Factors Associated with Practice-Level Performance Indicators in Primary Health Care in Hungary
A Nationwide Cross-Sectional Study
Bibliographic Data
| ID | 15474658 |
|---|---|
| Authors | Nóra Kovács (0000-0001-9256-3756, University of Debrecen), Anita Pálinkás (University of Debrecen), Valéria Sipos (University of Debrecen), Attila Nagy (0009-0009-1381-105X), Attila Csaba Nagy (0000-0002-0554-7350, University of Debrecen), Nouh Harsha (0000-0002-6822-1024, University of Debrecen), László Kőrösi (0000-0003-3138-6041), Magor Papp (Semmelweis University), Róza Ádány (0000-0002-9679-6669, University of Debrecen), Orsolya Varga (0000-0001-8771-3975, University of Debrecen), János Sándor (0000-0001-8486-5666, University of Debrecen, corresponding author) |
| Year | 2019 |
| Volume | 16 |
| Issue | 17 |
| Pages | 3153-3153 |
| Publication date | 2019-08-29 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | International Journal of Environmental Research and Public Health (JOURNAL) |
| Journal identifiers | ISSN: 1661-7827 • E-ISSN: 1660-4601 |
| Publisher | Multidisciplinary Digital Publishing Institute (PUBLISHER • CH) |
| DOI | 10.3390/ijerph16173153 |
| PMID | 31470573 |
| OpenAlex | W2970812563 |
| Language | EN |
| Citations received | 3 |
| References cited | 7 |
The performance of general practitioners (GPs) is frequently assessed without considering the factors causing variability among general medical practices (GMPs). Our cross-sectional national-based study was performed in Hungary to evaluate the influence of GMP characteristics on performance indicators. The relationship between patient's characteristics (age, gender, education) and GMP-specific parameters (practice size, vacancy of GP's position, settlement type, and county of GMP) and the quality of care was assessed by multilevel logistic regression models. The variations attributable to physicians were small (from 0.77% to 17.95%). The education of patients was associated with 10 performance indicators. Practicing in an urban settlement mostly increased the quality of care for hypertension and diabetes care related performance indicators, while the county was identified as one of the major determinants of variability among GPs' performance. Only a few indicators were affected by the vacancy and practice size. Thus, the observed variability in performance between GPs partially arose from demographic characteristics and education of patients, settlement type, and regional location of GMPs. Considering the real effect of these factors in evaluation would reflect better the personal performance of GPs
Business · Cross-sectional study · Environmental health · Family medicine · Global Positioning System · Logistic regression · Multilevel model · Performance indicator · Primary care · Quality (philosophy · Regression analysis · Settlement (finance · Statistics · Global Health Workforce Issues · Healthcare Policy and Management · Medicine · Primary Care and Health Outcomes
Education and Health
Understanding differences in health behaviors by education
Variation in Primary Care Service Patterns by Rural‐Urban Location
Association between the General Practitioner Workforce Crisis and Premature Mortality in Hungary
The influence of welfare systems on pay-for-performance programs for general practitioners
The use of outcome and process indicators to incentivize integrated care for frail older people
Meaningful Variation in Performance
| Unique citing works | 3 |
|---|---|
| Citations per year | 0,38 |
| Citation span | 2018 - 2024 (7) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 3 |