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Table 1 List of alternative key performance indicators with Results from the modified Delphi Survey

From: Developing Iranian sub-national primary health care measurement framework: a mixed-method study

 

Key Performance Indicators

Relevance

Importance

Feasibility

Total *

1

Percentage of the Provincial High Council for Health and Food Safety Decisions that have been implemented

93.13

95

95

94.37

2

Complaint response rate during the first 72 h

87.5

82.5

85

85

3

Percentage of health facilities with an annual operational plan.

85

80

87.5

84.17

4

Percentage of households with a health volunteer

82.5

95

85

87.50

5

 A number of applied research projects implemented in the district health network.

87.5

87.5

70

81.67

6

PHC expenditure as % of total Sub-national health expenditure

90

95

83.33

89.44

7

Mental health expenditure as % of total Sub-national PHC expenditure

82.5

72.5

70

75

8

Medicine/drugs expenditure as % of total Sub-national PHC expenditure

85.63

76.88

80

80.83

9

Payment period for HWs working extra hours in the healthcare facility

87.5

84.38

73.13

81.67

10

Implementation of the managers’ capacity building program, regularly

85

97.5

80

87.5

11

Percentage of catchment population who received at least one basic visit

92.5

98.13

85

91.88

12

Customer Satisfaction Rate

98.13

97.5

95

96.88

13

Health Worker Satisfaction Rate

92.5

93.13

90

91.88

14

Percentage of HWs trained on occupational health safety and risk management in the healthcare facility

93.13

88.75

80

87.29

15

Percentage compliance with Hand Hygiene guidelines

86.25

78.75

76.25

80.42

16

Percentage of trained HWs on Infection Prevention Control

93.13

86.88

83.75

87.92

17

Percentage of health facilities that have a fire safety and building evacuation program.

85.63

83.75

83.75

84.38

18

Average waiting time (min) at PHC facilities

86.25

88.13

73.75

82.71

19

Percentage of appropriate (upward) referrals during the last 6 months (by specific conditions) with appropriate feedback

97.5

96.25

63.75

85.83

20

Patients’ perceptions of PHC system responsiveness

85.63

89.38

65.63

80.21

  1. *Average
  2. Relevance: The indicator is related to the main processes at the provincial and district levels
  3. Importance: The indicator reflects important aspects of PHC system performance at the provincial and district levels
  4. Feasibility: There is the necessary infrastructure and conditions to measure the indicator