Developing a patient and family-centred approach for measuring the quality of injury care: a study protocol.

Abstract:

BACKGROUND:Quality indicators (QI) are used in health care to measure quality of service and performance improvement. Health care professionals and organizations caring for patients with injuries need information regarding the quality of care provided and the outcomes experienced in order to target improvement efforts. However, very little is known about the quality of injury care provided to individual patients and populations and even less about patients' perspectives on quality of care. The absence of QIs that incorporate patient or family preferences, needs or values has been identified as an important gap in the science and practice of injury quality improvement. The primary objective of this research protocol is to develop and evaluate the first set of patient and family-centred QIs of injury care for critically injured patients METHODS/DESIGN:This mixed methods study is comprised of three Sub-Studies. Sub-Study A will utilize focus group methodology to describe the preferences, needs and values of critically injured patients and their family members regarding the quality of health care delivered. Qualitative content analysis of the transcripts will begin after the first completed focus group and will draw on grounded theory using a process of open, axial and selective coding. A panel of stakeholders will be assembled during Sub-Study B to review the themes identified from the focus groups and develop a catalogue of potential patient and family-centred QIs of injury care using the RAND/UCLA Appropriateness Method (RAM). The QIs developed by the stakeholder panel will be pilot tested in Sub-Study C using surveys of patients and their family members to determine construct validity, intra-rater reliability and clinical sensibility. DISCUSSION:Measuring the quality of injury care is but a first step towards improving patient outcomes. This research will develop the first set of patient and family-centred QIs of injury care. To improve patient care, we need accessible, reliable indicators of quality that are important to patients, and that can then be used to establish quality of care benchmarks, to flag potential problems or successes, follow trends over time and identify disparities across organizations, communities, populations and regions.

journal_name

BMC Health Serv Res

authors

Stelfox HT,Boyd JM,Straus SE,Gagliardi AR

doi

10.1186/1472-6963-13-31

subject

Has Abstract

pub_date

2013-01-27 00:00:00

pages

31

issn

1472-6963

pii

1472-6963-13-31

journal_volume

13

pub_type

杂志文章
  • Level of Partograph completion and healthcare workers' perspectives on its use in Mulago National Referral and teaching hospital, Kampala, Uganda.

    abstract:BACKGROUND:The appropriate use of the Partograph allows early identification of labour related complications and prevents deaths. We, therefore, sought to determine the level of Partograph completion and healthcare worker perspectives towards its utilization. METHODS:This study had two components; a hospital-based cro...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-019-3934-3

    authors: Mukisa J,Grant I,Magala J,Ssemata AS,Lumala PZ,Byamugisha J

    更新日期:2019-02-07 00:00:00

  • A clinical decision support system improves antibiotic therapy for upper urinary tract infection in a randomized single-blinded study.

    abstract:BACKGROUND:Due to increasing bacterial resistance rates choosing a correct empiric antibiotic therapy is getting more and more complex. Often medical doctors use information tools to make the right treatment choice. METHODS:One hundred sixty six participants (77 medical doctors and 89 medical students) were asked to p...

    journal_title:BMC health services research

    pub_type: 杂志文章,随机对照试验

    doi:10.1186/s12913-020-5045-6

    authors: Neugebauer M,Ebert M,Vogelmann R

    更新日期:2020-03-06 00:00:00

  • Challenges to effective governance in a low income healthcare system: a qualitative study of stakeholder perceptions in Malawi.

    abstract:BACKGROUND:All countries face challenging decisions about healthcare coverage. Malawi has committed to achieving Universal Health Coverage (UHC) by 2030, the timeframe set out by the Sustainable Development Goals (SDGs). As in other low income countries, scarce resources stand in the way of more equitable health access...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-020-06002-x

    authors: Masefield SC,Msosa A,Grugel J

    更新日期:2020-12-14 00:00:00

  • Effects of residence and race on burden of travel for care: cross sectional analysis of the 2001 US National Household Travel Survey.

    abstract:BACKGROUND:Travel burden is a key element in conceptualizing geographic access to health care. Prior research has shown that both rural and minority populations bear disproportionate travel burdens. However, many studies are limited to specific types of patient or specific locales. The purpose of our study was to quant...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-7-40

    authors: Probst JC,Laditka SB,Wang JY,Johnson AO

    更新日期:2007-03-09 00:00:00

  • Outcomes of prolonged mechanic ventilation: a discrimination model based on longitudinal health insurance and death certificate data.

