Evidence map›Paper›PMID 15289628›Full record

ArticleQuality & safety in health care2004

Developing quality indicators for older adults: transfer from the USA to the UK is feasible.

N Steel, D Melzer, P G Shekelle, N S Wenger, D Forsyth, B C McWilliams

Abstract readValidation Study
In one paragraph

Article in Quality & safety in health care, 2004. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 8 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 8 syntheses or guidelines pooled it.

  1. Routine-data-compatible quality indicators for the ambulatory care of osteoarthritis of the knee and hip: A systematic review.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025
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  14. Primary care supply and quality of care in England.The European journal of health economics : HEPAC : health economics in prevention and care · 2018
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  16. Face-validation of quality indicators for the organization of palliative care in hospitals in Indonesia: a contribution to quality improvement.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2014
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

N SteelHealth Policy and Practice, University of East Anglia, Norwich NR4 7TJ, UK. n.steel@uea.ac.uk
D Melzer
P G Shekelle
N S Wenger
D Forsyth
B C McWilliams

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMeasurement of the quality of health care is essential for quality improvement, and patients are an underused source of data about quality of care. We describe the adaptation of a set of USA quality indicators for use in patient interview surveys in England, to measure the extent to which older patients receive a broad range of effective health care interventions in both primary and secondary care.

methodOne hundred and nineteen quality indicators covering 16 clinical areas, based on a set of indicators for the care of vulnerable elderly patients in the USA, were reviewed by a panel of 10 clinical experts in England. A modified version of the RAND/UCLA appropriateness method was used and panel members were supplied with literature reviews summarising the evidence base for each quality indicator. The indicators were sent for comment before the panel meeting to UK charitable organisations for older people.

resultsThe panel rated 102 of the 119 indicators (86%) as valid for use in England; 17 (14%) were rejected as invalid. All 58 indicators about treatment or continuity and follow up were rated as valid compared with just over half (13 of 24) of the indicators about screening.

conclusionsThese 102 indicators are suitable for use in patient interview surveys, including the English Longitudinal Study of Ageing (ELSA). The systematic measurement of quality of care at the population level and identification of gaps in quality is essential for quality improvement. There is potential for transfer of quality indicators between countries, at least for the health care of older people.

Indexed as

Quality Assurance, Health CareQuality Indicators, Health CareAgedAttitude of Health PersonnelConsensusEvidence-Based MedicineHealth Services for the AgedHospitalsHumansInterviews as TopicPreventive Health ServicesPrimary Health CareUnited States

Identifiers

PMID15289628
PMCPMC1743867

What OpenQuestion holds

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Registered trials

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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.