Table 1.
Taxonomy of critical points to performance measurement in public health and primary care system
| Domains | Sub-domains/categories | References | |
|---|---|---|---|
| Leadership and Stewardship[6,30,31,32] | Strategic planning[33] | Vision | [34] |
| Mission | [14] | ||
| Forming health policies, determining prospects and strategies | [6] | ||
| Approaches for controlling and adjusting | |||
| Accountability system and inter-sectoral co-operation | |||
| Organizing healthcare service delivery | |||
| Funding[6,31,32,34,39] | Fair financing | [11,31] | |
| Costs/Expenditure | [10,13,17,30] | ||
| Revenue collection | [6] | ||
| Integrating and allocation the resources to state budget | |||
| Protection from financial risks[6,11] | Demographic characteristics | ||
| Economic features | |||
| Consumptions and healthcare costs | |||
| Resource generation[6,11,31] | Health information system | [6,30,32] | |
| Human resources | [6,30,32,34] | ||
| Medicine and Medical supplies | [6,32] | ||
| Growth and Learning | Collecting and using knowledge | [6] | |
| Use of data audit and feedback processes | [33] | ||
| Innovation adoption | |||
| Training and continuing education for workforce | |||
| Service delivery[6,31,32,34] | Adult Health Services (AHS) | [32] | |
| Child Health Services (CHS) | |||
| Antenatal Services[45] | |||
| Outcomes | [14] | ||
| Capacity for service provision | [34] | ||
| Fairness in healthcare services delivery | [6] | ||
| Continuity | [50] | ||
| Coordination | [13,30,50] | ||
| Comprehensiveness | Service available | [30,50] | |
| Service provided | |||
| Quality[10,11,13,17,31,33,51] | Quality of care (Clinical quality) | [11,33,61] | |
| Management quality | [33] | ||
| Wastage/errors | [51] | ||
| Effectiveness of health services | [10,11,13,17,30,31,48,49] | ||
| Safety | [10,13,17,30,31] | ||
| Patient and community[34] | Patient/family satisfaction | [11,13] | |
| Family-centeredness | [50] | ||
| Community orientation | [50] | ||
| Community support | [33] | ||
| Responsiveness/patient centeredness[10,11,31,47] | Autonomy | [47] | |
| Attention | |||
| Communication | |||
| Amenities | |||
| Choice | |||
| Confidentiality | |||
| Respect | |||
| Responsiveness to people’s non-medical expectation | [31] | ||
| Appropriateness[30] | Adults receiving recommended screening and preventive care | [51] | |
| Children receiving recommended screening and preventive care | |||
| Others | |||
| Access[10,11,13,17,31,33,48,51,61] | Equitable access to healthcare services | Financial factors | [6] |
| Geographical factors | |||
| Individual factors | |||
| Structural factors | |||
| Financial access | [33] | ||
| Information access | |||
| Linguistic access | |||
| Physical access (Structural) | |||
| Service availability/allocation | |||
| Rural public health system coverage | [49] | ||
| Equality of rural public health services | |||
| Cultural competence | [50] | ||
| Acceptability | [51] | ||
| Efficiency/Utilization[11,13,30,33,48,51,61] | Administrative efficiency | [11] | |
| Costs and productivity | |||
| Adequacy of funding | |||
| Direct inputs | [52] | ||
| Direct output | |||
| Contextual factors | |||
| Patient or procedure volume per time period | [33] | ||
| Patient or procedure volume-general | |||
| Patient or procedure volume relative to capacity | |||
| Patient or procedure volume relative to population | |||
| Patient or procedure volume relative to population health characteristics | |||
| Patient or procedure volume relative to the need of the patient | |||
| Service usage relative to income group | |||
| Cost to service ratios | |||
| Staff to service ratios | |||
| Additional costs | [51] | ||
| Health status and community[11,30,31,61] | Improving the health of the population | [31,48] | |
| Healthy lives | [51] | ||
| Demographic and socio-economic factors | [31] | ||
| Determinants of health | [31] |