Safety

The practice of following procedures and guidelines in the delivery of PHC services in order to avoid harm to the people for whom care is intended.

+
Timeliness

The ability of the health system to provide primary care services to patients when they need them, with acceptable and reasonable wait times and at days and times that are convenient to them.

+
Safety

The practice of following procedures and guidelines in the delivery of PHC services in order to avoid harm to the people for whom care is intended.

+
Efficiency

Efficiency refers to the ability of a health system to attain its desired objective(s) with the available resources, while minimizing waste and maximizing capacities to deliver care to those who need it.

+
Effectiveness

Effectiveness measures whether health care and services are driven by evidence, adhere to established standards, and achieve their intended result.

+
People-Centeredness

People-centeredness means organizing the health system around the comprehensive needs of people rather than individual diseases.

+
First Contact Accessibility

The capacity of a primary care system to serve as the first point of contact, or a patient's entry point to the health system, for most of a person's health needs.

+
Coordination

Coordination of care refers to the system's ability to oversee and manage patient care over time and across levels of care to ensure appropriate follow-up, minimize the risk of error, and prevent complications.

+
Continuity

Continuity is the degree to which a patient experiences a series of discrete healthcare events as coherent and consistent with their medical needs and personal context.

+
Comprehensiveness

The provision of holistic and appropriate care across promotive, preventive, curative, rehabilitative, chronic and palliative service needs.

Indicators
+
Proportion of people 65 years and over prescribed antipsychotics
+
Prescribing practices for antibiotics
Related Concepts

Delivering high-quality primary health care requires many elements of the health system working effectively together. This mapping explores how different concepts with the framework relate to one another.

Upstream elements are those that are required to develop or improve a particular concept. Absence or poor performance of an upstream element is expected to negatively impact the performance of the concept of focus.

Complementary elements are those where improvements or developments in this area will be mutually beneficial to the concept of focus but not required for improvement.

UPSTREAM CONCEPTS
COMPLEMENTARY CONCEPTS
UPSTREAM SUBDOMAINS
+
Medicines & Supplies
+
PHC Workforce
+
Physical Infrastructure
+
Policy and Leadership
+
Organization of Services
Safety
COMPLEMENTARY SUBDOMAINS
Information & Technology
+
Information and technology, including adverse event monitoring and safety reporting, can help promote implementation of safety standards and the use of safety data at the facility level.
Continuity
+
Informational continuity is important for ensuring safe care and avoiding issues such as harmful medication interactions.
Coordination
+
Ensuring strong communication and appropriate transfer of knowledge during any kind of transition in ambulatory care can help reduce errors and improve safety.
Management of Services
+
There should be systems in place to identify safety incidents, respond appropriately, and institute measures to prevent these incidents from re-occurring. Quality management infrastructures identify factors and processes that are critical to ensure working safety systems.
Resilient Facilities and Services
+
Resilient facilities and services help to ensure that the safety of patients and staff is maintained during epidemics, pandemics, and other public health emergencies.
Service Availability & Readiness
+
Competent providers are essential for the delivery of safe care.
Improvement Strategies

Each PHCPI Improvement Strategy is designed to help decision-makers begin to plan and enact reforms within their own context by providing additional resources and evidence on the topic, as well as practical recommendations for action.

The explainer graphic below presents a quick overview of the concept of Service Quality, including Safety. View the full Improvement Strategy on Service Quality to learn more.

Service Quality explainer graphic
Potential Funding opportunities

Interested in understanding how this topic intersects with investment opportunities from major funding streams? The Global Frameworks Mapping provides a starting point to help identify and make connections between key PHC topics, relevant funding initiatives, and investment cases.

+
Maternal and Newborn Health Thematic Fund 2018-2022
+
Integrated Development
+
Global Delivery Programs