An international cross-sectional survey on the Quality and Costs of Primary Care (QUALICO-PC): recruitment and data collection of places delivering primary care across Canada
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- 作者：Sabrina T Wong (1) (2) (3) (4)
Leena W Chau (1) (2)
William Hogg (4) (5) (6)
Gary F Teare (10) (7) (9)
Baukje Miedema (11) (12)
Mylaine Breton (13)
Kris Aubrey-Bassler (14) (15)
Alan Katz (16) (17)
Fred Burge (11)
Antoine Boivin (18)
Tim Cooke (19)
Dani猫le Francoeur (20)
Walter P Wodchis (7) (8) (9)
1. School of Nursing ; University of British Columbia (UBC) ; Vancouver ; Canada
2. Centre for Health Services and Policy Research ; University of British Columbia (UBC) ; Vancouver ; Canada
3. Department of Family Medicine ; University of British Columbia (UBC) ; Vancouver ; Canada
4. The Canadian Primary Health Care Research and Innovation Network (CPHCRIN) ; Ottawa ; Canada
5. Department of Family Medicine ; University of Ottawa ; Ottawa ; Canada
6. C.T. Lamont Primary Health Care Research Centre ; 脡lisabeth Bruy猫re Research Institute ; Ottawa ; Canada
10. Saskatchewan Health Quality Council ; Saskatoon ; Canada
7. Institute of Health Policy Management and Evaluation ; University of Toronto ; Toronto ; Canada
9. Institute for Clinical Evaluative Sciences ; Toronto ; Canada
11. Faculty of Medicine ; Dalhousie University ; Halifax ; Canada
12. Family Medicine Teaching Unit ; University of New Brunswick ; Fredericton ; Canada
13. Universit茅 de Sherbrooke ; Charles LeMoyne Research Center Hospital ; Sherbrooke ; Canada
14. Faculty of Medicine ; Memorial University of Newfoundland ; St. John鈥檚 ; Canada
15. Health Sciences Centre ; St. John鈥檚 ; Canada
16. Departments of Community Health Sciences and Family Medicine ; University of Manitoba ; Winnipeg ; Canada
17. Manitoba Centre for Health Policy ; Winnipeg ; Canada
18. Department of Family Medicine ; University of Montreal ; Montreal ; Canada
19. Health Quality Council of Alberta ; Calgary ; Canada
20. Institut national de sant茅 publique du Qu茅bec (INSPQ) ; Qu茅bec ; Canada
8. Toronto Rehabilitation Institute ; Toronto ; Canada - 关键词：Primary health care ; Physician ; Response rate ; French ; English ; Survey ; Practice
- 刊名：BMC Family Practice
- 出版年：2015
- 出版时间：December 2015
- 年：2015
- 卷：16
- 期：1
- 全文大小：455 KB
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- 出版者：BioMed Central
- ISSN：1471-2296
文摘
Background Performance reporting in primary health care in Canada is challenging because of the dearth of concise and synthesized information. The paucity of information occurs, in part, because the majority of primary health care in Canada is delivered through a multitude of privately owned small businesses with no mechanism or incentives to provide information about their performance. The purpose of this paper is to report the methods used to recruit family physicians and their patients across 10 provinces to provide self-reported information about primary care and how this information could be used in recruitment and data collection for future large scale pan-Canadian and other cross-country studies. Methods Canada participated in an international large scale study-the QUALICO-PC (Quality and Costs of Primary Care) study. A set of four surveys, designed to collect in-depth information regarding primary care activities was collected from: practices, providers, and patients (experiences and values). Invitations (telephone, electronic or mailed) were sent to family physicians. Eligible participants were sent a package of surveys. Provincial teams kept records on the number of: invitation emails/letters sent, physicians who registered, practices that were sent surveys, and practices returning completed surveys. Response and cooperation rates were calculated. Results Invitations to participate were sent to approximately 23,000 family physicians across Canada. A total of 792 physicians and 8,332 patients from 772 primary care practices completed the surveys, including 1,160 participants completing a Patient Values survey and 7,172 participants completing a Patient Experience survey. Overall, the response rate was very low ranging from 2% (British Columbia) to 21% (Nova Scotia). However, the participation rate was high, ranging from 72% (Ontario) to 100% (New Brunswick/Prince Edward Island and Newfoundland & Labrador). Conclusions The difficulties obtaining acceptable response rates by family physicians for survey participation is a universal challenge. This response rate for the QUALICO-PC arm in Canada was similar to rates found in other countries such as Australia and New Zealand. Even though most family physicians operate as self-employed small businesses, they could be supported to routinely submit data through a collective effort and provincial mandate. The groundwork in setting up pan-Canadian collaboration in primary care has been established through this study.