WONCA NEWS
F E A T U R E D
S T O R I E S
OECD’s PaRIS
FEATURED STORIES
WILL SHED LIGHT ON FAMILY DOCTORS’ CONTRIBUTION TO PRIMARY CARE by Candan Kendir, Jose M Valderas PaRIS is the Organization for Economic Cooperation and Development (OECD)’s PatientReported Indicator Surveys initiative where countries work together on developing, standardising and implementing a new generation of indicators that measure the outcomes and experiences of health care. The PaRIS survey assists countries in improving care for people living with chronic conditions by measuring outcomes and experiences with the primary and ambulatory care services that they use. Family doctors are the cornerstone of chronic care and the PaRIS survey will shed light on family doctors’ contribution to improving quality of care for people living with chronic conditions. Currently, 20 countries (Australia, Belgium, Canada, Czech Republic, France, Greece, Iceland, Israel, Italy, Luxembourg, Netherlands, Norway, Portugal, Romania, Saudi Arabia, Slovenia, Spain, Switzerland, United Kingdom, and United States) are participating in the first round of the PaRIS survey.
PARIS QUESTIONNAIRES AND IMPLEMENTATION PLANS ARE PILOTED IN A FIELD TRIAL The PaRIS survey of People Living with Chronic Conditions is the first ever large-scale international survey on the outcomes and experiences of people with chronic conditions and their primary care providers. A conceptual framework has been developed through a systematic, replicable and inclusive process, including the following domains: patient reported outcomes; patient reported experiences of care; health and health care capabilities; health behaviours; individual and sociodemographic factors; delivery system design; and health system design, policy and context.
Based on the framework, a comprehensive patient questionnaire has been constructed by using existing validated measurement tools consisting of the following sections: Your health (PROMIS Global-10, WHO-5, and others), Managing your health and health care (PorterNovelli and others), Your experience of health care (P3CEQ and others), About yourself (demographic variables). In addition, a provider questionnaire was developed collecting information on service delivery. The questionnaires were cognitively tested before being piloted in a Field Trial. The PaRIS conceptual framework and questionnaire developments will be presented in the upcoming WONCA Europe 2022 Conference in London. Most countries sample providers first, and then patients through participating providers. Few countries sample providers and patients separately due to existing data systems in place or administrative issues with retrieving patient contacts.
PAGE 23
