Evidence map›Paper›PMID 18360172›Full record

ArticleThe Journal of ambulatory care management

The perceived financial impact of quality improvement efforts in community health centers.

Karen Cheung, Adil Moiduddin, Marshall H Chin, Melinda L Drum, Sydney E S Brown, Jessica E Graber, Loretta Heuer, Michael T Quinn, Cynthia T Schaefer, Amy E Schlotthauer and 1 more

Abstract read
In one paragraph

Article in The Journal of ambulatory care management. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing 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.

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

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

  1. Pooled it
  2. Concept Analysis and Proposed Definition ofJournal of primary care & community health
    Pooled it
  3. Article
  4. Article
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

11 authors.

Karen CheungNational Opinion Research Center, Washington, DC, USA.
Adil Moiduddin
Marshall H Chin
Melinda L Drum
Sydney E S Brown
Jessica E Graber
Loretta Heuer
Michael T Quinn
Cynthia T Schaefer
Amy E Schlotthauer
Elbert S Huang

Funding

TRANSGENIC COREP60DK020595 · NIDDK · UNIVERSITY OF CHICAGO · PI BELL, GRAEME I · 1985 to 2012
$25.5M
Research and Mentorship in Improving Diabetes CareK24DK071933 · NIDDK · UNIVERSITY OF CHICAGO · PI CHIN, MARSHALL H · 2005 to 2014
$1.6M
Individualizing Diabetes Care for Older PeopleK23AG021963 · NIA · UNIVERSITY OF CHICAGO · PI HUANG, ELBERT S. · 2004 to 2007
$496k
Outcomes, Incentives, and Improvements in CollaborativesU01HS013635 · AHRQ · UNIVERSITY OF CHICAGO · PI CHIN, MARSHALL H · 2002 to 2004
–
AHRQ HHS U01 HS013635AHRQ HHS U01-HS013635NIA NIH HHS K23 AG021963NIA NIH HHS K23-AG021963NIDDK NIH HHS K24 DK071933NIDDK NIH HHS K24 DK071933-01NIDDK NIH HHS P60 DK020595NIDDK NIH HHS P60 DK20595
6 · The paper itself

Abstract

We administered surveys to 100 chief executive officers (CEOs) of community health centers to determine their perceptions of the financial impact of the Health Disparities Collaboratives, a national quality improvement initiative. One third of the CEOs believed that the HDC had a negative financial impact on their health center, and this perception was significantly correlated with centers having a higher proportion of uninsured patients. Performance-based payment incentives may improve care but may also add new financial burdens to facilities that treat the uninsured population. As such, a provider's payer mix may need to be considered in the design of QI programs if they are to be sustainable.

Indexed as

AdultAgedCommunity Health CentersFemaleHealth Care SurveysHealth Facility AdministratorsHumansMaleMiddle AgedQuality of Health Care

Identifiers

PMID18360172
PMCPMC2291345

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.