Evidence map›Paper›PMID 22594465›Full record

ArticleHealth services research2012

Clinical quality performance in U.S. health centers.

Leiyu Shi, Lydie A Lebrun, Jinsheng Zhu, Arthur S Hayashi, Ravi Sharma, Charles A Daly, Alek Sripipatana, Quyen Ngo-Metzger

Abstract read
In one paragraph

Article in Health services research, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing 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.

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

26 citing papers in PubMed.

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  13. Using Health IT to Coordinate Care and Improve Quality in Safety-Net Clinics.Joint Commission journal on quality and patient safety · 2018
    Article
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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

8 authors.

Leiyu ShiDepartment of Health Policy and Management Director, Bloomberg School of Public Health, Johns Hopkins University, Johns Hopkins Primary Care Policy Center, Baltimore, MD, USA.
Lydie A Lebrun
Jinsheng Zhu
Arthur S Hayashi
Ravi Sharma
Charles A Daly
Alek Sripipatana
Quyen Ngo-Metzger

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo describe current clinical quality among the nation's community health centers and to examine health center characteristics associated with performance excellence. DATA SOURCES: National data from the 2009 Uniform Data System. DATA COLLECTION/EXTRACTION

methodsHealth centers reviewed patient records and reported aggregate data to the Uniform Data System. STUDY

designSix measures were examined: first-trimester prenatal care, childhood immunization completion, Pap tests, low birth weight, controlled hypertension, and controlled diabetes. The top 25 percent performing centers were compared with lower performing (bottom 75 percent) centers on these measures. Logistic regressions were utilized to assess the impact of patient, provider, and institutional characteristics on health center performance. PRINCIPAL

findingsClinical care and outcomes among health centers were generally comparable to national averages. For instance, 67 percent of pregnant patients received timely prenatal care (national = 68 percent), 69 percent of children achieved immunization completion (national = 67 percent), and 63 percent of hypertensive patients had blood pressure under control (national = 48 percent). Depending on the measure, centers with more uninsured patients were less likely to do well, while centers with more physicians and enabling service providers were more likely to do well.

conclusionsHealth centers provide quality care at rates comparable to national averages. Performance may be improved by increasing insurance coverage among patients and increasing the ratios of physicians and enabling service providers to patients.

Indexed as

Community Health CentersHumansPrimary Health CareQuality Indicators, Health CareQuality of Health CareSocioeconomic FactorsUnited States

Identifiers

PMID22594465
PMCPMC3523373

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.