A Results-Based Logic Model for Primary Health Care

Overview

Final Report: English

Results-Based Logic Model for PHC

Final Report: French

Un modèle logique axé sur les résultats en matière de soins de santé primaires

CHSPR gratefully acknowledges the support of the Canadian Health Services Research Foundation in producing the French version of this report.

Summary: Spanish

Un Modelo Lógico para la Atención Primaria de Salud Basado en Resultados

CHSPR gratefully acknowledges the help of Jeannie Haggerty, Canada Research Chair, Université de Sherbrooke, Québec, in producing the Spanish version of this summary.

Related Resources

Measuring the Performance of Primary Health Care
Surveys key aspects of PHC performance that could be measured right now, given Canada’s existing data capabilities.

Consensus Performance Indicators Categorized by Logic Model Domains
Categorizes consensus indicators identified by the Canadian Institute for Health Information by the dimensions identified in A Results-Based Logic Model for Primary Health Care.

Between 1997 and 2008, substantial federal and provincial investments are dedicated to improving the delivery of primary health care in Canada. Yet a common measurement and evaluation framework for understanding this sector, and the impact of renewal efforts, is lacking.

CHSPR has developed a results-based logic model for primary health care using the Treasury Board of Canada accountability framework, policy analysis, research evidence and broad consultation.

This logic model should focus and unify planning and evaluative efforts by enabling diverse stakeholders to work from a shared conceptual foundation of the main inputs, activities, outputs and outcomes of this sector. It defines the areas in which information, evaluation and evidence are needed for planning, implementing and reporting on primary health care renewal.

Approach

This project analyzed the stated goals and objectives of primary health care outlined in federal and provincial legislation, and by primary health care stakeholder groups, to understand the expected outcomes of investments. Existing conceptual models of health, health care and primary health care were reviewed, as well as literature on linkages between the structure, process and outcomes of primary health care. Key stakeholder input on a draft logic model was sought in a multi-stage iterative feedback and revision process. Stakeholder consultations included approximately 650 individuals across British Columbia and Canada.

The Logic Model has been used to evaluate the primary health care sector in several Canadian provinces, as well as in Latin America and China.

Project Team

  • Contact: Diane Watson
  • Anne-Marie Broemeling
  • Robert Reid
  • Charlyn Black

Funding

  • BC Ministry of Health

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