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Table 3 Summary of consensus results for PC-QI prioritization, by round

From: Co-designing person-centred quality indicator implementation for primary care in Alberta: a consensus study

Person-centred quality indicator

Round 1: prioritization (N = 10)

Round 2: discussion (N = 11)

Round 3: prioritization (N = 11)

Rank (frequency in Top 5)

Median (IQR)

Stakeholder group priority

Rank (frequency in Top 5)

Median (IQR)

Stakeholder group priority

Structure indicators

S1. Policy on person-centred care

13 (1)

1 (1–1)

1 PCN

Concern where policy is sometimes at odds with patient care and at times even PCC (what matters to the patient)

10 (2)

3 (2–4)

1 Patient; 1 PCN

Policy as a necessary overarching structure that will enable are more shared understanding of PCC and goals for improvement

Importance of having both policy, which comes from the top, as well as a grassroots movement to see actual improvements

S2. Educational programs on person-centred care

13 (1)

1 (1–1)

1 PCN

Important to bring the healthcare workforce on the same page in terms of understanding PCC and it is both actionable and measurable

12 (1)

2 (2–2)

1 PCN

Education could fall under S7. Structures to report on PCC Performance

S3. Culturally competent care

3 (4)

1.5 (1–2.25)

1 Physician; 2 Patient; 1 PCN

Concern about measuring this as it can be delicate and will mean different things to different people. It may be challenging to measure various aspects of culturally competent care in a way that is tangible and meaningful

7 (4)

3 (2.75–3.25)

1 Patient; 1 Physician; 2 PCN

S4. Providing an accommodating and supportive person-centred care environment

15 (1)

5 (5–5)

1 Patient

(Not discussed)

N/A

N/A

N/A

S5. Co-designing care in partnership with communities

4 (4)

2 (1.75–2.75)

1 Clinic QI Staff; 2 Patient; 1 Physician

(Not discussed)

4 (7)

4 (4–4)

2 Patient; 3 Physician; 2 QI Staff

S6. Health information technology to support person-centred care

1 (5)

3 (1–4.25)

2 Clinic QI Staff; 2 PCN, 1 Physician

(Not discussed)

3 (7)

3 (1–3.5)

3 Patient; 2 Physician; 2 PCN; 1 QI Staff

S7. Structures to report person-centred care performance

9 (3)

4 (4.5–5)

1 Clinic QI Staff; 1 PCN; 1 Physician

(Not discussed)

13 (1)

5 (5–5)

1 PCN

Process indicators

P1. Compassionate care

7 (3)

3 (2.5–3)

1 Patient;1 PCN, 1 Physician

(Not discussed)

9 (2)

1.5 (1.25–1.75)

1 Patient; 1 QI Staff

P2. Equitable treatment

6 (3)

2 (2–3)

2 Patient; 1 Physician

(Not discussed)

8 (4)

4.5 (3.5–5)

2 Patient; 1 Physician; 2 PCN

P3. Trusting relationship with healthcare provider

5 (4)

2.5 (1–4.25)

1 Clinic QI Staff; 2 Patient; 1 Physician

(Not discussed)

2 (7)

1 (1–2.5)

2 Patient; 2 Physician; 2 PCN; 1 QI Staff

P4. Accessing interpreter services

N/A (0)

N/A

N/A

(Not discussed)

N/A

N/A

N/A

P5. Communication with healthcare system

11 (2)

3.5 (3.25–3.75)

2 Clinic QI Staff

(Not discussed)

N/A

N/A

N/A

P6. Communication between patient and healthcare provider – nurse

N/A (0)

N/A

N/A

(Not discussed)

N/A

N/A

N/A

P7. Communication between patient and healthcare provider – physician

14 (1)

2 (2–2)

1 Patient

(Not discussed)

N/A

N/A

N/A

P8. Information about taking medication

N/A (0)

N/A

N/A

(Not discussed)

N/A

N/A

N/A

P9. Communicating test results

13 (1)

1 (1–1)

1 PCN

(Not discussed)

N/A

N/A

N/A

P10. Coordination of care

8 (3)

4 (4–4.5)

1 Patient; 1 PCN, 1 Physician

(Not discussed)

N/A

N/A

N/A

P11. Patient and caregiver involvement in decisions about their care and treatment

2 (5)

3 (3–4)

3 Patient; 2 PCN

Important for patients to work with their family physician on care and treatment as there is a long-term relationship. This can be considered as an umbrella indicator that would include things like compassionate care, communication, etc

1 (10)

3 (2–4.5)

3 Patient; 3 Physician, 3 PCN; 1 QI Staff

P12. Engaging patients in managing their own health

15 (1)

5 (5–5)

1 PCN

(Not discussed)

N/A

N/A

N/A

P13. Timely access to a primary care provider

10 (2)

2 (1.5–2.5)

1 Clinic QI Staff; 1 PCN

Surprise about the low prioritization as this may be important to patients

6 (4)

2.5 (1.75–3.5

1 Patient; 1 Physician; 2 QI Staff

Patients tend to be happy with their care if they have access/they have a doctor (so experience results can be biased)

Panelists shared experiences with this indicator not actually resulting in real improvements/changes

P14. Patient preparation for a planned treatment program

N/A (0)

N/A

N/A

(Not discussed)

N/A

N/A

N/A

P15. Transition planning

N/A (0)

N/A

N/A

(Not discussed)

N/A

N/A

N/A

P16. Using patient-reported outcomes to deliver patient-centred care

12 (2)

2 (1.5–2.5)

1 Clinic QI Staff; 1 PCN

(Not discussed)

N/A

N/A

N/A

Outcome indicators

O1. Overall experience

13 (1)

1 (1–1)

1 Clinic QI Staff

It would be important to be able to evaluate a patient’s whole journey as they interact with various aspects of the healthcare system (not just communication with nurse or physician)

5 (5)

3 (3–4)

1 Patient; 1 Physician; 2 PCN; 1 QI Staff

O2. Cost of care - affordability

15 (1)

5 (5–5)

1 PCN

(Not discussed)

N/A

N/A

N/A

Global indicator: friends and family test

13 (1)

1 (1–1)

1 Physician

(Not discussed)

N/A

N/A

N/A

  1. Person-Centred Quality Indicators (PC-QIs) are referenced according to their categorization as being a “structure” (‘S’), “process” (‘P’), or “outcome” (‘O) indicator for evaluating the quality of care [22]. PCC refers to person-centred care; QI refers to quality improvement; PCN refers to Primary Care Network; IQR refers to the interquartile range