Transforming community-based primary health care through comprehensive performance measurement and reporting

Project number: 
15-081
Approval date: 
Monday, January 25, 2016
Principal Investigator: 
Wong,Sabrina
Institution: 
University of British Columbia (UBC)
Funding Agency: 
Not Available
Datasets requested: 
Home and Community Care (BC Ministry of Health)
Consolidation registry (Ministry of Health)
ACG Case Mix Group (Johns Hopkins University)
College of Physicians and Surgeons of BC
Citizenship and Immigration Canada (CIC) Permanent Residents
Medical Services Plan (BC Ministry of Health)
consolidation - census geocodes
Deaths (BC Vital Statistics Agency)
Hospital Separations (BC Ministry of Health)
Consolidation - demographic (Ministry of Health)
PharmaNet
Research objective: 

This project aims to learn about what policies and practices work best in primary health care. Our goal is to examine and compare primary health care performance measurement and reporting in several regions across Canada as a way to support innovative delivery and organization of the Canadian primary health care system.
Our team has four linked projects in its research program:
1. Comparing measures of primary health care performance and healthcare equity between regions;
2. Examining contextual facilitators and barriers that may explain regional variation;
3. Developing and evaluating an approach to regional reporting of primary health care performance that is based on the priorities and needs of providers, patients, and health planners, and;
4. Identifying innovations of primary health care service delivery that are associated with better performance and equity.

Data from Population Data BC is required to achieve objective number one and four (above). The primary purpose of this project is to assess and compare the performance of family physician practices in similar geographic areas across three provinces (British Columbia, Nova Scotia and Ontario) using comprehensive measures of CBPHC performance. This project aims to compare the performance of primary care across study populations and create regional primary care performance portraits. In this application, we are only requesting approval for the linkage of patients, physicians and physicians practices survey data to health administrative data in British Columbia. Separate ethics and data access applications will be submitted for data collection in other provinces. As such, the specific aim related to this data access request is to examine the performance of primary care across the province of British Columbia.

Specifically, we will create performance portraits of the quality of primary care across British Columbia. The quality of primary care can be measured using several domains including access, continuity, coordination, comprehensiveness, person-centeredness, safety, effectiveness, efficiency and equity. We hypothesize that there will be different results across British Columbia including geographical variation and differences by patient population groups (ranging from healthy patients with no chronic conditions through to patients with advanced and complex chronic conditions).


Page last revised: December 5, 2017