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Abstract
Background: Regular primary healthcare (PHC) performance monitoring to produce a set of performance indicators for provider effectiveness is a fundamental method for improving guideline adherence but there are potential negative impacts of the inadequate application of this approach. Since performance indicators can reflect patient characteristics and working environments, as well as PHC team contributions, inadequate monitoring practices can reduce their effectiveness in the prevention of cardiometabolic disorders.Objectives: To describe the influence of patients’ characteristics on performance indicators of PHC preventive practices in patients with hypertension or diabetes mellitus.Methods: This cross-sectional analysis was based on a network of 165 collaborating GPs. A random sample of 4320 adults was selected from GP’s patient lists. The response rate was 97.3% in this survey. Sociodemographic status, lifestyle, health attitudes and the use of recommended preventive PHC services were surveyed by questionnaire. The relationship between the use of preventive services and patient characteristics were analysed using hierarchical regression models in a subsample of 1659 survey participants with a known diagnosis of hypertension or diabetes mellitus.Results: Rates of PHC service utilization varied from 18.0% to 97.9%, and less than half (median: 44.4%; IQR: 30.8–62.5) of necessary services were used by patients. Patient attitude was as strong of an influencing factor as demographic properties but was remarkably weaker than patient socioeconomic status.Conclusion: These findings emphasize that PHC performance indicators have to be evaluated concerning patient characteristics.
Highlights
The exploitation of primary healthcare (PHC) opportunities is essential in tackling the most critical public health problems beyond just extending the range of services available at the PHC level [1]
Can be used to assess the relative effectiveness and to make regular comparative evaluations of PHC practices [2,3]. This assertion has been demonstrated by the PHC performance monitoring systems that operate in many countries [4,5,6,7]
Our results demonstrate that those patient characteristics, such as sociodemographic properties and health attitude are associated with the utilization of PHC preventive services
Summary
The exploitation of primary healthcare (PHC) opportunities is essential in tackling the most critical public health problems beyond just extending the range of services available at the PHC level [1]. This requires improving the quality of services provided, which depends on high rates of guideline adherence. Regular primary healthcare (PHC) performance monitoring to produce a set of performance indicators for provider effectiveness is a fundamental method for improving guideline adherence but there are potential negative impacts of the inadequate application of this approach. Objectives: To describe the influence of patients’ characteristics on performance indicators of PHC preventive practices in patients with hypertension or diabetes mellitus. Conclusion: These findings emphasize that PHC performance indicators have to be evaluated concerning patient characteristics
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