Evidence map›Paper›PMID 18806592›Full record

ArticleThe Journal of ambulatory care management

Sustaining quality improvement in community health centers: perceptions of leaders and staff.

Marshall H Chin, Anne C Kirchhoff, Amy E Schlotthauer, Jessica E Graber, Sydney E S Brown, Ann Rimington, Melinda L Drum, Cynthia T Schaefer, Loretta J Heuer, Elbert S Huang and 3 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 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. A Lean Quality Improvement Initiative to Enhance Tobacco Use Treatment in a Cancer Hospital.International journal of environmental research and public health · 2020
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Family care map: Sustaining family-centered care in Polytrauma Rehabilitation Centers.Journal of rehabilitation research and development · 2014
    Article
  15. Article
  16. Linking Structural Capabilities and Workplace Climate in Community Health Centers.Inquiry : a journal of medical care organization, provision and financing
    Article
  17. Article
  18. 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

13 authors.

Marshall H ChinSection of General Internal Medicine, Department of Medicine, The University of Chicago, IL 60637, USA. mchin@medicine.bsd.uchicago.edu
Anne C Kirchhoff
Amy E Schlotthauer
Jessica E Graber
Sydney E S Brown
Ann Rimington
Melinda L Drum
Cynthia T Schaefer
Loretta J Heuer
Elbert S Huang
Morgan E Shook
Hui Tang
Lawrence P Casalino

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
IMPROVING DIABETES CARE COLLABORATIVELY IN THE COMMUNITYR01HS010479 · AHRQ · UNIVERSITY OF CHICAGO · PI CHIN, MARSHALL H · 1999 to 2001
–
Outcomes, Incentives, and Improvements in CollaborativesU01HS013635 · AHRQ · UNIVERSITY OF CHICAGO · PI CHIN, MARSHALL H · 2002 to 2004
–
AHRQ HHS 1 U01 HS13635AHRQ HHS R01 HS010479AHRQ HHS R01 HS10479AHRQ HHS U01 HS013635NIA NIH HHS K23 AG021963NIDDK NIH HHS K24 DK071933NIDDK NIH HHS P60 DK020595NIDDK NIH HHS P60 DK20595
6 · The paper itself

Abstract

The Health Disparities Collaboratives are the largest national quality improvement (QI) initiatives in community health centers. This article identifies the incentives and assistance personnel believe are necessary to sustain QI. In 2004, 1006 survey respondents (response rate 67%) at 165 centers cited lack of resources, time, and staff burnout as common barriers. Release time was the most desired personal incentive. The highest funding priorities were direct patient care services (44% ranked no. 1), data entry (34%), and staff time for QI (26%). Participants also needed help with patient self-management (73%), information systems (77%), and getting providers to follow guidelines (64%).

Indexed as

Attitude of Health PersonnelLeadershipTotal Quality ManagementAdultBurnout, ProfessionalCommunity Health CentersFemaleHealth Services ResearchHealth Status DisparitiesHumansMaleMiddle AgedMoraleMotivationResource AllocationTime Management

Identifiers

PMID18806592
PMCPMC2659650

What OpenQuestion holds

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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.