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Metrics for assessing improvements in primary health care.
Annual Review of Public Health ( IF 21.4 ) Pub Date : 2014-01-01 , DOI: 10.1146/annurev-publhealth-032013-182438
Kurt C Stange 1 , Rebecca S Etz , Heidi Gullett , Sarah A Sweeney , William L Miller , Carlos Roberto Jaén , Benjamin F Crabtree , Paul A Nutting , Russell E Glasgow
Affiliation  

Metrics focus attention on what is important. Balanced metrics of primary health care inform purpose and aspiration as well as performance. Purpose in primary health care is about improving the health of people and populations in their community contexts. It is informed by metrics that include long-term, meaning- and relationship-focused perspectives. Aspirational uses of metrics inspire evolving insights and iterative improvement, using a collaborative, developmental perspective. Performance metrics assess the complex interactions among primary care tenets of accessibility, a whole-person focus, integration and coordination of care, and ongoing relationships with individuals, families, and communities; primary health care principles of inclusion and equity, a focus on people's needs, multilevel integration of health, collaborative policy dialogue, and stakeholder participation; basic and goal-directed health care, prioritization, development, and multilevel health outcomes. Environments that support reflection, development, and collaborative action are necessary for metrics to advance health and minimize unintended consequences.

中文翻译:

评估初级卫生保健改善的指标。

指标将注意力集中在重要的事情上。初级卫生保健的平衡指标体现了目的、愿望以及绩效。初级卫生保健的目的是改善社区环境中人民和人口的健康。它由包括长期、以意义和关系为中心的观点在内的指标提供信息。使用协作、发展的视角,对指标的理想使用可以激发不断发展的见解和迭代改进。绩效指标评估初级保健原则之间的复杂相互作用,包括可及性、全人关注、护理的整合和协调以及与个人、家庭和社区的持续关系;包容和公平的初级卫生保健原则、关注人民的需求、卫生的多层次整合、合作政策对话和利益相关者参与;基本和目标导向的医疗保健、优先顺序、发展和多层次的健康成果。支持反思、发展和协作行动的环境对于促进健康和尽量减少意外后果的指标是必要的。
更新日期:2014-03-18
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