Development of a quality of care measurement system for children and adolescents : Methodological considerations and comparisons with a system for adult women.
To describe the development of a pediatric quality of care measurement system designed to cover multiple clinical topics that could be applied to enrollees in managed care organizations and to compare the development of this system with the concurrent development of a similar system for adult women.
Indicators were developed for 21 pediatric (ages 0-18 years) clinical topics and 20 adult (ages 17-50 years) women's clinical topics.
Indicators were classified by the strength of evidence supporting them.
A modified Delphi method was used to obtain validity and feasibility ratings from a pediatric expert panel and an adult women's expert panel.
Indicators were categorized by type of care (preventive, acute, or chronic), function (screening, diagnosis, treatment, or follow up), and modality (history, physical examination, laboratory/radiology study, medication, other intervention, or other contact).
Of 557 pediatric and 391 adult women's proposed indicators, 453 (81%) and 340 (87%), respectively, were retained by the 2 expert panels.
A lower percentage of final pediatric indicators than adult indicators were based on randomized, controlled trials and other rigorous studies (18% vs 40%, P<. 001).
The expert panels were more likely to retain indicators based on rigorous studies (93% retained) than on descriptive studies and expert opinion (81% retained, P<. 001). (...)
Mots-clés Pascal : Système santé, Soin intégré, Etude comparative, Facteur qualité, Enfant, Homme, Adulte, Epidémiologie, Femelle, Indicateur, Méthodologie, Organisation santé, Pédiatrie
Mots-clés Pascal anglais : Health system, Managed care, Comparative study, Q factor, Child, Human, Adult, Epidemiology, Female, Indicator, Methodology, Public health organization, Pediatrics
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0020317
Code Inist : 002B30A03B. Création : 17/04/1998.