The European Primary Care Monitor: structure, process and outcome indicators
Dionne S. Kringos1§, Wienke G.W. Boerma1, Yann Bourgueil2, Thomas Cartier2, Toralf Hasvold3, Allen Hutchinson4,
Margus Lember5, Marek Oleszczyk6, Danica Rotar Pavlic7, Igor Svab7, Paolo Tedeschi8, Andrew Wilson9, Adam Windak6, Toni Dedeu10, Stefan Wilm11
2 Institute for Research and Information in Health Economics IRDES,
3 University of Tromsø, Department of Community Medicine ISM, Department of Community Medicine, Faculty of Health Sciences, University of Tromsø, Norway
4 University of Sheffield,
5 University of
7 University of
8 Bocconi University, Centre for Research on Health and Social Care Management CERGAS,
9 University of Leicester, Department of Health Sciences,
10Primary Care Research Institute IDIAP,
11Private University Witten/Herdecke gGmbH,
BMC Family Practice 2010, 11:81 doi:10.1186/1471-2296-11-81
Available online at: http://bit.ly/9QjtIu
“…..Scientific research has provided evidence on benefits of well developed primary care systems. The relevance of some of this research for the European situation is limited.
There is currently a lack of up to date comprehensive and comparable information on variation in development of primary care, and a lack of knowledge of structures and strategies conducive to strengthening primary care in
This article describes the development of the indicators of the PC Monitor, which will make it possible to create an alternative model for holistic analyses of primary care.
A systematic review of the primary care literature published between 2003 and July 2008 was carried out. This resulted in an overview of:
(1) the dimensions of primary care and their relevance to outcomes at (primary) health system level;
(2) essential features per dimension;
(3) applied indicators to measure the features of primary care dimensions.
The indicators were evaluated by the project team against criteria of relevance, precision, flexibility, and discriminating power. The resulting indicator set was evaluated on its suitability for Europe-wide comparison of primary care systems by a panel of primary care experts from various European countries (representing a variety of primary care systems).
The developed PC Monitor approaches primary care in
A standardized instrument for describing and comparing primary care systems has been developed based on scientific evidence and consensus among an international panel of experts, which will be tested to all configurations of primary care in
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