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Home Research Research Library Research gaps in the organisation of primary healthcare in low-income and middle-income countries and ways to address them: a mixed-methods approach Research gaps in the organisation of primary healthcare in low-income and middle-income countries and ways to address them: a mixed-methods approach 2019 Author(s) Goodyear-Smith, Felicity, Bazemore, Andrew W, Coffman, Megan, Fortier, Richard D W, Howe, Amanda, Kidd, Michael, Phillips, Robert L, Rouleau, Katherine, and van Weel, Chris Topic(s) Family Medicine Certification, and Role of Primary Care Keyword(s) Cognitive Expertise Volume 4(Suppl 8):e001482 Source BMJ Global Health Introduction: Since the Alma-Ata Declaration 40 years ago, primary healthcare (PHC) has made great advances, but there is insufficient research on models of care and outcomes-particularly for low-income and middle-income countries (LMICs). Systematic efforts to identify these gaps and develop evidence-based strategies for improvement in LMICs has been lacking. We report on a global effort to identify and prioritise the knowledge needs of PHC practitioners and researchers in LMICs about PHC organisation. Methods: Three-round modified Delphi using web-based surveys. PHC practitioners and academics and policy-makers from LMICs sampled from global networks. First round (pre-Delphi survey) collated possible research questions to address knowledge gaps about organisation. Responses were independently coded, collapsed and synthesised. Round 2 (Delphi round 1) invited panellists to rate importance of each question. In round 3 (Delphi round 2), panellists ranked questions into final order of importance. Literature review conducted on 36 questions and gap map generated. Results: Diverse range of practitioners and academics in LMICs from all global regions generated 744 questions for PHC organisation. In round 2, 36 synthesised questions on organisation were rated. In round 3, the top 16 questions were ranked to yield four prioritised questions in each area. Literature reviews confirmed gap in evidence on prioritised questions in LMICs. Conclusion: In line with the 2018 Astana Declaration, this mixed-methods study has produced a unique list of essential gaps in our knowledge of how best to organise PHC, priority-ordered by LMIC expert informants capable of shaping their mitigation. Research teams in LMIC have developed implementation plans to answer the top four ranked research questions. Read More ABFM Research Read all 2019 Validating the Test Plan Specifications for the American Board of Family Medicine’s Certification Examination Go to Validating the Test Plan Specifications for the American Board of Family Medicine’s Certification Examination 2015 Response: Re: Performance on the Maintenance of Certification for Family Physicians (MC-FP) Examination: Comparison of Initial Certifiers with Experienced Physicians Go to Response: Re: Performance on the Maintenance of Certification for Family Physicians (MC-FP) Examination: Comparison of Initial Certifiers with Experienced Physicians 1999 Patients don’t present with five choices: an alternative to multiple-choice tests in assessing physicians’ competence Go to Patients don’t present with five choices: an alternative to multiple-choice tests in assessing physicians’ competence 2013 Toward Graduate Medical Education (GME) Accountability: Measuring the Outcomes of GME Institutions Go to Toward Graduate Medical Education (GME) Accountability: Measuring the Outcomes of GME Institutions
Author(s) Goodyear-Smith, Felicity, Bazemore, Andrew W, Coffman, Megan, Fortier, Richard D W, Howe, Amanda, Kidd, Michael, Phillips, Robert L, Rouleau, Katherine, and van Weel, Chris Topic(s) Family Medicine Certification, and Role of Primary Care Keyword(s) Cognitive Expertise Volume 4(Suppl 8):e001482 Source BMJ Global Health
ABFM Research Read all 2019 Validating the Test Plan Specifications for the American Board of Family Medicine’s Certification Examination Go to Validating the Test Plan Specifications for the American Board of Family Medicine’s Certification Examination 2015 Response: Re: Performance on the Maintenance of Certification for Family Physicians (MC-FP) Examination: Comparison of Initial Certifiers with Experienced Physicians Go to Response: Re: Performance on the Maintenance of Certification for Family Physicians (MC-FP) Examination: Comparison of Initial Certifiers with Experienced Physicians 1999 Patients don’t present with five choices: an alternative to multiple-choice tests in assessing physicians’ competence Go to Patients don’t present with five choices: an alternative to multiple-choice tests in assessing physicians’ competence 2013 Toward Graduate Medical Education (GME) Accountability: Measuring the Outcomes of GME Institutions Go to Toward Graduate Medical Education (GME) Accountability: Measuring the Outcomes of GME Institutions
2019 Validating the Test Plan Specifications for the American Board of Family Medicine’s Certification Examination Go to Validating the Test Plan Specifications for the American Board of Family Medicine’s Certification Examination
2015 Response: Re: Performance on the Maintenance of Certification for Family Physicians (MC-FP) Examination: Comparison of Initial Certifiers with Experienced Physicians Go to Response: Re: Performance on the Maintenance of Certification for Family Physicians (MC-FP) Examination: Comparison of Initial Certifiers with Experienced Physicians
1999 Patients don’t present with five choices: an alternative to multiple-choice tests in assessing physicians’ competence Go to Patients don’t present with five choices: an alternative to multiple-choice tests in assessing physicians’ competence
2013 Toward Graduate Medical Education (GME) Accountability: Measuring the Outcomes of GME Institutions Go to Toward Graduate Medical Education (GME) Accountability: Measuring the Outcomes of GME Institutions