Global core indicators for measuring WHO's paediatric quality-of-care standards in health facilities : development and expert consensus
© 2022. The Author(s)..
BACKGROUND: There are currently no global recommendations on a parsimonious and robust set of indicators that can be measured routinely or periodically to monitor quality of hospital care for children and young adolescents. We describe a systematic methodology used to prioritize and define a core set of such indicators and their metadata for progress tracking, accountability, learning and improvement, at facility, (sub) national, national, and global levels.
METHODS: We used a deductive methodology which involved the use of the World Health Organization Standards for improving the quality-of-care for children and young adolescents in health facilities as the organizing framework for indicator development. The entire process involved 9 complementary steps which included: a rapid literature review of available evidence, the application of a peer-reviewed systematic algorithm for indicator systematization and prioritization, and multiple iterative expert consultations to establish consensus on the proposed indicators and their metadata.
RESULTS: We derived a robust set of 25 core indicators and their metadata, representing all 8 World Health Organization quality standards, 40 quality statements and 520 quality measures. Most of these indicators are process-related (64%) and 20% are outcome/impact indicators. A large proportion (84%) of indicators were proposed for measurement at both outpatient and inpatient levels. By virtue of being a parsimonious set and given the stringent criteria for prioritizing indicators with "quality measurement" attributes, the recommended set is not evenly distributed across the 8 quality standards.
CONCLUSIONS: To support ongoing global and national initiatives around paediatric quality-of-care programming at country level, the recommended indicators can be adopted using a tiered approach that considers indicator measurability in the short-, medium-, and long-terms, within the context of the country's health information system readiness and maturity. However, there is a need for further research to assess the feasibility of implementing these indicators across contexts, and the need for their validation for global common reporting.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2022 |
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| Erschienen: |
2022 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:22 |
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| Enthalten in: |
BMC health services research - 22(2022), 1 vom: 08. Juli, Seite 887 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Muzigaba, Moise [VerfasserIn] |
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| Links: |
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| Themen: |
Child health |
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| Anmerkungen: |
Date Completed 12.07.2022 Date Revised 09.10.2022 published: Electronic Citation Status MEDLINE |
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| doi: |
10.1186/s12913-022-08234-5 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| 520 | |a © 2022. The Author(s). | ||
| 520 | |a BACKGROUND: There are currently no global recommendations on a parsimonious and robust set of indicators that can be measured routinely or periodically to monitor quality of hospital care for children and young adolescents. We describe a systematic methodology used to prioritize and define a core set of such indicators and their metadata for progress tracking, accountability, learning and improvement, at facility, (sub) national, national, and global levels | ||
| 520 | |a METHODS: We used a deductive methodology which involved the use of the World Health Organization Standards for improving the quality-of-care for children and young adolescents in health facilities as the organizing framework for indicator development. The entire process involved 9 complementary steps which included: a rapid literature review of available evidence, the application of a peer-reviewed systematic algorithm for indicator systematization and prioritization, and multiple iterative expert consultations to establish consensus on the proposed indicators and their metadata | ||
| 520 | |a RESULTS: We derived a robust set of 25 core indicators and their metadata, representing all 8 World Health Organization quality standards, 40 quality statements and 520 quality measures. Most of these indicators are process-related (64%) and 20% are outcome/impact indicators. A large proportion (84%) of indicators were proposed for measurement at both outpatient and inpatient levels. By virtue of being a parsimonious set and given the stringent criteria for prioritizing indicators with "quality measurement" attributes, the recommended set is not evenly distributed across the 8 quality standards | ||
| 520 | |a CONCLUSIONS: To support ongoing global and national initiatives around paediatric quality-of-care programming at country level, the recommended indicators can be adopted using a tiered approach that considers indicator measurability in the short-, medium-, and long-terms, within the context of the country's health information system readiness and maturity. However, there is a need for further research to assess the feasibility of implementing these indicators across contexts, and the need for their validation for global common reporting | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Review | |
| 650 | 4 | |a Child health | |
| 650 | 4 | |a Consultation | |
| 650 | 4 | |a Global | |
| 650 | 4 | |a Indicators | |
| 650 | 4 | |a Measurement | |
| 650 | 4 | |a Methodology | |
| 650 | 4 | |a Quality-of-care | |
| 650 | 4 | |a Robust | |
| 650 | 4 | |a WHO quality-of-care standards | |
| 650 | 4 | |a Young adolescent | |
| 700 | 1 | |a Chitashvili, Tamar |e verfasserin |4 aut | |
| 700 | 1 | |a Choudhury, Allysha |e verfasserin |4 aut | |
| 700 | 1 | |a Were, Wilson M |e verfasserin |4 aut | |
| 700 | 1 | |a Diaz, Theresa |e verfasserin |4 aut | |
| 700 | 1 | |a Strong, Kathleen L |e verfasserin |4 aut | |
| 700 | 1 | |a Jackson, Debra |e verfasserin |4 aut | |
| 700 | 1 | |a Requejo, Jennifer |e verfasserin |4 aut | |
| 700 | 1 | |a Detjen, Anne |e verfasserin |4 aut | |
| 700 | 1 | |a Sacks, Emma |e verfasserin |4 aut | |
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