Performance Measurement Systems in Primary Health Care: A Systematic Literature Review

Abstract

Background: Performance measurements are increasingly used in health services, however, there is a lack of these types of applications in the literature, especially for performance measurement systems in primary health care. The concepts of a performance measurement system (SMD) constitute a limitation in the literature for what has been implemented to date in primary health care services. This article constructs a systematic review of peer-reviewed literature to demonstrate current constructs used in performance measurement systems in different areas of primary care. Methods: The document uses the PRISMA approach, considered the gold standard for synthesis of evidence and studies reported as scientific or dark literature. To evaluate the quality of the selected studies, the four categories of The Rosalind Franklin Qualitative Research Appraisal Instrument - RF-QRA were used. Results: Of the 167 articles extracted, fourteen studies were selected and showed that there is a difficulty in evaluating the post-implementation of performance measurement systems directly in primary care units, which brings a study limitation and the lack of evidence of monitoring indicators throughout over time. Conclusions: The development of the systematic review process that emphasizes heterogeneity, diversification, reliability and originality reflected a diagnosis based on the last five years of the best MDS models implemented around the world. This may reflect the implementation of public policies focusing on high-performance primary health care.