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Towards a harmonised framework for developing quality of care indicators for global health: a scoping review of existing conceptual and methodological practices

OBJECTIVES: Despite significant advances in the science of quality of care measurement over the last decade, approaches to developing quality of care indicators for global health priorities are not clearly defined. We conducted a scoping review of concepts and methods used to develop quality of heal...

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Autores principales: Dudley, Lilian, Mamdoo, Puni, Naidoo, Selvan, Muzigaba, Moise
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8796246/
https://www.ncbi.nlm.nih.gov/pubmed/35078776
http://dx.doi.org/10.1136/bmjhci-2021-100469
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author Dudley, Lilian
Mamdoo, Puni
Naidoo, Selvan
Muzigaba, Moise
author_facet Dudley, Lilian
Mamdoo, Puni
Naidoo, Selvan
Muzigaba, Moise
author_sort Dudley, Lilian
collection PubMed
description OBJECTIVES: Despite significant advances in the science of quality of care measurement over the last decade, approaches to developing quality of care indicators for global health priorities are not clearly defined. We conducted a scoping review of concepts and methods used to develop quality of healthcare indicators to better inform ongoing efforts towards a more harmonised approach to quality of care indicator development in global health. METHODS: We conducted a systematic search of electronic databases, grey literature and references for articles on developing quality of care indicators for routine monitoring in all healthcare settings and populations, published in English between 2010 and 2020. We used well-established methods for article screening and selection, data extraction and management. Results were summarised using a descriptive analysis and a narrative synthesis. RESULTS: The 221 selected articles were largely from high-income settings (89%), particularly the USA (46%), Canada (9%), UK (9%) and Europe (17%). Quality of care indicators were developed mainly for healthcare providers (56%), for benchmarking or quality assurance (37%) and quality improvement (29%), in hospitals (32%) and primary care (26%), across many diseases. The terms ‘quality indicator’ and ‘quality measure’ were the most frequently encountered terms (50% and 21%, respectively). Systematic approaches for quality of care indicator development emerged within national quality of care systems or through cross-country collaborations in high-income settings. Maternal, neonatal and child health (33%), mental health (26%) and primary care (57%) studies applied most components of systematic approaches, but not consistently or rigorously. DISCUSSION: The current evidence shows variations in concepts and approaches to developing quality of care indicators, with development and application mainly in high-income countries. CONCLUSION: Additional efforts are needed to propose ‘best-practice’ conceptual frameworks and methods for developing quality of care indicators to improve their utility in global health measurement.
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spelling pubmed-87962462022-02-07 Towards a harmonised framework for developing quality of care indicators for global health: a scoping review of existing conceptual and methodological practices Dudley, Lilian Mamdoo, Puni Naidoo, Selvan Muzigaba, Moise BMJ Health Care Inform Review OBJECTIVES: Despite significant advances in the science of quality of care measurement over the last decade, approaches to developing quality of care indicators for global health priorities are not clearly defined. We conducted a scoping review of concepts and methods used to develop quality of healthcare indicators to better inform ongoing efforts towards a more harmonised approach to quality of care indicator development in global health. METHODS: We conducted a systematic search of electronic databases, grey literature and references for articles on developing quality of care indicators for routine monitoring in all healthcare settings and populations, published in English between 2010 and 2020. We used well-established methods for article screening and selection, data extraction and management. Results were summarised using a descriptive analysis and a narrative synthesis. RESULTS: The 221 selected articles were largely from high-income settings (89%), particularly the USA (46%), Canada (9%), UK (9%) and Europe (17%). Quality of care indicators were developed mainly for healthcare providers (56%), for benchmarking or quality assurance (37%) and quality improvement (29%), in hospitals (32%) and primary care (26%), across many diseases. The terms ‘quality indicator’ and ‘quality measure’ were the most frequently encountered terms (50% and 21%, respectively). Systematic approaches for quality of care indicator development emerged within national quality of care systems or through cross-country collaborations in high-income settings. Maternal, neonatal and child health (33%), mental health (26%) and primary care (57%) studies applied most components of systematic approaches, but not consistently or rigorously. DISCUSSION: The current evidence shows variations in concepts and approaches to developing quality of care indicators, with development and application mainly in high-income countries. CONCLUSION: Additional efforts are needed to propose ‘best-practice’ conceptual frameworks and methods for developing quality of care indicators to improve their utility in global health measurement. BMJ Publishing Group 2022-01-25 /pmc/articles/PMC8796246/ /pubmed/35078776 http://dx.doi.org/10.1136/bmjhci-2021-100469 Text en © Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY. Published by BMJ. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See: https://creativecommons.org/licenses/by/4.0/.
spellingShingle Review
Dudley, Lilian
Mamdoo, Puni
Naidoo, Selvan
Muzigaba, Moise
Towards a harmonised framework for developing quality of care indicators for global health: a scoping review of existing conceptual and methodological practices
title Towards a harmonised framework for developing quality of care indicators for global health: a scoping review of existing conceptual and methodological practices
title_full Towards a harmonised framework for developing quality of care indicators for global health: a scoping review of existing conceptual and methodological practices
title_fullStr Towards a harmonised framework for developing quality of care indicators for global health: a scoping review of existing conceptual and methodological practices
title_full_unstemmed Towards a harmonised framework for developing quality of care indicators for global health: a scoping review of existing conceptual and methodological practices
title_short Towards a harmonised framework for developing quality of care indicators for global health: a scoping review of existing conceptual and methodological practices
title_sort towards a harmonised framework for developing quality of care indicators for global health: a scoping review of existing conceptual and methodological practices
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8796246/
https://www.ncbi.nlm.nih.gov/pubmed/35078776
http://dx.doi.org/10.1136/bmjhci-2021-100469
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