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Qual Manag Health Care ; 30(1): 27-35, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33136734

RESUMEN

BACKGROUND AND OBJECTIVE: To develop a health care value framework for physical therapy primary health care organizations including a definition. METHOD: A scoping review was performed. First, relevant studies were identified in 4 databases (n = 74). Independent reviewers selected eligible studies. Numerical and thematic analyses were performed to draft a preliminary framework including a definition. Next, the feasibility of the framework and definition was explored by physical therapy primary health care organization experts. RESULTS: Numerical and thematic data on health care quality and context-specific performance resulted in a health care value framework for physical therapy primary health care organizations-including a definition of health care value, namely "to continuously attain physical therapy primary health care organization-centered outcomes in coherence with patient- and stakeholder-centered outcomes, leveraged by an organization's capacity for change." CONCLUSION: Prior literature mainly discussed health care quality and context-specific performance for primary health care organizations separately. The current study met the need for a value-based framework, feasible for physical therapy primary health care organizations, which are for a large part micro or small. It also solves the omissions of incoherent literature and existing frameworks on continuous health care quality and context-specific performance. Future research is recommended on longitudinal exploration of the HV (health care value) framework.


Asunto(s)
Atención a la Salud , Atención Primaria de Salud , Instituciones de Salud , Humanos , Modalidades de Fisioterapia , Calidad de la Atención de Salud
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