PT  - JOURNAL ARTICLE
AU  - Nadia Sourial
AU  - Claire Godard-Sebillotte
AU  - Susan E. Bronskill
AU  - Geneviève Arsenault-Lapierre
AU  - Georgia Hacker
AU  - Isabelle Vedel
TI  - Quality indicator framework for primary care of patients with dementia
AID  - 10.46747/cfp.6809e270
DP  - 2022 Sep 01
TA  - Canadian Family Physician
PG  - e270--e278
VI  - 68
IP  - 9
4099  - http://www.cfp.ca/content/68/9/e270.short
4100  - http://www.cfp.ca/content/68/9/e270.full
SO  - Can Fam Physician2022 Sep 01; 68
AB  - Objective To develop a framework of population-based primary care quality indicators adapted to patients with dementia and to identify a subset of stakeholder-driven priority indicators.Design Framework development was carried out through the selection of an initial framework based on a rapid review and identification of relevant indicators and enrichment based on existing dementia indicators and guidelines. Prioritization of indicators was carried out through a stakeholder survey.Setting Ontario, Quebec, New Brunswick, and Saskatchewan.Participants Stakeholders in community dementia care (N=109) including clinicians, patients, caregivers, decision makers, and managers.Main outcome measures Primary care quality indicators.Results The framework comprised 34 indicators across 8 domains of quality (access, integration, effective care, efficient care, equity, safety, population health, and patient-centred care). Access to a regular primary care provider, continuity of care, early-stage diagnosis, and access to home care were consistently rated as priorities. Equitable care was a specific priority among patients and caregivers; clinicians reported avoidable hospitalizations as among their priorities.Conclusion A framework of indicators was established for persons with dementia that adds an important dimension to existing primary care and dementia quality indicators by providing primary care and population-based perspectives. This framework could set a foundation for the ongoing monitoring of primary care practices and policies for persons with dementia at a population level.