    abstract:BACKGROUND:This study investigated prognosis among patients under prolonged mechanical ventilation (PMV) through exploring the following issues: (1) post-PMV survival rates, (2) factors associated with survival after PMV, and (3) the number of days alive free of hospital stays requiring mechanical ventilation (MV) care...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-12-100

    authors: Lu HM,Chen L,Wang JD,Hung MC,Lin MS,Yan YH,Chen CR,Fan PS,Huang LC,Kuo KN

    更新日期:2012-04-25 00:00:00

  • The translation and psychometric assessment of the perception of empowerment in midwifery scale: the Persian version.

    abstract:BACKGROUND:A major part of midwifery care involves the empowerment of women and their families for the control of factors affecting their health. To this end, midwives should experience their own empowerment first. The present study was conducted to translate and determine the psychometric properties of the Perception ...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-020-05326-y

    authors: Hajiesmaello M,Kariman N,Sharif Nia H,Ozgoli G,Hajian S,Bazzazian S,Mokhtarian-Gilani T

    更新日期:2020-05-26 00:00:00

  • Factors associated with use of community mental health services by schizophrenia patients using multilevel analysis.

    abstract:BACKGROUND:Persons with schizophrenia and related disorders may be particularly sensitive to a number of determinants of service use, including those related with illness, socio-demographic characteristics and organizational factors. The objective of this study is to identify factors associated with outpatient contacts...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-11-257

    authors: Moreno-Küstner B,Mayoral F,Rivas F,Angona P,Requena J,García-Herrera JM,Navas D,Moreno P,Serrano-Blanco A,Bellón JA

    更新日期:2011-10-07 00:00:00

  • Do coder characteristics influence validity of ICD-10 hospital discharge data?

    abstract:BACKGROUND:Administrative data are widely used to study health systems and make important health policy decisions. Yet little is known about the influence of coder characteristics on administrative data validity in these studies. Our goal was to describe the relationship between several measures of validity in coded ho...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-10-99

    authors: Hennessy DA,Quan H,Faris PD,Beck CA

    更新日期:2010-04-21 00:00:00

  • Impacts of working environment and benefits packages on the health professionals' job satisfaction in selected public health facilities in eastern Ethiopia: using principal component analysis.

    abstract:BACKGROUND:World Health Organization (WHO) predicted that there will be a shortfall of skilled healthcare by 2035 with the greatest shortfall in Africa and Southeast Asia due to satisfaction with payment and incentives. Low job satisfaction of health workers can result in increased staff turnover and absenteeism, which...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-019-4317-5

    authors: Merga H,Fufa T

    更新日期:2019-07-16 00:00:00

  • Barriers and facilitators related to implementation of regulated midwifery in Manitoba: a case study.

    abstract:BACKGROUND:In 2000, midwifery was regulated in the Canadian Province of Manitoba. Since the establishment of the midwifery program, little formal research has analyzed the utilization of regulated midwifery services. In Manitoba, the demand for midwifery services has exceeded the number of midwives in practice. The spe...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-016-1334-5

    authors: Thiessen K,Heaman M,Mignone J,Martens P,Robinson K

    更新日期:2016-03-15 00:00:00

  • Medical complexity and time to lung cancer treatment - a three-year retrospective chart review.

    abstract:BACKGROUND:The time from a referral for suspected lung cancer is received at a hospital until treatment start has been defined as a quality indicator. Current Norwegian recommendation is that ≥70% should start surgery or radiotherapy within 42 calendar days and systemic therapy within 35 days. However, delays can occur...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-016-1952-y

    authors: Stokstad T,Sørhaug S,Amundsen T,Grønberg BH

    更新日期:2017-01-17 00:00:00

  • Effect of patient's age on the profitability of inpatient cardiac catheterization: a contribution margin analysis of frequently performed procedures over a 5-year period.

    abstract:BACKGROUND:Due to a continuing age shift in the German society hospital providers are concerned about the additional costs associated with the treatment of elderly patients. It is not clear if cardiac catheterization in aged patients leads to higher resource utilization and if DRG-revenues do compensate for this factor...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-017-1999-4

    authors: Plehn G,Butz T,Maagh P,Meissner A

    更新日期:2017-01-18 00:00:00

  • Validation of a method for identifying nursing home admissions using administrative claims.

    abstract:BACKGROUND:Currently there is no standard algorithm to identify whether a subject is residing in a nursing home from administrative claims. Our objective was to develop and validate an algorithm that identifies nursing home admissions at the resident-month level using the MarketScan Medicare Supplemental and Coordinati...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-7-202

    authors: Zuckerman IH,Sato M,Hsu VD,Hernandez JJ

    更新日期:2007-12-10 00:00:00

  • Theoretical and methodological considerations in evaluating large-scale health information technology change programmes.

