUND: There is significant global policy interest related to enabling a data-driven approach for evidence-based primary care system development. This paper describes the development and initial testing of a prototype tool (the Problem-Oriented Primary Care System Development Record, or PCSDR) that enables a data-driven and contextualized approach to primary care system development. METHODS: The PCSDR is an electronic record that enables the systematic input, classification, structuring, storage, processing and analysis of different types of data related to the structure, function and performance of primary care systems over time. Data inputted into the PCSDR was coded using the WHO’s PHC-IMPACT framework and classification system. The PCSDR’s functionalities were tested by using a case study of primary care system development in Tajikistan. RESULTS: Tajikistan’s case study demonstrated that the PCSDR is a potentially effective and conceptually-sound tool for the input, classification, structuring and storage of different data types from myriad sources. The PCSDR is therefore a basic data entry and data management system that enables query and analytics functions for health services research and evidence-based primary care system development functions. CONCLUSIONS: The PCSDR is a data system that enables a contextualized approach to evidence-based primary care system development. It represents a coherent and effective synthesis of the fields of primary care system development and performance assessment. The PCSDR enables analysts to leverage primary care performance assessment frameworks for a broad range of functions related to health systems analysis, improvement and the development of learning health systems.
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spelling pubmed-73953902020-08-05 A problem-oriented systems approach to primary care system development: development and initial testing of the problem-oriented primary care system development record Shukor, Ali Rafik Barbazza, Erica Klazinga, Niek Kringos, Dionne Sofia BMC Health Serv Res Technical Advance BACKGROUND: There is significant global policy interest related to enabling a data-driven approach for evidence-based primary care system development. This paper describes the development and initial testing of a prototype tool (the Problem-Oriented Primary Care System Development Record, or PCSDR) that enables a data-driven and contextualized approach to primary care system development. METHODS: The PCSDR is an electronic record that enables the systematic input, classification, structuring, storage, processing and analysis of different types of data related to the structure, function and performance of primary care systems over time. Data inputted into the PCSDR was coded using the WHO’s PHC-IMPACT framework and classification system. The PCSDR’s functionalities were tested by using a case study of primary care system development in Tajikistan. RESULTS: Tajikistan’s case study demonstrated that the PCSDR is a potentially effective and conceptually-sound tool for the input, classification, structuring and storage of different data types from myriad sources. The PCSDR is therefore a basic data entry and data management system that enables query and analytics functions for health services research and evidence-based primary care system development functions. CONCLUSIONS: The PCSDR is a data system that enables a contextualized approach to evidence-based primary care system development. It represents a coherent and effective synthesis of the fields of primary care system development and performance assessment. The PCSDR enables analysts to leverage primary care performance assessment frameworks for a broad range of functions related to health systems analysis, improvement and the development of learning health systems. BioMed Central 2020-08-01 /pmc/articles/PMC7395390/ /pubmed/32738904 http://dx.doi.org/10.1186/s12913-020-05581-z Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Technical Advance
Shukor, Ali Rafik
Barbazza, Erica
Klazinga, Niek
Kringos, Dionne Sofia
A problem-oriented systems approach to primary care system development: development and initial testing of the problem-oriented primary care system development record
title A problem-oriented systems approach to primary care system development: development and initial testing of the problem-oriented primary care system development record
title_full A problem-oriented systems approach to primary care system development: development and initial testing of the problem-oriented primary care system development record
title_fullStr A problem-oriented systems approach to primary care system development: development and initial testing of the problem-oriented primary care system development record
title_full_unstemmed A problem-oriented systems approach to primary care system development: development and initial testing of the problem-oriented primary care system development record
title_short A problem-oriented systems approach to primary care system development: development and initial testing of the problem-oriented primary care system development record
title_sort problem-oriented systems approach to primary care system development: development and initial testing of the problem-oriented primary care system development record
topic Technical Advance
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7395390/
https://www.ncbi.nlm.nih.gov/pubmed/32738904
http://dx.doi.org/10.1186/s12913-020-05581-z
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