Evidence map›Paper›PMID 27401348›Full record

ArticleBMC nephrology2016

Evaluation of the quality of care of a haemodialysis public-private partnership programme for patients with end-stage renal disease.

Julie Y Chen, Eric Y F Wan, Karina H Y Chan, Anca K C Chan, Frank W K Chan, Cindy L K Lam

Registry-linked trialAbstract read
In one paragraph

Article in BMC nephrology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02307903 (Evaluation of Quality of Care - Haemodialysis Public-Private-Partnership, Hospital Authority), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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.

NCT02307903 completednot on this map

Evaluation of Quality of Care - Haemodialysis Public-Private-Partnership, Hospital Authority (HA)

TypeobservationalSponsorThe University of Hong KongRan2010 to 2017Enrolled125ConditionsEnd-stage Renal Failure (ESRF)
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Review
  2. Article
  3. 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.

Julie Y ChenDepartment of Family Medicine and Primary Care, The University of Hong Kong, Hong Kong, Hong Kong. juliechen@hku.hk.
Eric Y F WanDepartment of Family Medicine and Primary Care, The University of Hong Kong, Hong Kong, Hong Kong.
Karina H Y ChanDepartment of Family Medicine and Primary Care, The University of Hong Kong, Hong Kong, Hong Kong.
Anca K C ChanDepartment of Family Medicine and Primary Care, The University of Hong Kong, Hong Kong, Hong Kong.
Frank W K ChanIntegrated Care Programs, Hospital Authority Head Office, Hong Kong Hospital Authority, Hong Kong, Hong Kong.
Cindy L K LamDepartment of Family Medicine and Primary Care, The University of Hong Kong, Hong Kong, Hong Kong.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHaemodialysis (HD) is one of the life-saving options for patients with end stage renal disease but demand for this treatment exceeds capacity in publicly funded hospitals. One novel approach to addressing this problem is through a shared-care model whereby government hospitals partner with qualified private HD service providers to increase the accessibility of HD for needy patients. The aim of this study is to evaluate and enhance the quality of care (QOC) provided in such a shared-care programme in Hong Kong, the Haemodialysis Public-Private Partnership Programme (HD-PPP). METHODS/

designThis is a longitudinal study based on Action Learning and Audit Spiral methodologies to measure the achievement of pre-set target standards for the HD-PPP programme over three evaluation cycles. The QOC evaluation framework is comprised of structure, process and outcome criteria with target standards in each domain developed from review of the evidence and in close collaboration with the HD-PPP working group. During each evaluation cycle, coordinators of each study site complete a questionnaire to determine adherence with structural criteria of care. Process and clinical outcomes, such as adverse events and dialysis adequacy, are extracted from the patient records of consenting study participants while face-to-face interviews are conducted to ascertain patient-reported outcomes such as self-efficacy and health-related quality of life. DISCUSSION: The study relies on the successful implementation of partnership-based action research to develop an evidence-based and pragmatic framework for evaluation of quality of care in an iterative fashion, and to use it to identify possible areas of quality enhancements in a shared-care programme for HD patients. The approach we take in this study emphasizes partnership and engagement with the clinical and administrative programme team, a robust but flexible evaluation framework, direct observation and the potential to realize positive change. The experience will be useful to inform the process of coordinating research studies involving multiple stakeholders and results will help to guide service planning and policy decision making.

trial registrationUS Clinical Trial Registry NCT02307903.

Indexed as

Hospitals, PublicOutcome and Process Assessment, Health CareProgram EvaluationHealth Services AccessibilityHong KongHumansKidney Failure, ChronicLongitudinal StudiesPatient Reported Outcome MeasuresPublic-Private Sector PartnershipsQuality Indicators, Health CareRenal DialysisResearch DesignAction researchAuditCommunity centreEnd stage renal diseaseHaemodialysisHospitalQuality of careShared care

Identifiers

PMID27401348
PMCPMC4940909

What OpenQuestion holds

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LicenceCC BY
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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.