The following is a summary of “Transforming community-based primary health care delivery through comprehensive performance measurement and reporting: examining the influence of context,” published in the December 2024 issue of Primary Care by Wong et al.
Community-based primary health care (CBPHC) models integrate health promotion and community development to deliver essential health services. Learning health systems (LHSs) use stakeholder feedback and performance reporting to enhance CBPHC, aiming for better population health and equity.
Researchers conducted a retrospective study to explore the role of performance reporting in improving CBPHC.
They conducted key informant interviews with clinicians and decision-makers in primary care using purposive convenience sampling. Participants were recruited from a regional level, and the performance portrait, based on survey results from patients, providers, and primary care organizations, was organized by the 10 pillars of the Patient’s Medical Home (PMH) model. Interview questions focused on content, formatting, interpretability, utility, and dissemination strategies. Content analysis was employed to analyze the interview data.
The results showed that 19 key informant interviews were conducted across Nova Scotia (n=8), Ontario (n=6), and British Columbia (n=5). Transcripts were coded into 4 areas: Usability, Formatting, Utility, and Dissemination. Feedback indicated that providing methodology notes on scoring, sampling, sample sizes, and statistical interpretation is essential for meaningful reporting to clinicians and decision-makers.
They created the first performance portrait using data from primary care partners. Feedback was key to improving CBPHC models through continuous evaluation.
Source: bmcprimcare.biomedcentral.com/articles/10.1186/s12875-024-02659-z
