Evidence map›Paper›PMID 11743149›Full record

ReviewQuality in health care : QHC2001

The effectiveness of quality systems in nursing homes: a review.

C Wagner, G van der Wal, P P Groenewegen, D H de Bakker

Registry-linked trialAbstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in Quality in health care : QHC, 2001. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04816396 (The Effects of the Instrumental Reminiscence Therapy Based on Roy's Adaptation Model on Adaptation, Life Satisfaction and Happiness in Older Adults), which is not on this map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04816396 naunknown statusnot on this mapstarted 2022, after this paper: background citation

The Effects of the Instrumental Reminiscence Therapy Based on Roy's Adaptation Model on Adaptation, Life Satisfaction and Happiness in Older Adults: A Randomized-controlled Trial

TypeinterventionalSponsorEastern Mediterranean UniversityRan2022 to 2022Enrolled34ConditionsElderly, Reminiscence TherapyArmsreminiscence Therapy
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors.

C WagnerNIVEL, Netherlands Institute of Health Services Research, P O Box 1568, 3500 BN Utrecht, The Netherlands. c.wagner@nivel.nl
G van der Wal
P P Groenewegen
D H de Bakker

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe need for quality improvement and increasing concern about the costs and appropriateness of health care has led to the implementation of quality systems in healthcare organisations. In addition, nursing homes have made significant investments in their development. The effects of the implementation of quality systems on health related outcomes are not yet clear.

objectiveTo examine evidence in the literature on whether quality systems have an impact on the care process and the satisfaction and health outcomes of long term care residents.

methodsReview of the literature.

resultsThe 21 empirical studies identified concerned quality system activities such as the implementation of guidelines; providing feedback on outcomes; assessment of the needs of residents by means of care planning, internal audits and tuition; and an ombudsman for residents. Only four articles described controlled studies. The selected articles were grouped according to five focal areas of quality. The opinion of residents was seldom used to evaluate the effectiveness of quality systems. The effects on care processes and the health outcomes of long term care residents were inconsistent, but there was some evidence from the controlled studies that specific training and guidelines can influence the outcomes at the patient level.

conclusionsThe design of most of the studies meant that it was not possible to attribute the results entirely to the newly implemented quality system. As it is difficult in practice to design a randomised controlled study, future research into the effectiveness of quality systems should not only focus on selected correlates of quality, but should also include a qualitative and quantitative (multivariate and multilevel) approach. The methods used to measure quality need to be improved.

Indexed as

AgedEvaluation Studies as TopicGuideline AdherenceHealth Services ResearchHumansLong-Term CareManagement AuditMedical AuditNetherlandsNursing HomesOutcome Assessment, Health CareQuality Assurance, Health Care

Identifiers

PMID11743149
PMCPMC1743453

What OpenQuestion holds

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Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.