ArticleQuality & safety in health care2003
Can health care quality indicators be transferred between countries?
Article in Quality & safety in health care, 2003. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 59 papers, 8 of them syntheses that pooled it.
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Who cites it
59 citing papers in PubMed, 8 syntheses or guidelines pooled it.
- Developing quality indicators for cross-sectoral psycho-oncology in Germany: combining the RAND/UCLA appropriateness method with a Delphi technique.BMC health services research · 2023Pooled it
- Pooled it
- Dutch oral health care quality measures: a modified Delphi study.International dental journal · 2020Pooled it
- Quality indicators for Palliative Day Services: A modified Delphi study.Palliative medicine · 2019Pooled it
- Quality indicators for care of osteoarthritis in primary care settings: a systematic literature review.Family practice · 2018Pooled it
- Quality indicators for care of depression in primary care settings: a systematic review.Systematic reviews · 2017Pooled it
- Quality indicators for the primary care of osteoarthritis: a systematic review.Annals of the rheumatic diseases · 2015Pooled it
- Methods for the guideline-based development of quality indicators--a systematic review.Implementation science : IS · 2012Pooled it
- The effect of referral templates on out-patient quality of care in a hospital setting: a cluster randomized controlled trial.BMC health services research · 2017Trial
- Trial
- Identification of Quality Indicators Used to Monitor, Evaluate and Improve Rural and Remote Care for Older People: A Scoping Review.The Australian journal of rural health · 2025Article
- Defining quality indicators for atherosclerotic cardiovascular diseases in primary care, extractable from the electronic health record: a RAND-modified Delphi method.BMC primary care · 2025Article
- Quality indicators for pharmacist follow-up of diabetes mellitus: A RAND-modified Delphi method.International journal of clinical pharmacy · 2025Article
- Enhancing primary care quality improvement through national data collection and validation: the primary care quality initiative in Sweden.Scandinavian journal of primary health care · 2025Article
- Relationships between the Structural Characteristics of General Medical Practices and the Socioeconomic Status of Patients with Diabetes-Related Performance Indicators in Primary Care.Healthcare (Basel, Switzerland) · 2024Article
- A practice test and selection of a core set of outcome-based quality indicators in Dutch primary care physical therapy for patients with COPD: a cohort study.ERJ open research · 2022Article
- General Practitioner Time Availability Per Inhabitant Per Year: A New Indicator to Measure Access to Primary Care.Frontiers in health services · 2022Article
- What is the value and impact of the adaptation process on quality indicators for local use? A scoping review.PloS one · 2022Article
- Consensus on pre-operative total knee replacement education and prehabilitation recommendations: a UK-based modified Delphi study.BMC musculoskeletal disorders · 2021Article
- Indicators of guideline-concordant care in lung cancer defined with a modified Delphi method and piloted in a cohort of over 5,800 cases.Archives of public health = Archives belges de sante publique · 2021Article
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo evaluate the transferability of primary care quality indicators by comparing indicators for common clinical problems developed using the same method in the UK and the USA.
methodQuality indicators developed in the USA for a range of common conditions using the RAND-UCLA appropriateness method were applied to 19 common primary care conditions in the UK. The US indicators for the selected conditions were used as a starting point, but the literature reviews were updated and panels of UK primary care practitioners were convened to develop quality indicators applicable to British general practice.
resultsOf 174 indicators covering 18 conditions in the US set for which a direct comparison could be made, 98 (56.3%) had indicators in the UK set which were exactly or nearly equivalent. Some of the differences may have related to differences in the process of developing the indicators, but many appeared to relate to differences in clinical practice or norms of professional behaviour in the two countries. There was a small but non-significant relationship between the strength of evidence for an indicator and the probability of it appearing in both sets of indicators.
conclusionThere are considerable benefits in using work from other settings in developing measures of quality of care. However, indicators cannot simply be transferred directly between countries without an intermediate process to allow for variation in professional culture or clinical practice.
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