Operationalisation of variables and assessment of the components of performance
| Component A—analysing implementation | Component B—analysing effects | ||
|---|---|---|---|
| Dimensions of performance | Part 2 | Part 1 | Part 2 |
| Learning capacity | Qualitative assessment using interview/observation data | ||
| Accessibility | PCAT-s First-Contact Access subscale179 180 and Statistics Canada (CCHS) questions on unmet needs | Proxy: relative change in volume of care between the two groups, with the hypothesis that, for IPCT patients, the volume of primary care will increase and the volume of emergency and specialised ambulatory care will decrease | |
| Efficiency | Relative costs of the care trajectories of each of the two cohorts | ||
| Quality | |||
| Technical quality | Quality of communication between professionals and patients according to the CPCI Interpersonal Communication scale58 181 | Set of indicators drawn from the works of Katz et al 2004 and Tousignant et al 2005182 183 | |
| Continuity | Continuity of care, based on the VANCOSS.59 184 The selected tool allows us to assess both components of continuity described earlier185 | Continuity of care based on indicators drawn from the work of Tousignant et al 2005183 | |
| Relational continuity, assessed using the PCAS Contextual knowledge subscale186 187 | Relational continuity (proxy) for IPCT patients and registered non-IPCT patients, proportion of care received from the physician/group seen at registration. | ||
| Comprehensiveness | Comprehensiveness of needs: qualitative assessment of the model's characteristics | Comprehensiveness of care, based on the CPCI181 188 | |
| Outcomes | |||
| Health status | SF-12189 | ||
CCHS, Canadian Community Health Survey; CPCI, Components of Primary Care Index; IPCT, Integrated Primary Care Team; PCAS, Primary Care Assessment Survey; PCAT-s, Primary Care Assessment Tool—short Form; SF-12, Short-Form Health Survey 12-items; VANCOSS, Veterans Affairs National Outpatient Customer Satisfaction Survey.