From: Development and Pilot Testing of Quality Indicators for Primary Care in Japan
Category | Content | |
---|---|---|
1 | Comprehensive care | First contact care for common diseases and ailments, including minor surgery. Consultation for subclinical conditions or wide-range health issues. Prevention, including vaccination or screening, is also important. |
2 | Accessible care | Providers should be in the local vicinity. Out-of-hours care, especially telephone access and referral, should be guaranteed. |
3 | Communication | Good and humane communication with patients. Friendliness, humanity, respect for patients, informed consent, privacy, and patient preferences should be promoted. |
4 | Coordination | Coordination and collaboration with multiple other professionals. Other resources such as other specialty clinics/hospitals, pharmacies, care coordinators. Among these inter-professional collaborations, primary care clinics should act as a local team leader. |
5 | Standardized care | Adherence to evidence-based practice, using concordance to standardized care guidelines such as clinical guidelines, and rules of the national insurance regime, and local law/ordinance. Continuous updating of current knowledge and skills. Standardized care, including safety issues, such as infection control, should be provided in accordance with public expectations. |
6 | Understanding of patient background | Taking various aspects of life into consideration, primary care clinics should provide care which focuses more on the outcomes than medical outcomes, especially for the elderly. Attention should be given to daily behavior, including foods, cost, and enhanced shared-decision making. Patient-centered care. |
7 | Contribution to the community | Public activities such as out-of-hours clinic or emergency care in the community. Social support includes public education for people at local clinics, and social support for their community. |
From: Development and Pilot Testing of Quality Indicators for Primary Care in Japan
Category | Number of Items | Contents (examples) | Data resources |
---|---|---|---|
Comprehensive care/Standardized practice | 20 | Smoking history, advice on smoking cession, pneumococcal vaccination, dementia care, hypertension, diabetes, asthma, emergency (acute abdomen, headache), drug treatment of chronic care condition, vaccination for children, monitoring history of other treatment, checking the prescription history | MCD 3 MCR 15 PS 2 |
Access | 3 | Out-of-hours care Response to symptoms other than current monitoring care |
PS 3 |
Communication | 8 | Respect for patient preferences, plain explanation of drugs. Respect for patient privacy. Friendliness, sincere and honest attitude | PS 8 |
Coordination | 5 | Referral letter, identifying care coordinator, helping identifying specialists | MCR 2 PS 3 |
Understanding of patient background | 6 | Asking about family members in the house, costs, understanding their role, consideration of the local community | MCR 1 PS 5 |
From: Development and Pilot Testing of Quality Indicators for Primary Care in Japan
Quality Indicators for Primary Care Practice in Japan (QIPC-J) | Quality in Family Practice Book of Tool (QBT) in Canada | Institute of Medicine | |
---|---|---|---|
1 | Comprehensive care | ||
2 | Accessible care | Timely and accessible | Timeliness |
3 | Communication | Patient-Centered | Patient-Centered |
4 | Coordination | Integrated and Continuous | |
5 | Standardized care | Effective clinical practice | Effective |
Safe | Safe | ||
Efficient | Efficient | ||
6 | Understanding of patient background | Patient-Centered | Patient-Centered |
7 | Contribution to the community | Equitable | Equitable |
Appropriate practice resources |