OECD Health Care Quality Indicator Project. The expert panel on primary care prevention and health promotion

Marshall, Martin; Klazinga, Niek; Leatherman, Sheila; Hardy, Charles J.; Bergmann, Eckhard; Pisco, Luís; Mattke, Soeren; Mainz, Jan

doi:10.1093/intqhc/mzl021

Cited by 53 publications

(51 citation statements)

References 12 publications

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“…It is noteworthy that the criteria (importance, scientific soundness, feasibility etc.) used by other studies (Idänpään-Heikkilä, 2006;Marshall et al, 2006;McLoughlin et al, 2006) to short list indicators also worked well in our setting.…”

Section: Discussionsupporting

confidence: 53%

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Designing a balanced scorecard for a tertiary care hospital in Pakistan: a modified Delphi group exercise

Rabbani¹,

Jafri²,

Abbas³

et al. 2010

Health Planning & Management

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Balanced Scorecards (BSC) are being implemented in high income health settings linking organizational strategies with performance data. At this private university hospital in Pakistan an elaborate information system exists. This study aimed to make best use of available data for better performance management. Applying the modified Delphi technique an expert panel of clinicians and hospital managers reduced a long list of indicators to a manageable size. Indicators from existing documents were evaluated for their importance, scientific soundness, appropriateness to hospital's strategic plan, feasibility and modifiability. Panel members individually rated each indicator on a scale of 1-9 for the above criteria. Median scores were assigned. Of an initial set of 50 indicators, 20 were finally selected to be assigned to the four BSC quadrants. These were financial (n = 4), customer or patient (n = 4), internal business or quality of care (n = 7) and innovation/learning or employee perspectives (n = 5). A need for stringent definitions, international benchmarking and standardized measurement methods was identified. BSC compels individual clinicians and managers to jointly work towards improving performance. This scorecard is now ready to be implemented by this hospital as a performance management tool for monitoring indicators, addressing measurement issues and enabling comparisons with hospitals in other settings.

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Section: Discussionsupporting

confidence: 53%

“…In order to select indicators for BSC, a multistage modified Delphi consensus process developed by RAND (Marshall et al, 2006) was used. We used the modified Delphi technique so that face-to-face panel discussions with experts in the field could be conducted and face validity of indicators established.…”

Section: Methodsmentioning

confidence: 99%

Designing a balanced scorecard for a tertiary care hospital in Pakistan: a modified Delphi group exercise

Rabbani¹,

Jafri²,

Abbas³

et al. 2010

Health Planning & Management

View full text Add to dashboard Cite

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“…Experts recommend 20-minute physical exercise at least 3 times a week to adolescents and 30-minute daily physical activity to adults (National Center for Health Statistics, 2012). As shown by the results of analyses of the indicators of the quality of primary healthcare and health needs performed by a group of experts from 9 OECD countries, physical activity has been classified in the health promotion group together with five other indicators (Marshall et al, 2006).…”

Section: Health Needsmentioning

confidence: 99%

Physical Activity as a Health Need

Olejnik

Kubińska

Pańczuk

et al. 2017

Central European Journal of Sport Sciences and Medicine

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The scientific concept of human needs has an interdisciplinary nature and is associated with the standards of living and development, health and disease status, quality of life, and life satisfaction. Research results indicate that systematic physical activity at any ontogenesis period is of vital importance for optimal development and maintenance of physical efficiency, fitness, and health. Therefore, it has been assumed that physical activity is a health need of each man. The aim of the study is to find relationships between physical activity and health needs. The analysis was intended to reveal the importance, functions, and consequences of the impact of physical activity on the psychophysical condition of man based on examples from available literature. The relationships between physical activity and health needs have been presented from the perspective of public health and promotion targeted at improvement of public health in a way to ensure the best fulfilment of conscious and unconscious needs. According to WHO, health needs are disturbances in the health status or social well-being that require intervention measures such as treatment, rehabilitation, or social assistance as well as prevention measures. Systematic moderate physical activity is one of the most important factors with a beneficial effect on human physiological processes and improves the quality of life. The National Health Programme for 2016-2020 recommends increased physical activity among children, adolescents, and the elderly.Key words human needs, health needs, physical activity IntroductıonThe effective information of the society, in every stage of ontogenesis, about a negative influence of the sedentary life style and a positive influence of physical activity on the health, is now a main task of health promotion and education (Jethon, 2013;Kasperczyk, 2000). It requires a support by the scientific research of experts, results of epidemiological studies and recommendations of World Health Organization (2010), as well, as by European and national strategies elaborated on their basis. A model, scientific concept, according to which the components of physical fitness make a health basis and can be advantageously modified by a systematically undertaken physical effort, is a concept of HRF (Health Related Fitness), defined by the Toronto model, elaborated by Bouchard, 106Central European Journal of Sport Sciences and Medicine Aleksander Olejnik, Zofia Kubińska, Anna Pańczuk, Joanna Kubińska Shepherd (1994). According to Jethon (2013), there is usually assumed, that a moderately intensive endurance training is the greatest health promotion and prevents different risk factors. Recently emphasized is, that other forms of exercise may be useful in health promotion. The great significance of physical activity for health, however, didn`t acquire a proper rank of a necessary (conditio sine qua non) factor. That`s why undertaken was an attempt of introduction of the physical activity as a health need. In the authors` opinion, it can contrib...

