SynthesisJoint Commission journal on quality and patient safety2017
What Defines a High-Performing Health Care Delivery System: A Systematic Review.
Synthesis in Joint Commission journal on quality and patient safety, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Assessment of Barriers and Facilitators to the Delivery of Care for Noncommunicable Diseases by Nonphysician Health Workers in Low- and Middle-Income Countries: A Systematic Review and Qualitative Analysis.JAMA network open · 2019Pooled it
- Article
- Evolution and interaction mechanisms of China's high-performing national healthcare system.BMC health services research · 2025Article
- Visualization of Critical Limits and Critical Values Facilitates Interpretation.Diagnostics (Basel, Switzerland) · 2025Article
- Features of the Nurse-Patient Relationship: Insights from a Qualitative Review Using Artificial Intelligence Interpretation.Current oncology (Toronto, Ont.) · 2024Review
- Current State and Proposal of Best Practices of Standardized Patients for Spanish-Language Objective Structured Clinical Encounters in US Medical Schools.Simulation in healthcare : journal of the Society for Simulation in Healthcare · 2024Article
- The imperative of professionalising healthcare management: A global perspective.Future healthcare journal · 2024Article
- Exploring Patient-Clinician Trust During Pregnancy Care: A Qualitative Study With Latine Patients.O&G open · 2024Article
- Pruning the Path to Optimal Care: Identifying Systematically Suboptimal Medical Decision-Making with Inverse Reinforcement Learning.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2024Article
- Immigrants experience oral health care inequity: findings from Australia's National Study of Adult Oral Health.Australian dental journal · 2023Article
- How do we measure organisational wellness? Development of a comprehensive patient-centred and employee-centred visual analytical solution.BMJ open quality · 2022Article
- Effective and Efficient Delivery of Genome-Based Testing-What Conditions Are Necessary for Health System Readiness?Healthcare (Basel, Switzerland) · 2022Article
- Barriers to using clinical decision support in ambulatory care: Do clinics in health systems fare better?Journal of the American Medical Informatics Association : JAMIA · 2021Article
- Using Consistently Low Performance to Identify Low-Quality Physician Groups.JAMA network open · 2021Article
- Impact of differential copayment on patient healthcare choice: evidence from South Korean National Cohort Study.BMJ open · 2021Article
- The Role of Value Stream Mapping in Healthcare Services: A Scoping Review.International journal of environmental research and public health · 2021Article
- Optimizing health IT to improve health system performance: A work in progress.Healthcare (Amsterdam, Netherlands) · 2020Article
- What Are the Determinants of Health System Performance? Findings from the Literature and a Technical Expert Panel.Joint Commission journal on quality and patient safety · 2020Review
- Public health system challenges in the Free State, South Africa: a situation appraisal to inform health system strengthening.BMC health services research · 2020Review
- Combining patient, clinical and system perspectives in assessing performance in healthcare: an integrated measurement framework.BMC health services research · 2020Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
Abstract
backgroundPurchasers, payers, and policy makers are increasingly measuring and rewarding high-performing health systems, which use a variety of definitions of high performance, yet it is unclear if a consistently applied definition exists. A systematic review was conducted to determine if there is a commonly used, agreed-on definition of what constitutes a "high-performing" health care delivery system.
methodsSearches were conducted for English-language articles defining high performance with respect to a health care system or organization in PubMed and WorldCat databases from 2005 to 2015 and the New York Academy of Medicine Grey Literature Report from 1999 to 2016. The entity/condition to which the definition was applied was extracted from included articles. The number and type of dimensions used to define high performance within and across articles was tabulated and the number and type of metrics used by performance dimension and by article was calculated.
resultsNo consistent definition of a high-performing health care system or organization was identified. High performance was variably defined across different dimensions, including quality (93% of articles), cost (67%), access (35%), equity (26%), patient experience (21%), and patient safety (18%). Most articles used more than one dimension to define high performance (75%), but only five used five or more dimensions. The most commonly paired dimensions were quality and cost (63%).
conclusionThe absence of a consistent definition of what constitutes high performance and how to measure it hinders our ability to compare and reward health care delivery systems on performance, underscoring the need to develop a consistent definition of high performance.
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What OpenQuestion holds
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.