Table 1 Phases of the equity and quality indicators checklist development

Phase #1—Identification of equity indicators

Inputs: Literature review protocol

Activities: Review the literature and choose equity indicators to be applied

Outputs: List of equity domains; list of selected equity standard descriptors for primary health care of older adults organized into domains

Phase #2—Cross-cultural adaptation of ACOVE-3 and EI incorporation

Inputs: ACOVE-3 checklist, list of equity domains, and list of selected equity standard descriptors for primary health care of older adults organized into domains to be included into ACOVE structure

Activities

a) Discuss equity concept and the dimensions to be considered to identify situations of inequity—Focus Group 1;

b) Discuss the best equity standard descriptors to be used—Focus Group 2;

c) Perform a cross-cultural adaptation following the steps recommended by Beaton et al. [30]:

  1) translation—Participant P1,

  2) back-translation—Participant P5,

  3) review of back-translation by independent reviewers—Participants P6, and P7, and

  4) harmonization—Participants P2, P3, and P4;

d) Insert the equity indicators into ACOVE structure (organized into clinical conditions)

Outputs: Complete list of equity and quality indicators (EQI); final list of operational definitions of the five equity dimensions (equity standard descriptors)

Phase #3—EQI assessment

Inputs: Complete list of EQI organized into clinical conditions;

Activities

a) Equity and quality indicators (EQI) face and content validation using expert opinions—Participants P2, P3 and P4;

b) Discuss EQI face, content and responsiveness validity—Focus Groups 3 and 4;

c) Discuss EQI acceptance—Focus Groups 3 and 4;

d) Explore EQI usefulness—Past clinical records analysis

Outputs: Final list of EQI, and an overall appraisal of the benefits and acceptance of the checklist to propose