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The development of the Primary Care Clusters Multidimensional Assessment (PCCMA): A mixed-methods study

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  • Stanciu, Marian Andrei
  • Law, Rebecca-Jane
  • Myres, Paul
  • Parsonage, Rachel
  • Hiscock, Julia
  • Williams, Nefyn
  • Wilkinson, Clare

Abstract

A strong primary care (PC) system is essential for an efficient and high-quality healthcare service. Many countries have adopted a model of PC that encourages different healthcare providers to work together, at scale, in multidisciplinary/multiagency teams (PC clusters). The aim of the present work was to develop a quantitative instrument for the systematic and comprehensive assessment of PC clusters. This was a non-experimental, mixed-methods study grouping four work packages (WP), and involving PC cluster leads and a wide range of key stakeholders from across Wales. Interviews with 22 PC cluster leads (34 %) investigated the clusters' functioning (WP1). A systematic review identified relevant PC assessment frameworks and instruments (WP2). An expert group reviewed the evidence and drafted the new assessment tool, further evaluated and amended in two stakeholder workshops (WP3).

Suggested Citation

  • Stanciu, Marian Andrei & Law, Rebecca-Jane & Myres, Paul & Parsonage, Rachel & Hiscock, Julia & Williams, Nefyn & Wilkinson, Clare, 2020. "The development of the Primary Care Clusters Multidimensional Assessment (PCCMA): A mixed-methods study," Health Policy, Elsevier, vol. 124(2), pages 152-163.
    • Handle: RePEc:eee:hepoli:v:124:y:2020:i:2:p:152-163
    DOI: 10.1016/j.healthpol.2019.12.004
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    1. Starfield, Barbara & Shi, Leiyu, 2002. "Policy relevant determinants of health: an international perspective," Health Policy, Elsevier, vol. 60(3), pages 201-218, June.
    2. Campbell, S. M. & Roland, M. O. & Buetow, S. A., 2000. "Defining quality of care," Social Science & Medicine, Elsevier, vol. 51(11), pages 1611-1625, December.
    3. Filipe Amado, Carla Alexandra & Dyson, Robert G., 2008. "On comparing the performance of primary care providers," European Journal of Operational Research, Elsevier, vol. 185(3), pages 915-932, March.
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