Related Experiment Videos
Quality of care for 2 common pediatric conditions treated by convenient care providers
Richard Jacoby1, Albert G Crawford, Paresh Chaudhari
1Jefferson School of Population Health, Philadelphia, PA 19107, USA. richard.jacoby@jefferson.edu
Insights
Convenient care clinics demonstrate high quality of care for pediatric pharyngitis testing and good adherence for upper-respiratory infection treatment, meeting key healthcare effectiveness data benchmarks.
Area of Science:
- Pediatric Healthcare Quality
- Retail Medicine Effectiveness
- Healthcare Quality Measurement
Background:
- Convenient care clinics (CCCs) offer accessible healthcare services.
- Evaluating quality of care in CCCs is crucial for patient outcomes.
- Existing research highlights CCC performance for specific pediatric conditions.
Purpose of the Study:
- To assess adherence to quality measures in a pediatric convenient care setting.
- To evaluate appropriate testing for pharyngitis and treatment for upper-respiratory infections (URIs).
- To compare CCC performance against Healthcare Effectiveness Data and Information Set (HEDIS) benchmarks.
Main Methods:
- Retrospective analysis of pediatric patient data.
- Evaluation of two quality measures: pharyngitis testing and URI treatment.
- Benchmarking against HEDIS 90th percentile and other performance ranges.
Main Results:
- CCCs exceeded the HEDIS 90th percentile for pediatric pharyngitis testing adherence.
- CCCs performed between the 50th and 90th percentiles for pediatric URI treatment adherence.
- This study is the third to report on pharyngitis quality and the first on URI quality in CCCs.
Conclusions:
- Convenient care clinics demonstrate high quality of care for pediatric pharyngitis.
- CCCs show moderate adherence to quality measures for pediatric URIs.
- Further research should explore other quality aspects like access, follow-up, and equity in CCCs.
Abstract:
Rates of adherence to 2 quality measures, modeled after Heathcare Effectiveness Data and Information Set (HEDIS) measures, were evaluated in a pediatric population in a convenient care (retail medicine) clinic setting. The measures were appropriate testing for children with pharyngitis and appropriate treatment for children with upper-respiratory infection (URI). The convenient care clinic (CCC) achieved a ranking above the HEDIS 90th percentile for the pharyngitis measure and approximately midway between the 50th and 90th percentiles for the URI measure for the 2007 reporting period. This represents the third major study reporting quality of care for pharyngitis in a CCC setting and the first study for URIs. Other aspects of quality--namely access, follow-up, and equity--are also reported on for the population in question.
Related Concept Videos
01:30Specialized Care Centers and Settings-II
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
01:11Secondary Healthcare System
01:30Specialized Care Centers and Settings-I
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
01:26Pharmacokinetics in Pediatric Patients: Drug Excretion
01:26Methods Of Healthcare Delivery System
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
01:19Standards of Care II