Recommendations for strengthening primary healthcare delivery models for chronic disease management in Mendoza: a RAND/UCLA modified Delphi panel

Autores
Roberti, Javier Eugenio; Mazzoni, Agustina; Guglielmino, Marina; Falaschi, Andrea; Mazzaresi, Yanina; Garcia Elorrio, Ezequiel
Año de publicación
2025
Idioma
inglés
Tipo de recurso
artículo
Estado
versión publicada
Descripción
Background: Primary healthcare (PHC) should be the cornerstone of equitable, efficient and high-quality healthcare in low- and middle-income countries. However, numerous challenges undermine its effectiveness in these settings. Objective: To identify recommendations to improve PHC by integrating user preferences and provider capacity to deliver patient-centred and competent care in the Mendoza Province, Argentina. Design: Modified RAND Corporation/University of California, Los Angeles (RAND/UCLA) Delphi method. Setting Health system of the Province of Mendoza, Argentina. Participants: 32 public health experts from Mendoza. Interventions: Proposals were developed from secondary data, the People’s Voice Survey, an electronic cohort of people with diabetes, qualitative studies of users’ and professionals’ experiences and reviews of interventions in primary care. Primary outcome: Experts had to evaluate proposals according to five criteria selected from the evidence to decision framework (impact, resource requirements, acceptability, feasibility and measurability). Results: The 19 final recommendations emphasise policy continuity, evidence-based policy-making and standardisation of healthcare processes. Key areas include optimising healthcare processes, managing appointments for non-communicable diseases and ensuring competencybased training in PHC. Implementing performance-based incentives and improving financial sustainability were also highlighted. Other recommendations focus on the Digital Transformation Act, user participation in healthcare design and skills development for active engagement. Collaborative definitions of quality care, incident reporting systems and performance metrics are critical to improving healthcare quality. Conclusion This process provided decision-makers with contextualised information for health policy development. These interventions represent a step towards improving PHC, particularly chronic disease management, and provide a foundation for future regional research and health policy
Fil: Roberti, Javier Eugenio. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; Argentina
Fil: Mazzoni, Agustina. Instituto de Efectividad Clínica y Sanitaria; Argentina
Fil: Guglielmino, Marina. Instituto de Efectividad Clínica y Sanitaria; Argentina
Fil: Falaschi, Andrea. Instituto de Efectividad Clínica y Sanitaria; Argentina
Fil: Mazzaresi, Yanina. No especifíca;
Fil: Garcia Elorrio, Ezequiel. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; Argentina
Materia
CONSENSO
SALUD PUBLICA
ATENCION PRIMARIA
REDISEÑO MODELO DE SALUD
Nivel de accesibilidad
acceso abierto
Condiciones de uso
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
Repositorio
CONICET Digital (CONICET)
Institución
Consejo Nacional de Investigaciones Científicas y Técnicas
OAI Identificador
oai:ri.conicet.gov.ar:11336/291241
Acceder
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spelling Recommendations for strengthening primary healthcare delivery models for chronic disease management in Mendoza: a RAND/UCLA modified Delphi panelRoberti, Javier EugenioMazzoni, AgustinaGuglielmino, MarinaFalaschi, AndreaMazzaresi, YaninaGarcia Elorrio, EzequielCONSENSOSALUD PUBLICAATENCION PRIMARIAREDISEÑO MODELO DE SALUDhttps://purl.org/becyt/ford/3.3https://purl.org/becyt/ford/3Background: Primary healthcare (PHC) should be the cornerstone of equitable, efficient and high-quality healthcare in low- and middle-income countries. However, numerous challenges undermine its effectiveness in these settings. Objective: To identify recommendations to improve PHC by integrating user preferences and provider capacity to deliver patient-centred and competent care in the Mendoza Province, Argentina. Design: Modified RAND Corporation/University of California, Los Angeles (RAND/UCLA) Delphi method. Setting Health system of the Province of Mendoza, Argentina. Participants: 32 public health experts from Mendoza. Interventions: Proposals were developed from secondary data, the People’s Voice Survey, an electronic cohort of people with diabetes, qualitative studies of users’ and professionals’ experiences and reviews of interventions in primary care. Primary outcome: Experts had to evaluate proposals according to five criteria selected from the evidence to decision framework (impact, resource requirements, acceptability, feasibility and measurability). Results: The 19 final recommendations emphasise policy continuity, evidence-based policy-making and standardisation of healthcare processes. Key areas include optimising healthcare processes, managing appointments for non-communicable diseases and ensuring competencybased training in PHC. Implementing performance-based incentives and improving financial sustainability were also highlighted. Other recommendations focus on the Digital Transformation Act, user participation in healthcare design and skills development for active engagement. Collaborative definitions of quality care, incident reporting systems and performance metrics are critical to improving healthcare quality. Conclusion This process provided decision-makers with contextualised information for health policy development. These interventions represent a step towards improving PHC, particularly chronic disease management, and provide a foundation for future regional research and health policyFil: Roberti, Javier Eugenio. