Comprehensive assessment of primary care services of community clinics using standardized clinical indicators

2014 Fiscal Year Final Research Report

• Project/Area Number: 24616029
• Research Category: Grant-in-Aid for Scientific Research (C)
• Allocation Type: Multi-year Fund
• Section: 一般
• Research Field: ケア学
• Research Institution: 独立行政法人国立病院機構(東京医療センター臨床研究センター)
• Principal Investigator: MATSUMURA Shinji 独立行政法人国立病院機構(東京医療センター臨床研究センター), 臨床疫学研究室, 研究員 (90323542)
• Project Period (FY): 2012-04-01 – 2015-03-31
• Keywords: プライマリ・ケア / 医療の質 / ヘルス・サービス研究 / 診療指標

Outline of Final Research Achievements

We developed comprehensive set of standardized clinical indicators for assessing primary care services provided by community clinics in Japan, and conducted a pilot project among primary care clinics. First we conducted focus group interviews of physicians and other allied healthcare professionals who engage in primary care in the community, and developed a conceptual framework and categories of these indicators. Then we reviewed and selected clinical indicators using currently available indicators. Modified Delphi process was used to obtain validity and feasibility of these proposed indicators. Finally, we developed forty-two clinical indicators of five categories, and conducted a pilot project among six local primary care clinics using these indicators. Through this project, we found these indicators are useful and feasible in the current context of the community clinics in Japan.

Free Research Field

プライマリ・ケア、医療の質評価、ヘルスサービス研究