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Published on: February 2, 2017
Quality indicators and quality assessment in child health
P L Kavanagh1, W G Adams, C J Wang
1Division of General Pediatrics, Boston University School of Medicine/Boston Medical Center, Boston, MA 02118, USA. patricia.kavanagh@bmc.org
Insights
This review highlights quality indicators for child health in the UK and USA, identifying gaps and recommending advancements in quality measurement and health information technology for improved pediatric care.
Area of Science:
- Pediatric Health Quality Measurement
- Healthcare Policy and Management
Background:
- Quality indicators are crucial for assessing healthcare appropriateness and outcomes.
- Systematic development of quality indicators is essential for healthcare improvement.
- Existing quality indicators for children in the UK and USA require comprehensive review.
Purpose of the Study:
- To review and classify existing quality indicators for child health in the UK and USA.
- To identify areas within child health lacking quality measures.
- To assess the current state of health information technology supporting quality efforts.
Main Methods:
- Systematic review of quality indicators developed by prominent governmental and private organizations in the UK and USA.
- Classification of identified indicators to map coverage of child health domains.
- Review of health information technology infrastructure in both countries.
Main Results:
- A range of quality indicators for child health has been developed in the UK and USA.
- Specific areas of child health may have limited or no quality measures.
- Health information technology systems are vital but vary in integration and capability.
Conclusions:
- Recommendations are proposed to advance the development of child health quality indicators.
- Integration of quality measurement, indicator development, and information systems can significantly improve child health.
- Future efforts should focus on comprehensive indicator development and robust health IT infrastructure.
Abstract:
Quality indicators are systematically developed statements that can be used to assess the appropriateness of specific healthcare decisions, services and outcomes. In this review, the range and type of indicators that have been developed for children in the UK and USA by prominent governmental agencies and private organisations are highlighted. These indicators are classified in an effort to identify areas of child health that may lack quality measures. The current state of health information technology in both countries is reviewed, since these systems are vital to quality efforts. Finally, several recommendations are proposed to advance the quality indicator development agenda for children. The convergence of quality measurement and indicator development, a growing scientific evidence base and integrated information systems in healthcare may lead to substantial improvements for child health in the 21st century.
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