ArticleEuropean journal of public health2014
AHRQ prevention quality indicators to assess the quality of primary care of local providers: a pilot study from Italy.
Article in European journal of public health, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pooled it
- Factors influencing the occurrence of ambulatory care sensitive conditions in the emergency department - a single-center cross-sectional study.Frontiers in medicine · 2023Article
- The Role of Gender in the Association between Mental Health and Potentially Preventable Hospitalizations: A Single-Center Retrospective Observational Study.International journal of environmental research and public health · 2022Observational
- Exploration of Preventable Hospitalizations for Colorectal Cancer with the National Cancer Control Program in Taiwan.International journal of environmental research and public health · 2021Article
- The Burden of Diabetes-Related Preventable Hospitalization: 11-Year Trend and Associated Factors in a Region of Southern Italy.Healthcare (Basel, Switzerland) · 2021Article
- Landscapes on Prevention Quality Indicators: A Spatial Analysis of Diabetes Preventable Hospitalizations in Portugal (2016-2017).International journal of environmental research and public health · 2020Article
- Comparison and Impact of Four Different Methodologies for Identification of Ambulatory Care Sensitive Conditions.International journal of environmental research and public health · 2020Article
- Policy proposals for a new welfare: the development of the family and community nurse in Italy as the key to promote social capital and social innovation.Primary health care research & development · 2019Article
- Quality in perinatal care: applying performance measurement using joint commission on accreditation of healthcare organizations indicators in Italy.BMC medical research methodology · 2019Article
- Article
- "Evolution and financial cost of socioeconomic inequalities in ambulatory care sensitive conditions: an ecological study for Portugal, 2000-2014".International journal for equity in health · 2017Article
- Cost and Predictors of Hospitalizations for Ambulatory Care - Sensitive Conditions Among Medicaid Enrollees in Comprehensive Managed Care Plans.Health services research and managerial epidemiologyArticle
Corrections and comments
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundOutside the USA, Agency for Healthcare Research and Quality (AHRQ) prevention quality indicators (PQIs) have been used to compare the quality of primary care services only at a national or regional level. However, in several national health systems, primary care is not directly managed by the regions but is in charge of smaller territorial entities. We evaluated whether PQIs might be used to compare the performance of local providers such as Italian local health authorities (LHAs) and health districts.
methodsWe analysed the hospital discharge abstracts of 44 LHAs (and 11 health districts) of five Italian regions (including ≈18 million residents) in 2008-10. Age-standardized PQI rates were computed following AHRQ specifications. Potential predictors were investigated using multilevel modelling.
resultsWe analysed 11 470 722 hospitalizations. The overall rates of preventable hospitalizations (composite PQI 90) were 1012, 889 and 988 (×100 000 inhabitants) in 2008, 2009 and 2010, respectively. Composite PQIs were able to differentiate LHAs and health districts and showed small variation in the performance ranking over years.
conclusionAlthough further research is required, our findings support the use of composite PQIs to evaluate the performance of relatively small primary health care providers (50 000-60 000 enrollees) in countries with universal health care coverage. Achieving high precision may be crucial for a structured quality assessment system to align hospitalization rate indicators with measures of other contexts of care (cost, clinical management, satisfaction/experience) that are typically computed at a local level.
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