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Optimizing Comparisons of PHC Systems: An Example Comparing Switzerland and France with a Standard Monitoring Tool.

Abstract. To assess performance of primary health care systems (PHCs), standardized indicators have been developed to allow to compare across countries. These monitoring tools might have an important influence on health policies and on the development of primary care within countries. The monitoring tool PHAMEU (Primary Health Care Activity Monitor for Europe) was developed in 2009 to assess PHC in Europe and is based on about 100 validated indicators. Only existing information was used to fill the indicators. This retrospective study aims to assess the quality of the information and the comparability of the indicators used to describe the PHCs of France and Switzerland. First, the quality of data for each indicator was assessed using a predefined scale (1 = expert opinion to 5 = national surveys/peer-reviewed literature). Second, the comparability of the data between France and Switzerland was assessed. Only indicators with high quality (score 4 and higher) and comparable data were retained. Overall qual...