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; ArgentinaFil: Mazzoni, Agustina. Instituto de Efectividad Clínica y Sanitaria; ArgentinaFil: Guglielmino, Marina. Instituto de Efectividad Clínica y Sanitaria; ArgentinaFil: Falaschi, Andrea. Instituto de Efectividad Clínica y Sanitaria; ArgentinaFil: Mazzaresi, Yanina. No especifíca;Fil: Garcia Elorrio, Ezequiel. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; ArgentinaBMJ Publishing Group2025-04info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_6501info:ar-repo/semantics/articuloapplication/pdfapplication/pdfhttp://hdl.handle.net/11336/291241Roberti, Javier Eugenio; Mazzoni, Agustina; Guglielmino, Marina; Falaschi, Andrea; Mazzaresi, Yanina; et al.; Recommendations for strengthening primary healthcare delivery models for chronic disease management in Mendoza: a RAND/UCLA modified Delphi panel; BMJ Publishing Group; BMJ Open; 15; 4; 4-2025; 1-72044-6055CONICET DigitalCONICETenginfo:eu-repo/semantics/altIdentifier/url/https://bmjopen.bmj.com/lookup/doi/10.1136/bmjopen-2024-098074info:eu-repo/semantics/altIdentifier/doi/10.1136/bmjopen-2024-098074info:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by-nc-sa/2.5/ar/reponame:CONICET Digital (CONICET)instname:Consejo Nacional de Investigaciones Científicas y Técnicas2026-08-25T14:50:42Zoai:ri.conicet.gov.ar:11336/291241instacron:CONICETInstitucionalhttp://ri.conicet.gov.ar/Organismo científico-tecnológicoNo correspondehttp://ri.conicet.gov.ar/oai/requestdasensio@conicet.gov.ar; lcarlino@conicet.gov.arArgentinaNo correspondeNo correspondeNo correspondeopendoar:34982026-08-25 14:50:43.185CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicasfalse
dc.title.none.fl_str_mv Recommendations for strengthening primary healthcare delivery models for chronic disease management in Mendoza: a RAND/UCLA modified Delphi panel
title Recommendations for strengthening primary healthcare delivery models for chronic disease management in Mendoza: a RAND/UCLA modified Delphi panel
spellingShingle Recommendations for strengthening primary healthcare delivery models for chronic disease management in Mendoza: a RAND/UCLA modified Delphi panel
Roberti, Javier Eugenio
CONSENSO
SALUD PUBLICA
ATENCION PRIMARIA
REDISEÑO MODELO DE SALUD
title_short Recommendations for strengthening primary healthcare delivery models for chronic disease management in Mendoza: a RAND/UCLA modified Delphi panel
title_full Recommendations for strengthening primary healthcare delivery models for chronic disease management in Mendoza: a RAND/UCLA modified Delphi panel
title_fullStr Recommendations for strengthening primary healthcare delivery models for chronic disease management in Mendoza: a RAND/UCLA modified Delphi panel
title_full_unstemmed Recommendations for strengthening primary healthcare delivery models for chronic disease management in Mendoza: a RAND/UCLA modified Delphi panel
title_sort Recommendations for strengthening primary healthcare delivery models for chronic disease management in Mendoza: a RAND/UCLA modified Delphi panel
dc.creator.none.fl_str_mv Roberti, Javier Eugenio
Mazzoni, Agustina
Guglielmino, Marina
Falaschi, Andrea
Mazzaresi, Yanina
Garcia Elorrio, Ezequiel
author Roberti, Javier Eugenio
author_facet Roberti, Javier Eugenio
Mazzoni, Agustina
Guglielmino, Marina
Falaschi, Andrea
Mazzaresi, Yanina
Garcia Elorrio, Ezequiel
author_role author
author2 Mazzoni, Agustina
Guglielmino, Marina
Falaschi, Andrea
Mazzaresi, Yanina
Garcia Elorrio, Ezequiel
author2_role author
author
author
author
author
dc.subject.none.fl_str_mv CONSENSO
SALUD PUBLICA
ATENCION PRIMARIA
REDISEÑO MODELO DE SALUD
topic CONSENSO
SALUD PUBLICA
ATENCION PRIMARIA
REDISEÑO MODELO DE SALUD
purl_subject.fl_str_mv https://purl.org/becyt/ford/3.3
https://purl.org/becyt/ford/3
dc.description.none.fl_txt_mv Background: Primary healthcare (PHC) should be the cornerstone of equitable, efficient and high-quality healthcare in low- and middle-income countries. However, numerous challenges undermine its effectiveness in these settings. Objective: To identify recommendations to improve PHC by integrating user preferences and provider capacity to deliver patient-centred and competent care in the Mendoza Province, Argentina. Design: Modified RAND Corporation/University of California, Los Angeles (RAND/UCLA) Delphi method. Setting Health system of the Province of Mendoza, Argentina. Participants: 32 public health experts from Mendoza. Interventions: Proposals were developed from secondary data, the People’s Voice Survey, an electronic cohort of people with diabetes, qualitative studies of users’ and professionals’ experiences and reviews of interventions in primary care. Primary outcome: Experts had to evaluate proposals according to five criteria selected from the evidence to decision framework (impact, resource requirements, acceptability, feasibility and measurability). Results: The 19 final recommendations emphasise policy