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September 8, 2026HealthcareOpen Access

Mapping Quality Indicators in Primary Health Care: A Scoping Review of Contemporary Approaches and Persistent Measurement Gaps

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Authors

CTChristos TriantafyllouOffice of Patient Care ServicesANAnastasia NtikoudiUniversity of West AtticaAPAnastasia PapachristouNational Patient Safety Foundation

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Implication

Scoping review reveals fragmented quality measurement in primary health care, highlighting persistent gaps in patient-reported outcomes and equity.

Key Points

  • Identify and synthesize quality indicators used in primary health care, describe key methodological approaches, and characterize persistent measurement gaps.
  • Searched PubMed/MEDLINE, Embase, and CINAHL through August 2026, alongside grey literature from the WHO, UNICEF, and OECD, following PRISMA-ScR guidelines.
  • Dual independent screening and selection of records evaluated frameworks using the Donabedian structure-process-outcome model and WHO quality dimensions.
  • Included 23 sources spanning empirical evaluations, consensus studies, methodological reviews, national quality programs, and international frameworks.
  • Frequently assessed domains comprised chronic disease management, preventive care, medication safety, access, and service utilization.
  • Substantial heterogeneity existed across indicator definitions, with notable underrepresentation of patient-reported outcomes, equity, and social determinants of health.

Cite This Study

Triantafyllou et al. (2026) studied this question.

synapsesocial.com/papers/6a9fd81458e84d0ff5b474f4https://doi.org/10.3390/healthcare14172880
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