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“…Joint Commission International standards are universally recognized as the gold standard for international accreditation and were developed to assess quality and safety of healthcare in a wide variety of health care settings (Joint Commission International, Joint Commission International Accreditation Standards for hospitals, 2007). The standards take into account that hospitals in many developing countries do not yet function at the level of U.S. hospital standards; and therefore, are less stringent in evaluation criteria (Marshall et al, 2006). The standards have been adapted for the international community and designed to be culturally applicable and compliant with laws and regulations outside the United States (Timmons, 2007).…”

Section: Preliminary Studies: Nursing Assessmentmentioning

confidence: 99%

“…JCI standards were developed for use within a specific population of health care organizations, and included public hospitals in developing countries. The standards take into account that hospitals in many developing countries do not yet function at the level of U.S. hospital standards; therefore, they are less stringent in evaluation criteria (Marshall et al, 2006). The standards have been adapted for the international community and are designed to be culturally applicable and compliant with laws and regulations outside the U.S. (Timmons, 2007).…”

Section: Joint Commission International (Jci) Standardsmentioning

confidence: 99%

Evaluating the Impact of the Guatemalan Nursing Program on Staff, Organizational, and Clinical Outcomes

Day¹

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There is great disparity between the outcome of childhood cancer in developed and developing countries. Nurses, who comprise the largest group of health care professionals globally, are essential to successful treatment. Pediatric oncology education is generally unavailable for nurses in developing countries. This lack of education is likely to contribute to the disparity in survival rates, as undereducated nurses are unable to meet the demands of pediatric cancer care. A second critical problem in developing countries is the workload of the nurse, with a patient nurse ratio reported as high as 30 patients per one nurse.In 2006, the quality of nursing care at St. Jude Children's Research Hospital's partner site in Guatemala was assessed using standards from six Joint Commission International quality domains. Although quality standards were found lacking in all six domains, the most critical needs with relevance to nursing were identified in the domain of Staff Qualifications and Education. To meet this need, the Guatemalan Nursing Program (GNP) was developed. Because of the critical needs determined by the assessment, the primary focus of the program was improving nursing education and staffing. A secondary focus was on improving all quality standards with relevance to nursing.This research study was designed to evaluate the GNP's fidelity and impact on staff, organizational, and clinical outcomes. Staff and organizational outcomes were evaluated using a before and after one group design often used in program evaluation. The clinical outcomes were evaluated using a control site comparison but no randomization and was therefore a quasi-experimental design. Variables analyzed included staff variables of continuing education hours, chemotherapy competency, central venous line care competency, and completion of pediatric oncology nursing education course for newly hired nurses, organizational variables of Joint Commission International standards and patient to nurse ratio, and clinical variables of event free survival and abandonment. Logic model theory provided the conceptual framework for both the development and evaluation of the GNP.This study substantiated that prior to GNP implementation a lack of education for pediatric oncology nurses existed in Guatemala and demonstrated that a nurse educator can positively impact staff outcomes related to pediatric oncology education. The GNP also positively affected organizational outcomes. Compared to pre program results, the number of Joint Commission International standards met post program increased considerably. In 2006, the patient to nurse ratio was 6 to 8 (average 7) patients per nurse and in 2009, the patient to nurse ratio was 4 to 6 (average 5) patients per nurse. The study found a statistically significant association with an improved CIN of treatment abandonment within the first year of diagnosis. Abandonment of treatment is a critical problem in developing countries. Although many studies have looked at abandonment and its causes; no study has looked...

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OECD Health Care Quality Indicator Project. The expert panel on primary care prevention and health promotion

Cited by 53 publications

References 12 publications

Designing a balanced scorecard for a tertiary care hospital in Pakistan: a modified Delphi group exercise

Designing a balanced scorecard for a tertiary care hospital in Pakistan: a modified Delphi group exercise

Physical Activity as a Health Need

Evaluating the Impact of the Guatemalan Nursing Program on Staff, Organizational, and Clinical Outcomes

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