continuity, evidence-based policy-making and standardisation of healthcare processes. Key areas include optimising healthcare processes, managing appointments for non-communicable diseases and ensuring competencybased training in PHC. Implementing performance-based incentives and improving financial sustainability were also highlighted. Other recommendations focus on the Digital Transformation Act, user participation in healthcare design and skills development for active engagement. Collaborative definitions of quality care, incident reporting systems and performance metrics are critical to improving healthcare quality. Conclusion This process provided decision-makers with contextualised information for health policy development. These interventions represent a step towards improving PHC, particularly chronic disease management, and provide a foundation for future regional research and health policy
Fil: Roberti, Javier Eugenio. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; Argentina
Fil: Mazzoni, Agustina. Instituto de Efectividad Clínica y Sanitaria; Argentina
Fil: Guglielmino, Marina. Instituto de Efectividad Clínica y Sanitaria; Argentina
Fil: Falaschi, Andrea. Instituto de Efectividad Clínica y Sanitaria; Argentina
Fil: Mazzaresi, Yanina. No especifíca;
Fil: Garcia Elorrio, Ezequiel. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; Argentina
description Background: Primary healthcare (PHC) should be the cornerstone of equitable, efficient and high-quality healthcare in low- and middle-income countries. However, numerous challenges undermine its effectiveness in these settings. Objective: To identify recommendations to improve PHC by integrating user preferences and provider capacity to deliver patient-centred and competent care in the Mendoza Province, Argentina. Design: Modified RAND Corporation/University of California, Los Angeles (RAND/UCLA) Delphi method. Setting Health system of the Province of Mendoza, Argentina. Participants: 32 public health experts from Mendoza. Interventions: Proposals were developed from secondary data, the People’s Voice Survey, an electronic cohort of people with diabetes, qualitative studies of users’ and professionals’ experiences and reviews of interventions in primary care. Primary outcome: Experts had to evaluate proposals according to five criteria selected from the evidence to decision framework (impact, resource requirements, acceptability, feasibility and measurability). Results: The 19 final recommendations emphasise policy continuity, evidence-based policy-making and standardisation of healthcare processes. Key areas include optimising healthcare processes, managing appointments for non-communicable diseases and ensuring competencybased training in PHC. Implementing performance-based incentives and improving financial sustainability were also highlighted. Other recommendations focus on the Digital Transformation Act, user participation in healthcare design and skills development for active engagement. Collaborative definitions of quality care, incident reporting systems and performance metrics are critical to improving healthcare quality. Conclusion This process provided decision-makers with contextualised information for health policy development. These interventions represent a step towards improving PHC, particularly chronic disease management, and provide a foundation for future regional research and health policy
publishDate 2025
dc.date.none.fl_str_mv 2025-04
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
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info:ar-repo/semantics/articulo
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/11336/291241
Roberti, Javier Eugenio; Mazzoni, Agustina; Guglielmino, Marina; Falaschi, Andrea; Mazzaresi, Yanina; et al.; Recommendations for strengthening primary healthcare delivery models for chronic disease management in Mendoza: a RAND/UCLA modified Delphi panel; BMJ Publishing Group; BMJ Open; 15; 4; 4-2025; 1-7
2044-6055
CONICET Digital
CONICET
url http://hdl.handle.net/11336/291241
identifier_str_mv Roberti, Javier Eugenio; Mazzoni, Agustina; Guglielmino, Marina; Falaschi, Andrea; Mazzaresi, Yanina; et al.; Recommendations for strengthening primary healthcare delivery models for chronic disease management in Mendoza: a RAND/UCLA modified Delphi panel; BMJ Publishing Group; BMJ Open; 15; 4; 4-2025; 1-7
2044-6055
CONICET Digital
CONICET
dc.language.none.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv info:eu-repo/semantics/altIdentifier/url/https://bmjopen.bmj.com/lookup/doi/10.1136/bmjopen-2024-098074
info:eu-repo/semantics/altIdentifier/doi/10.1136/bmjopen-2024-098074
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
eu_rights_str_mv openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv BMJ Publishing Group
publisher.none.fl_str_mv BMJ Publishing Group
dc.source.none.fl_str_mv reponame:CONICET Digital (CONICET)
instname:Consejo Nacional de Investigaciones Científicas y Técnicas
reponame_str CONICET Digital (CONICET)
collection CONICET Digital (CONICET)
instname_str Consejo Nacional de Investigaciones Científicas y Técnicas
repository.name.fl_str_mv CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicas
repository.mail.fl_str_mv dasensio@conicet.gov.ar; lcarlino@conicet.gov.ar
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