tailieunhanh - Báo cáo y học: "Improving benchmarking by using an explicit framework for the development of composite indicators: an example using pediatric quality of care"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học quốc tế cung cấp cho các bạn kiến thức về ngành y đề tài: Improving benchmarking by using an explicit framework for the development of composite indicators: an example using pediatric quality of care | Profit et al. Implementation Science 2010 5 13 http content 5 1 13 Implementation Science IMPLEMENTATION SCIENCE METHODOLOGY Open Access Improving benchmarking by using an explicit framework for the development of composite indicators an example using pediatric quality of care Jochen Profit1 2 3 Katri V Typpo4 Sylvia J Hysong2 3 LeChauncy D Woodard2 3 Michael A Kallen5 Laura A Petersen2 3 Abstract Background The measurement of healthcare provider performance is becoming more widespread. Physicians have been guarded about performance measurement in part because the methodology for comparative measurement of care quality is underdeveloped. Comprehensive quality improvement will require comprehensive measurement implying the aggregation of multiple quality metrics into composite indicators. Objective To present a conceptual framework to develop comprehensive robust and transparent composite indicators of pediatric care quality and to highlight aspects specific to quality measurement in children. Methods We reviewed the scientific literature on composite indicator development health systems and quality measurement in the pediatric healthcare setting. Frameworks were selected for explicitness and applicability to a hospital-based measurement system. Results We synthesized various frameworks into a comprehensive model for the development of composite indicators of quality of care. Among its key premises the model proposes identifying structural process and outcome metrics for each of the Institute of Medicine s six domains of quality safety effectiveness efficiency patient-centeredness timeliness and equity and presents a step-by-step framework for embedding the quality of care measurement model into composite indicator development. Conclusions The framework presented offers researchers an explicit path to composite indicator development. Without a scientifically robust and comprehensive approach to measurement of the quality of healthcare .