Evidence map›Paper›PMID 29654400›Full record

SynthesisEuropean journal of pediatrics2018

Development of a core set of quality indicators for paediatric primary care practices in Europe, COSI-PPC-EU.

Dominik A Ewald, Gottfried Huss, Silke Auras, Juan Ruiz-Canela Caceres, Adamos Hadjipanayis, Max Geraedts

Abstract readConsensus StatementSystematic Review
PubMed Publisher
In one paragraph

Synthesis in European journal of pediatrics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
–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

8 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Patient Safety Domains in Primary Healthcare: A Systematic Review.Ethiopian journal of health sciences · 2024
    Pooled it
  2. What makes a good quality indicator set? A systematic review of criteria.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2021
    Pooled it
  3. Article
  4. Article
  5. Article
  6. Primary care of mothers and infants by the same or different physicians: a population-based cohort study.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2020
    Article
  7. Observational
  8. 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.

Dominik A EwaldPaediatric Primary Care Centre, Regensburg, Germany. Dominik.Ewald@t-online.de.ORCID http://orcid.org/0000-0001-7403-0649
Gottfried HussEuropean Association of Primary Care Paediatricians, ECPCP, Rheinhausen, Germany.
Silke AurasInstitute for Health Systems Research, Faculty of Health, Witten/Herdecke University, Witten, Germany.
Juan Ruiz-Canela CaceresCentro de Salud Virgen de África, Seville, Spain.
Adamos HadjipanayisMedical School, European University Cyprus, Nicosia, Cyprus.
Max GeraedtsInstitute for Health Services Research and Clinical Epidemiology, Department of Medicine, University of Marburg, Marburg, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Paediatric ambulatory healthcare systems in Europe are, because of historical reasons, diverse and show strikingly different outcomes. All across Europe, the benchmarking of structures, processes and outcomes could reveal opportunities for improving Paediatric Primary Care (PPC). The aim of this study was to develop a set of Quality Indicators (QIs) to assess and monitor PPC in Europe. In a three-step process, we used the available external evidence and European expert consensus in a modified RAND/UCLA Appropriateness Method (RAM) to develop an indicator set. (1) A broad literature and online research of published QI and guidelines yielded an inventory of 1516 QI. (2) A collaborative panel of paediatric senior experts from the European Academy of Paediatrics (EAP) and the European Confederation of Primary Care Paediatricians (ECPCP) from 15 European countries participated in a first consensus process to reduce the initial indicator inventory by eliminating not PPC-focused indicators and duplicates. (3) In a second consensus process, the panel rated the QI regarding validity and feasibility. The final QI set "COSI-PPC-EU" consists of 42 indicators in five categories of PPC: (A) health promotion/prevention/screening (13 QI), (B) acute care (9 QI), (C) chronic care (8 QI), (D) practice management (3 QI) and (E) patient safety (9 QI).

conclusionCOSI-PPC-EU represents a consented set of a limited number of valid quality indicators for the application in paediatric primary care in different healthcare systems throughout Europe. What is Known: • Paediatric ambulatory healthcare systems in Europe are diverse and show strikingly different outcomes. • There are known gaps in quality performance measures of paediatric primary care in Europe. Pre-existing sets of quality indicators are predominantly limited to national populations, specific diseases and hospital care. What is New: • A set of 42 quality indicators for primary paediatric care in Europe was developed in a multi-country collaborative effort. The method combined a systematic literature review and a consensus process among European paediatric experts. • The quality indicator set can facilitate quality improvement of PPC. After studying the feasibility, providers can use COSI-PPC-EU to monitor, compare and improve performance of practices, regions and countries.

Indexed as

Quality Indicators, Health CareEuropeHumansPediatricsPrimary Health CareQuality Assurance, Health CareBenchmarkingCommunity child careEAPECPCPEuropePaediatric primary careQuality improvementQuality indicatorQuality managementRAND/UCLA appropriateness method

Identifiers

What OpenQuestion holds

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Registered trials

None linked

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.