    abstract:BACKGROUND:Attempts to achieve digital transformation across the health service have stimulated increasingly large-scale and more complex change programmes. These encompass a growing range of functions in multiple locations across the system and may take place over extended timeframes. This calls for new approaches to ...

    journal_title:BMC health services research

    pub_type: 杂志文章,评审

    doi:10.1186/s12913-020-05355-7

    authors: Cresswell K,Sheikh A,Franklin BD,Krasuska M,Nguyen HT,Hinder S,Lane W,Mozaffar H,Mason K,Eason S,Potts HWW,Williams R

    更新日期:2020-05-27 00:00:00

  • Integrating evidence into policy and sustainable disability services delivery in western New South Wales, Australia: the 'wobbly hub and double spokes' project.

    abstract:BACKGROUND:Policy that supports rural allied health service delivery is important given the shortage of services outside of Australian metropolitan centres. The shortage of allied health professionals means that rural clinicians work long hours and have little peer or service support. Service delivery to rural and remo...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-12-70

    authors: Veitch C,Lincoln M,Bundy A,Gallego G,Dew A,Bulkeley K,Brentnall J,Griffiths S

    更新日期:2012-03-21 00:00:00

  • Policy analysis of the Iranian Health Transformation Plan in primary healthcare.

    abstract:BACKGROUND:Health systems reform is inevitable due to the never-ending changing nature of societal health needs and policy dynamism. Today, the Health Transformation Plan (HTP) remains the major tool to facilitate the achievements of universal health coverage (UHC) in Iran. It was initially implemented in hospital-base...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-019-4505-3

    authors: Doshmangir L,Moshiri E,Mostafavi H,Sakha MA,Assan A

    更新日期:2019-09-18 00:00:00

  • Variations and inter-relationship in outcome from emergency admissions in England: a retrospective analysis of Hospital Episode Statistics from 2005-2010.

    abstract:BACKGROUND:The quality of care delivered and clinical outcomes of care are of paramount importance. Wide variations in the outcome of emergency care have been suggested, but the scale of variation, and the way in which outcomes are inter-related are poorly defined and are critical to understand how best to improve serv...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-14-270

    authors: Holt PJ,Sinha S,Ozdemir BA,Karthikesalingam A,Poloniecki JD,Thompson MM

    更新日期:2014-06-19 00:00:00

  • Geographical variations in patient-reported outcomes after total hip arthroplasty between 2008 - 2012.

    abstract:BACKGROUND:Health care on equal terms is a cornerstone of the Swedish health care system. Total hip arthroplasty (THA) is considered a success story in Sweden with low frequency of reoperations and restored health-related quality of life (HRQoL). Administratively, health care in Sweden is locally self-governed by 21 co...

    journal_title:BMC health services research

    pub_type: 杂志文章,多中心研究

    doi:10.1186/s12913-019-4171-5

    authors: Oldsberg L,Garellick G,Osika Friberg I,Samulowitz A,Rolfson O,Nemes S

    更新日期:2019-05-30 00:00:00

  • Correction to: Development and evaluation of a patient passport to promote self-management in patients with heart diseases.

    abstract::An amendment to this paper has been published and can be accessed via the original article. ...

    journal_title:BMC health services research

    pub_type: 杂志文章,已发布勘误

    doi:10.1186/s12913-020-05545-3

    authors: Stamm-Balderjahn S,Falinski R,Rossek S,Spyra K

    更新日期:2020-07-22 00:00:00

  • The role of organizational context in moderating the effect of research use on pain outcomes in hospitalized children: a cross sectional study.

    abstract:BACKGROUND:Despite substantial research on pediatric pain assessment and management, health care professionals do not adequately incorporate this knowledge into clinical practice. Organizational context (work environment) is a significant factor in influencing outcomes; however, the nature of the mechanisms are relativ...

    journal_title:BMC health services research

    pub_type: 杂志文章,多中心研究

    doi:10.1186/s12913-017-2029-2

    authors: Yamada J,Squires JE,Estabrooks CA,Victor C,Stevens B,CIHR Team in Children’s Pain.

