What question did this study set out to answer?

This initiative aims to improve the assessment and performance of primary health care systems in low- and middle-income countries.

December 1, 2017Milbank QuarterlyOpen Access

Better Measurement for Performance Improvement in Low‐ and Middle‐Income Countries: The Primary Health Care Performance Initiative (PHCPI) Experience of Conceptual Framework Development and Indicator Selection

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Randomized trial develops performance indicators to improve primary health care systems, suggesting actionable insights for reforms.

This initiative aims to improve the assessment and performance of primary health care systems in low- and middle-income countries.
Developed a conceptual framework via literature reviews and expert consultations.
Generated two sets of performance indicators through modified Delphi processes involving online surveys and discussions.
First set of performance indicators, 36 Vital Signs, enables cross-country and longitudinal comparisons.
Second set, 56 Diagnostic Indicators, sheds light on essential performance drivers.
Identified challenges include insufficient data availability and lack of validated indicators for quality dimensions.

Veillard et al. (2017) studied this question.

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