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https://hdl.handle.net/1822/31676
Título: | Performance indicators for clinical practice management in primary care in Portugal : consensus from a Delphi study |
Autor(es): | Pereira, Miguel Basto Furtado, Sara Isabel Félix Silva, Ricardo Jorge Pereira González, Francisco Fachado Fernandes, Tito Manuel Vara Sousa, Jaime Correia de Yaphe, John |
Palavras-chave: | Performance indicators Primary healthcare Portugal Delphi method |
Data: | 2015 |
Editora: | Informa Healthcare |
Revista: | European Journal of General Practice |
Citação: | Basto-Pereira, M., Felix Furtado, S. I., Pereira Silva, R. J., Gonzalez, F. F., Vara Fernandes, T. M., de Sousa, J. C., & Yaphe, J. (2015). Performance indicators for clinical practice management in primary care in Portugal: Consensus from a Delphi study. European Journal of General Practice, 21(1), 52-57. doi: 10.3109/13814788.2014.907268 |
Resumo(s): | Background: Performance indicators assessing the quality of medical care and linked to pay for performance may cause disagreement. Portuguese indicators included in recent health care reform are controversial. Objectives: To obtain consensus from opinion leaders in family medicine regarding the performance indicators for practice management used in the evaluation of Family Health Units in Portugal. Methods: Eighty-nine specialists in primary care were invited to answer the following question in an online Delphi study: 'Which performance indicators should be assessed regarding the organization and management of clinical practice in primary care in Portugal?' A Likert scale was used to evaluate validity, reliability, feasibility and sensitivity to change. Twenty-seven experts participated in the second round and achieved a high degree of consensus. Eight categories were created for analysis. Results: The experts suggested the use of existing indicators as well as new indicators. Thirty-nine indicators suggested by the experts are currently in use in Portugal. The assessment of the number of clinical acts performed, the number of administrative acts, and evaluation of the clinical demographic profile achieved a high degree of consensus. The expert panel suggested fifty new indicators. Five categories of these new indicators had a high degree of consensus, and three categories had a low degree of consensus. Conclusion: The expert panel recommended that performance indicators of practice management should first assess the quantity of clinical and administrative activities undertaken. These indicators must take into account the human and financial resources available to the clinic and its demographic context. |
Tipo: | Artigo |
Descrição: | Early Online |
URI: | https://hdl.handle.net/1822/31676 |
DOI: | 10.3109/13814788.2014.907268 |
ISSN: | 1381-4788 |
Versão da editora: | http://informahealthcare.com/doi/abs/10.3109/13814788.2014.907268 |
Arbitragem científica: | yes |
Acesso: | Acesso aberto |
Aparece nas coleções: | ICVS - Artigos em revistas internacionais / Papers in international journals |
Ficheiros deste registo:
Ficheiro | Descrição | Tamanho | Formato | |
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basto-pereira m_eur j gen pract 2014.pdf | 139,83 kB | Adobe PDF | Ver/Abrir |