![]() The main challenge was major differences in data characteristics and available resources including pre-existing algorithms used in each province to define the indicators. Establishing comparability between these PC performance indicators was possible. Our final list included 21 PC performance indicators pertaining to 1) technical care (n=4), 2) continuity of care (n=6), and 3) health services utilization (n=11). We followed and documented an iterative process to achieve comparable indicator operationalizations across the three provinces in Canada. We initially compiled a list of PC performance indicators that had been used with existing administrative data. The TRANSFORMATION study is a multi-province Canadian study of PC that aims to improve PC performance measurement reporting. This work is valuable for demonstrating how to arrive at comparable administrative data indicators across jurisdictions with different care patterns. The purpose of this work was to 1) identify and develop indicators of PC performance using administrative data and 2) examine the comparability of indicator definitions across three Canadian provinces (Nova Scotia, Ontario, British Columbia). Having comparable data sources across jurisdictions is essential for scaling and spreading healthcare learnings. Across the world, data sources to support learning in primary care (PC) lag far behind that of acute care.
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