Developing an initial set of quality indicators for chiropractic care: a scoping review
Robert Vining1, Jennifer Smith2, Brian Anderson3
1Palmer Center for Chiropractic Research, Palmer College of Chiropractic, 1000 Brady St, Davenport, IA, USA. robert.vining@palmer.edu.
BMC Health Services Research
|January 12, 2024
Summary
This study developed 70 preliminary quality indicators for chiropractic care, measurable using administrative data. Further research is needed to assess feasibility and incorporate patient perspectives for comprehensive quality assessment.
Area of Science:
- Health Services Research
- Chiropractic Care
- Quality Measurement
Background:
- No standardized, evidence-based quality indicators for chiropractic care exist in peer-reviewed literature.
- Existing quality indicators lack a comprehensive set specifically for chiropractic practice.
- The need for measurable quality indicators is crucial for advancing chiropractic care standards.
Purpose of the Study:
- To develop a preliminary set of quality indicators for chiropractic care.
- To create indicators that are measurable using administrative data.
- To establish a foundation for future quality assessment in chiropractic practice.
Main Methods:
- Conducted a scoping review of databases (PubMed/MEDLINE, CINAHL, Index to Chiropractic Literature) and non-peer-reviewed sources.
- Identified and transformed statements from eligible sources into potential quality indicators.
- Assessed draft indicators based on specificity, data availability, achievability, relevance, and timeliness.
Main Results:
- Identified 70 distinct quality indicators for chiropractic care after a rigorous assessment process.
- Most indicators fall under the Donabedian categories of process (35) and structure (31), with 4 outcome indicators.
- No sources were found to support indicator development from patient perspectives.
Conclusions:
- A preliminary set of 70 quality indicators for chiropractic care, measurable with administrative data, has been proposed.
- Future research should focus on feasibility, stakeholder consensus, and incorporating patient-reported outcomes.
- This work provides a basis for improving the quality of chiropractic care through standardized measurement.
Keywords:
BenchmarkingChiropracticHealth care qualityOutcome and process assessmentQualityQuality indicatorScoping reviewMore Related Videos
Related Concept Videos
01:11Guidelines for Writing Outcome
2.8K
When developing expected outcomes for a patient care plan, the nurse should adhere to the following recommendations:
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
2.8K
01:29Nursing Interventions II: Selecting and Classifying the Nursing Interventions
2.2K
Creating and executing a nursing diagnosis helps nurses plan care and guide patient, family, and community interventions. They are developed based on a patient's physical evaluation and support measuring the outcomes. It is not recommended to select random interventions throughout the planning process. Instead, consider the following six essential factors when choosing interventions:
2.2K
01:11Purpose of Health Records I
1.2K
The vital purpose of health records is to provide a complete and accurate account of a patient's medical history, including communication, diagnostic and therapeutic orders, care planning, research, and quality review.
Here's a breakdown of how health records serve these purposes:
Here's a breakdown of how health records serve these purposes:
1.2K
01:29Documentation in Long-Term and Home Healthcare Setting
892
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
892
01:30Assessment of Airway, Skin Color, and Use of Accessory Muscles
1.0K
A thorough assessment of respiratory health is paramount in clinical settings to identify and manage respiratory distress and ensure adequate oxygenation. This article elaborates on the critical aspects of respiratory evaluation, including airway assessment, skin color examination, and the observation of accessory muscle use, which are integral to effectively diagnosing and managing patients with respiratory conditions.
Introduction
The initial evaluation of a patient's respiratory system...
Introduction
The initial evaluation of a patient's respiratory system...
1.0K
01:19Quality Assurance
129
Quality assurance is the overarching term used to describe the activities employed to ensure the proper performance of a system. These activities can be classified into three categories: quality control, quality assessment, and internal corrective measures. Typically, these activities work cyclically: quality control is performed before and during the analysis, while quality assessment occurs during and after the investigation. Internal corrective measures are implemented based on the findings...
129