Evidence map›Paper›PMID 19224955›Full record

Trial reportHealth policy and planning2009

A novel method for measuring health care system performance: experience from QIDS in the Philippines.

Orville Solon, Kimberly Woo, Stella A Quimbo, Riti Shimkhada, Jhiedon Florentino, John W Peabody

5 registry-linked trialsAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Health policy and planning, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 5 registered trials, which are not on this map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–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.

NCT04204018 nacompletednot on this mapstarted 2019, after this paper: background citation

Measuring Practice Pattern Changes and Clinical Utility of a Novel Test for Preeclampsia

TypeinterventionalSponsorQure Healthcare, LLCRan2019 to 2019Enrolled108ConditionsPre-EclampsiaArmsExperimental Arm
NCT04266821 nacompletednot on this mapstarted 2020, after this paper: background citation

Establishing Clinical Utility of a New Diagnostic Test for Patients Suffering From Pain: A CPV® Randomized Controlled Trial

TypeinterventionalSponsorQure Healthcare, LLCRan2020 to 2020Enrolled154ConditionsPain, Pain, ChronicArmsExperimental Arm
NCT04266834 nacompletednot on this mapstarted 2019, after this paper: background citation

Establishing Clinical Utility of a New Diagnostic Test in Patients Undergoing Cardiac Catheterization: A CPV® Randomized Controlled Trial

TypeinterventionalSponsorQure Healthcare, LLCRan2019 to 2020Enrolled157ConditionsAKI, Contrast-induced NephropathyArmsExperimental Arm
NCT04266860 nacompletednot on this mapstarted 2012, after this paper: background citation

Establishing Clinical Utility of a New Diagnostic Test for Rheumatology Patients: A CPV® Randomized Controlled Trial

TypeinterventionalSponsorQure Healthcare, LLCRan2012 to 2013Enrolled166ConditionsLupus Nephritis, Lupus Erythematosus, SystemicArmsExperimental - Test Results and Education
NCT04693793 nacompletednot on this mapstarted 2021, after this paper: background citation

Establishing Clinical Utility for a New Diagnostic Test for Patients With Shortness of Breath: A CPV® Randomized Controlled Trial

TypeinterventionalSponsorQure Healthcare, LLCRan2021 to 2022Enrolled219ConditionsDyspnea, Unexplained Chronic DyspneaArmsEducation Materials and Janssen Test
3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

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  8. Do doctors under-provide, over-provide or do both? Exploring the quality of medical treatment in the Philippines.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2011
    Article
  9. Article
  10. Article
  11. 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

6 authors.

Orville SolonUniversity of the Philippines, School of Economics, Diliman, Philippines.
Kimberly Woo
Stella A Quimbo
Riti Shimkhada
Jhiedon Florentino
John W Peabody

Funding

The Philippine Child Health and Policy ExperimentR01HD042117 · NICHD · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI PEABODY, JOHN W · 2003 to 2007
$2.5M
NICHD NIH HHS R-01 HD042117NICHD NIH HHS R01 HD042117
6 · The paper itself

Abstract

objectivesMeasuring and monitoring health system performance is important albeit controversial. Technical, logistic and financial challenges are formidable. We introduced a system of measurement, which we call Q, to measure the quality of hospital clinical performance across a range of facilities. This paper describes how Q was developed, implemented in hospitals in the Philippines and how it compares with typical measures.

methodsQ consists of measures of clinical performance, patient satisfaction and volume of physician services. We evaluate Q using experimental data from the Quality Improvement Demonstration Study (QIDS), a randomized policy experiment. We determined its responsiveness over time and to changes in structural measures such as staffing and supplies. We also examined the operational costs of implementing Q.

resultsQ was sustainable, minimally disruptive and readily grafted into existing routines in 30 hospitals in 10 provinces semi-annually for a period of 2(1/2) years. We found Q to be more responsive to immediate impacts of policy change than standard structural measures. The operational costs totalled USD2133 or USD305 per assessment per site.

conclusionQ appears to be an achievable assessment tool that is a comprehensive and responsive measure of system level quality at a limited cost in resource-poor settings.

Indexed as

Patient SatisfactionQuality Indicators, Health CareChild, PreschoolClinical CompetenceHealth FacilitiesHealth Plan ImplementationHealth PolicyHospitalsHumansInfantPhilippinesQuality Assurance, Health CareSurveys and Questionnaires

Identifiers

PMID19224955
PMCPMC2733796

What OpenQuestion holds

Textmetadata
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.