Primary Health Care Quality Assessment Frameworks: State of the Art Review

Context: Quality Assessment Frameworks (QAFs) are essential in monitoring progress the primary health care (PHC) system. Different QAFs used countries to assess PHC quality. Objectives: This study aimed review and compare highlight most frequent quality indicators dimensions. Methods: state-of-the-art was conducted on PHCQAFs. Required data were collected through search Scopus, Web of Science, PubMed databases, World Health Organization Bank websites, Ministry websites up January 2022. The main keywords quality, “primary healthcare”, PHC, care”, services”, “basic assessment, evaluation, monitoring, measurement, improvement, indicator, OR index, pattern, framework, model. Comparative tables defined dimensions (QDs) assessment (QAIs). Results: Finally, 14 PHCQAFs retrieved, containing 94 QDs 785 QAIs. Three proposed at international level others national level. Accessibility, coordination, safety QDs, QAIs related smoking, alcohol substance abuse, diabetes care, vaccination, chronic heart disease respiratory/infectious hypertension population coverage, community participation, customer satisfaction, maternal child health, adverse event, information management, staff empowerment, referral system, patient rights among Conclusions: current illustrates similarities differences between highlights important QIs PHC. Also, it provides a ready way for policymakers address key aspects that can help accelerate