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Developing and testing quality indicators for the Thai Quality and Outcomes Framework
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Khampang, R., Teerawattananon , Y., Tantivess , S., Cluzeau , F., Foskett-Tharby, R. and Gill, Paramjit (2017) Developing and testing quality indicators for the Thai Quality and Outcomes Framework. Safety in Health, 3 (14). doi:10.1186/s40886-017-0065-6 ISSN 2056-5917.
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Official URL: https://doi.org/10.1186/s40886-017-0065-6
Abstract
Background:
Primary care serves as an entry point in the Thai health care system. While effective interventions are provided in the primary care setting, the quality of the services have not been measured or tracked. A number of initiatives were undertaken to improve primary healthcare quality including the use of financial incentives to reward adherence to performance indicators. However, there were concerns that the current quality indicators had not been developed in a systematic, participatory, and evidence-based manner. Therefore, this study aims to develop new quality indicators for use in subsequent iterations of the program.
Methods:
The development of indicators follows a well-designed approach. Reviews of existing documents as well as secondary data analyses were performed and presented to key stakeholders. Disease areas were then prioritised. Recommendations from the Thai clinical practice guidelines on the prioritised areas were then used to formulate statements and templates for each indicator. Finally, the indicators developed were piloted for 3 months in 28 primary care units across the country.
Results:
Indicators related to care for diabetes and hypertension, maternal and child health, and rational use of antibiotics received high acceptability, and information was available and collectable in the current administrative database. However, there were problems in implementing indicators for managing cardiovascular risk, care for bedridden patients, and asthma and COPD.
Conclusions:
The development of quality indicators using a guideline-based approach is a useful way of generating evidence to support the effective implementation of a program. Indicator piloting is recommended prior to introducing indicators in the health system.
| Item Type: | Journal Article | ||||||||
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| Subjects: | R Medicine > RA Public aspects of medicine | ||||||||
| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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| Library of Congress Subject Headings (LCSH): | Primary health care -- Evaluation -- Thailand, Diabetes, Hypertension, Maternal health services, Child health services, Antibiotics | ||||||||
| Journal or Publication Title: | Safety in Health | ||||||||
| Publisher: | BioMed Central Ltd. | ||||||||
| ISSN: | 2056-5917 | ||||||||
| Official Date: | December 2017 | ||||||||
| Dates: |
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| Volume: | 3 | ||||||||
| Number: | 14 | ||||||||
| DOI: | 10.1186/s40886-017-0065-6 | ||||||||
| Status: | Peer Reviewed | ||||||||
| Publication Status: | Published | ||||||||
| Access rights to Published version: | Restricted or Subscription Access | ||||||||
| Date of first compliant deposit: | 9 November 2017 | ||||||||
| Date of first compliant Open Access: | 9 November 2017 | ||||||||
| RIOXX Funder/Project Grant: |
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