Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
Methodologic challenges in developing and implementing measures of qualityfor child health care
Autore:
Palmer, RH; Miller, MR;
Indirizzi:
Harvard Univ, Sch Publ Hlth, Ctr Qual Care Res & Educ, Boston, MA 02115 USA Harvard Univ Boston MA USA 02115 al Care Res & Educ, Boston, MA 02115 USA Harvard Univ, Sch Publ Hlth, Dept Hlth Policy & Management, Boston, MA 02115 USA Harvard Univ Boston MA USA 02115 olicy & Management, Boston, MA 02115 USA Agcy Healthcare Res & Qual, Ctr Qual Measurement & Improvement, Baltimore,MD USA Agcy Healthcare Res & Qual Baltimore MD USA mprovement, Baltimore,MD USA Johns Hopkins Univ, Dept Pediat, Baltimore, MD 21218 USA Johns Hopkins Univ Baltimore MD USA 21218 Pediat, Baltimore, MD 21218 USA
Titolo Testata:
AMBULATORY PEDIATRICS
fascicolo: 1, volume: 1, anno: 2001,
pagine: 39 - 52
SICI:
1530-1567(200101/02)1:1<39:MCIDAI>2.0.ZU;2-9
Fonte:
ISI
Lingua:
ENG
Soggetto:
AUDIT DEMONSTRATION PROJECT; PERFORMANCE-MEASUREMENT; PRACTICE GUIDELINES; SERVICES RESEARCH; MENTAL-HEALTH; MANAGED CARE; ASTHMA; PRACTITIONERS; IMPROVEMENT; MEDICAID;
Keywords:
child health services; epidemiologic methods; health care quality assessment;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
97
Recensione:
Indirizzi per estratti:
Indirizzo: Palmer, RH Harvard Univ, Sch Publ Hlth, Ctr Qual Care Res & Educ, 677 Huntington Ave,Boston, MA 02115 USA Harvard Univ 677 Huntington Ave Boston MA USA 02115 A 02115 USA
Citazione:
R.H. Palmer e M.R. Miller, "Methodologic challenges in developing and implementing measures of qualityfor child health care", AMBU PEDIAT, 1(1), 2001, pp. 39-52

Abstract

Objective.-To review the major building blocks in measurement of quality for child health care, with recommendations for future research. Methods.-We describe a framework of building blocks for quality measurement and discuss how an investigator's choices for each component are constrained by the special features of child health care. Results.-Methodologic challenges for children's health care include developmental change and dependency on others, fragmentary care and inadequate health care data, unusual care settings, potential for long-term consequences, proxy reporting of outcomes and patient experience, small sample sizes, and lack of evidence that links processes and outcomes of care and of methods for risk adjustment. We cite examples of child-specific measures of quality that illustrate solutions to these challenges. Conclusions.-Children are different from adults, and measures of health care quality for children must differ from those for adults. We suggest future research on measures of quality directed toward overcoming the methodologic problems specific to child health care.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 27/01/20 alle ore 13:52:55