Approaches to the Quality of Hospital Care

Sheps, Mindel C.

doi:10.2307/4589221

Cited by 51 publications

(27 citation statements)

References 26 publications

(21 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Donabedian (1980) and others (e.g., Dror, 1968;Sheps, 1955) proposed that quality of care consists of three components: structure, process, and outcomes. These components are crucial to continuous quality improvement efforts that focus on the use of data to evaluate and improve quality within each of the three elements (Deming, 1982(Deming, , 1986.…”

Section: Nterest In the Improvement Of Thementioning

confidence: 99%

Quality Indicators of Children's Mental Health Services: Do They Predict Improved Client Outcomes?

Noser

Bickman

2000

Journal of Emotional and Behavioral Disorders

View full text Add to dashboard Cite

Demonstrations of high-quality services have surpassed cost control as the primary task of health care. In this study we evaluated the relationship between several traditionally accepted standards of quality of children's mental health care and client mental health outcomes. Three customary performance guidelines (therapeutic relationship, satisfaction, and parent involvement) that are believed to be indicators of quality care were tested for their ability to account for improvement of mental health outcomes among adolescent clients. In addition, we examined service utilization to determine whether it represents an intermediate outcome of the treatment process.The results showed statistically significant, yet weak and inconsistent, relationships between these commonly accepted measures of quality and client outcomes among adolescents receiving outpatient treatment. We did not find service utilization to be a mediator.Limitations of the study and implications of the results are discussed.

show abstract

Section: Nterest In the Improvement Of Thementioning

confidence: 99%

Quality Indicators of Children's Mental Health Services: Do They Predict Improved Client Outcomes?

Noser

Bickman

2000

Journal of Emotional and Behavioral Disorders

View full text Add to dashboard Cite

show abstract

“…5,20 The small market of surgical subspecialties makes it unlikely that specific metrics will be developed, unless such efforts are initiated by specialty societies with a vested interest in quality improvement. The reality, though, is that hospital rankings (including Hospital Compare) are publicly available and physicians often have to answer patient questions on them.…”

mentioning

confidence: 99%

How well do subjective Hospital Compare metrics reflect objective outcomes in spine surgery?

Missios

Bekelis

2016

SPI

View full text Add to dashboard Cite

OBJECTIVE The accuracy of public reporting in health care is an issue of debate. The authors investigated the association of patient satisfaction measures from a public reporting platform with objective outcomes for patients undergoing spine surgery. METHODS The authors performed a cohort study involving patients undergoing elective spine surgery from 2009 to 2013 who were registered in the New York Statewide Planning and Research Cooperative System database. This cohort was merged with publicly available data from the Centers for Medicare and Medicaid Services (CMS) Hospital Compare website. A mixed-effects regression analysis, controlling for clustering at the hospital level, was used to investigate the association of patient satisfaction metrics with outcomes. RESULTS During the study period, 160,235 patients underwent spine surgery. Using a mixed-effects multivariable regression analysis, the authors demonstrated that undergoing elective spine surgery in hospitals with a higher percentage of patient-assigned high satisfaction scores was not associated with a decreased rate of discharge to rehabilitation (OR 0.77, 95% CI 0.57–1.06), mortality (OR 0.96, 95% CI 0.90–1.01), or hospitalization charges (β 0.04, 95% CI −0.16 to 0.23). However, it was associated with decreased length of stay (LOS; β −0.19, 95% CI −0.33 to −0.05). Similar associations were identified for hospitals with a higher percentage of patients who claimed they would recommend these institutions to others. CONCLUSIONS Merging a comprehensive all-payer cohort of spine surgery patients in New York state with data from the CMS Hospital Compare website, the authors were not able to demonstrate an association of improved performance in patient satisfaction measures with decreased mortality, rate of discharge to rehabilitation, and hospitalization charges. Increased patient satisfaction was associated with decreased LOS.

show abstract

“…The papers of Sheps (39) and Lembcke (22) described evaluation of hospital-based medical care in operational terms. Scientific validity of crite ria was emphasized; standards of good practice were defined as the level of performance observed in a reference group of hospitals, usually teaching hospitals.…”

Section: Basic Concepts and Principles Of Quality Assessmentmentioning

confidence: 99%

“…Sheps (39) made explicit the view that assessing the quality of hospital care involves application of general principles of measurement and evaluation, especially reliability and validity. Quality can only be inferred from the interpretation of a number of different reliable and valid measurements that amount to a "profile."…”

Section: Basic Concepts and Principles Of Quality Assessmentmentioning

confidence: 99%

Quality Assessment and Quality Assurance in Medical Care

Sanazaro¹

1980

Annu. Rev. Public Health

View full text Add to dashboard Cite

Approaches to the Quality of Hospital Care

Cited by 51 publications

References 26 publications

Quality Indicators of Children's Mental Health Services: Do They Predict Improved Client Outcomes?

Quality Indicators of Children's Mental Health Services: Do They Predict Improved Client Outcomes?

How well do subjective Hospital Compare metrics reflect objective outcomes in spine surgery?

Quality Assessment and Quality Assurance in Medical Care

Contact Info

Product

Resources

About