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Related Experiment Videos

A classification scheme for outcome indicators.

B M Jennings1, N Staggers, L R Brosch

  • 1U.S. Army Nurse Corps, Falls Church, VA, USA. bonnie.jennings@otsg.amedd.army.mil

Image--The Journal of Nursing Scholarship
|January 11, 2000
PubMed
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A new framework classifies healthcare outcome indicators into patient, provider, and organization-focused groups. Utilizing a broader range of these indicators offers a more balanced assessment of healthcare quality and delivery.

Area of Science:

  • Health Services Research
  • Healthcare Quality Improvement
  • Outcomes Measurement

Background:

  • Effective healthcare quality assessment relies on comprehensive outcome indicators.
  • Existing outcome measurement often focuses on a limited set of metrics.
  • A structured approach is needed to categorize diverse outcome indicators.

Purpose of the Study:

  • To develop a classification framework for healthcare outcome indicators.
  • To facilitate a more holistic evaluation of healthcare outcomes and quality.
  • To guide researchers and practitioners in selecting a wider array of relevant indicators.

Main Methods:

  • Systematic literature review of outcome indicators in medicine, nursing, and health services research since 1974.
  • Inductive clustering of identified outcome indicators to establish categories.

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  • Analysis of the scope and focus of existing outcome measurement practices.

    • Main Results:

    • Identified three primary categories of outcome indicators: patient-focused, provider-focused, and organization-focused.
    • Documented the tendency for research to concentrate on a few common indicators like patient satisfaction, quality of life, and mortality.
    • Highlighted the existence of numerous other indicators for measuring diverse healthcare outcomes.

    Conclusions:

    • A balanced view of healthcare delivery necessitates the selection and integration of diverse outcome indicators across all identified categories.
    • Moving beyond a narrow focus on a few common indicators or a single category provides a more comprehensive understanding of healthcare performance.
    • The proposed framework supports a more robust and nuanced approach to healthcare quality assessment and improvement.