    更新日期:2017-01-23 00:00:00

  • Associations of frailty with health care costs--results of the ESTHER cohort study.

    abstract:BACKGROUND:The concept of frailty is rapidly gaining attention as an independent syndrome with high prevalence in older adults. Thereby, frailty is often related to certain adverse outcomes like mortality or disability. Another adverse outcome discussed is increased health care utilization. However, only few studies ex...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-016-1360-3

    authors: Bock JO,König HH,Brenner H,Haefeli WE,Quinzler R,Matschinger H,Saum KU,Schöttker B,Heider D

    更新日期:2016-04-14 00:00:00

  • A comparison of hospital readmission rates between two general physicians with different outpatient review practices.

    abstract:BACKGROUND:There has been a relentless increase in emergency medical admissions in the UK over recent years. Many of these patients suffer with chronic conditions requiring continuing medical attention. We wished to determine whether conventional outpatient clinic follow up after discharge has any impact on the rate of...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-2-12

    authors: Rayner HC,Temple RM,Marshall T,Clarke D

    更新日期:2002-06-25 00:00:00

  • Differences in pharmaceutical consumption and expenses between immigrant and Spanish-born populations in Lleida, (Spain): a 6-months prospective observational study.

    abstract:BACKGROUND:There are few studies comparing pharmaceutical costs and the use of medications between immigrants and the autochthonous population in Spain. The objective of this study is to evaluate whether there are differences in pharmaceutical consumption and expenses between immigrant and Spanish-born populations. ME...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-8-35

    authors: Rue M,Serna MC,Soler-Gonzalez J,Bosch A,Ruiz-Magaz MC,Galvan L

    更新日期:2008-02-06 00:00:00

  • The efficiency of the public dental services (PDS) in Cyprus and selected determinants.

    abstract:BACKGROUND:Currently there is a dual system of oral healthcare delivery in Cyprus: the public dental system (PDS) run by the Government and the private system provided by private dental practitioners. Although 83% of the population is entitled to free treatment by the PDS only 10% of the population make use of them. As...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-13-420

    authors: Charalambous C,Maniadakis N,Polyzos N,Fragoulakis V,Theodorou M

    更新日期:2013-10-18 00:00:00

  • The case of value-based healthcare for people living with complex long-term conditions.

    abstract:BACKGROUND:There is a trend towards value-based health service, striving to cut costs while generating value for the patient. The overall objective comprises higher-quality health services and improved patient safety and cost efficiency. The approach could align with patient-centred care, as it entails a focus on the p...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-016-1957-6

    authors: Elf M,Flink M,Nilsson M,Tistad M,von Koch L,Ytterberg C

    更新日期:2017-01-11 00:00:00

  • Shared decision making for patients with type 2 diabetes: a randomized trial in primary care.

    abstract:BACKGROUND:Patient-centered diabetes care requires shared decision making (SDM). Decision aids promote SDM, but their efficacy in nonacademic and rural primary care clinics is unclear. METHODS:We cluster-randomized 10 practices in a concealed fashion to implement either a decision aid (DA) about starting statins or on...

    journal_title:BMC health services research

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1186/1472-6963-13-301

    authors: Branda ME,LeBlanc A,Shah ND,Tiedje K,Ruud K,Van Houten H,Pencille L,Kurland M,Yawn B,Montori VM

    更新日期:2013-08-08 00:00:00

  • Health and life insurance as an alternative to malpractice tort law.

    abstract:BACKGROUND:Tort law has legitimate social purposes of deterrence, punishment and compensation, but medical tort law does none of these well. Tort law could be counterproductive in medicine, encouraging costly defensive practices that harm some patients, restricting access to care in some settings and discouraging innov...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-10-150

    authors: Sumner W 2nd

    更新日期:2010-06-02 00:00:00

  • The case for developing publicly-accessible datasets for health services research in the Middle East and North Africa (MENA) region.

    abstract:BACKGROUND:The existence of publicly-accessible datasets comprised a significant opportunity for health services research to evolve into a science that supports health policy making and evaluation, proper inter- and intra-organizational decisions and optimal clinical interventions. This paper investigated the role of p...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-9-197

    authors: Saleh SS,Alameddine MS,El-Jardali F

    更新日期:2009-10-29 00:00:00

  • Investigating concordance in diabetes diagnosis between primary care charts (electronic medical records) and health administrative data: a retrospective cohort study.

    abstract:BACKGROUND:Electronic medical records contain valuable clinical information not readily available elsewhere. Accordingly, they hold important potential for contributing to and enhancing chronic disease registries with the goal of improving chronic disease management; however a standard for diagnoses of conditions such ...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-10-347

    authors: Harris SB,Glazier RH,Tompkins JW,Wilton AS,Chevendra V,Stewart MA,Thind A

    更新日期:2010-12-23 00:00:00

  • "What lies beneath it all?"--an interview study of GPs' attitudes to the use of guidelines.

    abstract:BACKGROUND:General practitioners (GPs) adopt clinical practice guidelines to varying degrees. Several factors have been found to influence application of guidelines in practice and the GP is apparently the key actor. Studies are needed to increase our understanding of how GPs' attitudes influence their use of guideline...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-8-218

    authors: Carlsen B,Norheim OF

    更新日期:2008-10-22 00:00:00