Abstract
This study is one part of the development of primary care monitoring
system at a macro level in 2005. This part shows the conceptual framework to
develop the indicators and the existing database system of primary care units
based on such development. The diabetic care and mother and child health care
were used to represent the unique characteristic of primary care, advocating
holistic approach, continuity of care, and supporting self-reliance. The study
found that data for quality indicators of diabetic care lacking, varied among units,
and needed to be newly developed. The data for indicators of MCH care have
not been so different among units, but the collection form was varied and segmented
by different units. The incompleteness and inconsistency of data of the
same case was high. The outcome indicators were too insensitive to allow differentiation
of the quality of individual primary care networks. It needs the process
indicators that can be collected through hospital database. Moreover the
database will be more reliable and accurate if the provincial monitoring committee,
instead of the central unit check and analyze the data as a package.
This study is one part of the development of primary care monitoring
system at a macro level in 2005. This part shows the conceptual framework to
develop the indicators and the existing database system of primary care units
based on such development. The diabetic care and mother and child health care
were used to represent the unique characteristic of primary care, advocating
holistic approach, continuity of care, and supporting self-reliance. The study
found that data for quality indicators of diabetic care lacking, varied among units,
and needed to be newly developed. The data for indicators of MCH care have
not been so different among units, but the collection form was varied and segmented
by different units. The incompleteness and inconsistency of data of the
same case was high. The outcome indicators were too insensitive to allow differentiation
of the quality of individual primary care networks. It needs the process
indicators that can be collected through hospital database. Moreover the
database will be more reliable and accurate if the provincial monitoring committee,
instead of the central unit check and analyze the data as a package.
