Evidence map›Paper›PMID 30214070›Full record

SynthesisGenetics in medicine : official journal of the American College of Medical Genetics2019

Developing a genetic services assessment tool to inform quality improvement efforts in state genetic service delivery.

Ann F Chou, John Mulvihill, Celia Kaye, Sylvia Mann, Marc S Williams, Lori Williamson

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Genetics in medicine : official journal of the American College of Medical Genetics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Review
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.

Ann F ChouCollege of Medicine, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, USA. ann-chou@ouhsc.edu.
John MulvihillCollege of Medicine, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, USA.
Celia KayeDepartment of Pediatrics, University of Colorado School of Medicine, Denver, Colorado, USA.
Sylvia MannGenomics Section, State of Hawaii Department of Health, Honolulu, Hawaii, USA.
Marc S WilliamsGenomic Medicine Institute, Geisinger Health System, Danville, Pennsylvania, USA.
Lori WilliamsonDepartment of Genetic Counseling, University of Arkansas, Little Rock, Arkansas, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe Institute of Medicine recommended the utilization of metrics to improve quality in health care, although they have rarely been used in genetics. This study developed and tested a set of metrics for a quality assessment tool for genetic services

methodsA systematic review of literature, guidelines, and consensus statements identified candidate measures for a possible assessment tool. An expert panel conducted a modified Delphi technique to rank the metrics. Ratings were computed to generate a score for each metric, creating a set of metrics for consensus discussions, pilot testing, and feasibility testing in eight Midwestern states.

resultsThe panel reduced 61 candidate metrics to 21 for pilot testing in two states, which further limited and refined the set to 16 metrics. These 16 were categorized into five domains: service capacity, access to care, data systems, performance reporting, and workforce. Further feasibility testing in one Regional Genetics Collaborative identified the tool's usefulness and barriers to implementation.

conclusionsThese quality metrics for both clinical and public health genetics across the lifespan may help medical professionals and policymakers evaluate quality and cost-effectiveness of genetic services on a statewide basis and stimulate outcome-oriented, health services research in medical genetics and genomics.

Indexed as

Delivery of Health CareDelphi TechniqueGenetic ServicesGuidelines as TopicHumansQuality ImprovementUnited Statesevaluationgeneticspublic healthquality improvementquality measurement

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.