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首页> 外文期刊>Primary health care research & development. >Promoting cross-jurisdictional primary health care research: developing a set of common indicators across 12 community-based primary health care teams in Canada
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Promoting cross-jurisdictional primary health care research: developing a set of common indicators across 12 community-based primary health care teams in Canada

机译：促进跨辖区的初级卫生保健研究：在加拿大的12个基于社区的初级卫生保健团队中制定一套共同指标

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Abstract Aim To describe the process by which the 12 community-based primary health care (CBPHC) research teams worked together and fostered cross-jurisdictional collaboration, including collection of common indicators with the goal of using the same measures and data sources. Background A pan-Canadian mechanism for common measurement of the impact of primary care innovations across Canada is lacking. The Canadian Institutes for Health Research and its partners funded 12 teams to conduct research and collaborate on development of a set of commonly collected indicators. Methods A working group representing the 12 teams was established. They undertook an iterative process to consider existing primary care indicators identified from the literature and by stakeholders. Indicators were agreed upon with the intention of addressing three objectives across the 12 teams: (1) describing the impact of improving access to CBPHC; (2) examining the impact of alternative models of chronic disease prevention and management in CBPHC; and (3) describing the structures and context that influence the implementation, delivery, cost, and potential for scale-up of CBPHC innovations. Findings Nineteen common indicators within the core dimensions of primary care were identified: access, comprehensiveness, coordination, effectiveness, and equity. We also agreed to collect data on health care costs and utilization within each team. Data sources include surveys, health administrative data, interviews, focus groups, and case studies. Collaboration across these teams sets the foundation for a unique opportunity for new knowledge generation, over and above any knowledge developed by any one team. Keys to success are each team’s willingness to engage and commitment to working across teams, funding to support this collaboration, and distributed leadership across the working group. Reaching consensus on collection of common indicators is challenging but achievable.
机译：摘要目的描述12个基于社区的初级卫生保健（CBPHC）研究团队合作并促进跨辖区合作的过程，包括收集共同指标，以使用相同的措施和数据源为目标。背景技术缺乏一种用于衡量加拿大基础医疗创新影响的泛加拿大机制。加拿大卫生研究所及其合作伙伴资助了12个团队进行研究，并就制定一套通常收集的指标进行合作。方法建立代表12个小组的工作组。他们进行了一个反复的过程，以考虑从文献和利益相关者那里识别出的现有初级保健指标。达成了指标，旨在解决12个团队的三个目标：（1）描述改善获取CBPHC的影响; （2）审查慢性疾病预防和控制的替代模式对CBPHC的影响; （3）描述影响CBPHC创新的实施，交付，成本和扩大规模的结构和环境。调查结果确定了在初级保健核心维度内的19个共同指标：获取，全面，协调，有效性和公平性。我们还同意在每个团队中收集有关医疗成本和利用率的数据。数据来源包括调查，卫生行政数据，访谈，焦点小组和案例研究。这些团队之间的合作为任何团队开发的知识之外的新知识生成的独特机会奠定了基础。成功的关键在于每个团队的参与意愿和对跨团队工作的承诺，支持这种协作的资金以及在整个工作组中的领导才能。在收集共同指标方面达成共识是具有挑战性但可以实现的。

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