Evidence map›Paper›PMID 31791717›Full record

ReviewHealth policy (Amsterdam, Netherlands)2020

Review of 128 quality of care mechanisms: A framework and mapping for health system stewards.

Juan E Tello, Erica Barbazza, Kerry Waddell

Abstract readReview
In one paragraph

Review in Health policy (Amsterdam, Netherlands), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Transitioning Towards Quality-of-Care Assessment in Orthotics and Prosthetics Practice.Archives of rehabilitation research and clinical translation · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. A unified approach assessing Hospitals' Quality and Patient Safety Compliance at organizational and national level using an evidence-based Mapping Tool.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2025
    Article
  7. Article
  8. Article
  9. Article
  10. Causes for Medical Errors in Obstetrics and Gynaecology.Healthcare (Basel, Switzerland) · 2023
    Review
  11. Article
  12. Review
  13. 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

3 authors.

Juan E TelloIntegrated Prevention and Control of NCDs Programme, Division of NCDs and Promoting Health through the Life-Course, WHO Regional Office for Europe, Copenhagen, Denmark. Electronic address: telloj@who.int.
Erica BarbazzaAcademic UMC, Department of Public Health, University of Amsterdam, Amsterdam Public Health Research Institute, Amsterdam, the Netherlands; WHO European Centre for Primary Health Care, Almaty, Kazakhstan. Electronic address: e.s.barbazza@amsterdamumc.nl.
Kerry WaddellMcMaster Health Forum, McMaster University, Hamilton, Canada; WHO European Centre for Primary Health Care, Almaty, Kazakhstan. Electronic address: waddellk@mcmaster.ca.

Funding

World Health Organization 001
6 · The paper itself

Abstract

Health system stewards have the critical task to identify quality of care deficiencies and resolve underlying system limitations. Despite a growing evidence-base on the effectiveness of certain mechanisms for improving quality of care, frameworks to facilitate the oversight function of stewards and the use of mechanisms to improve outcomes remain underdeveloped. This review set out to catalogue a wide range of quality of care mechanisms and evidence on their effectiveness, and to map these in a framework along two dimensions: (i) governance subfunctions; and (ii) targets of quality of care mechanisms. To identify quality of care mechanisms, a series of searches were run in Health Systems Evidence and PubMed. Additional grey literature was reviewed. A total of 128 quality of care mechanisms were identified. For each mechanism, searches were carried out for systematic reviews on their effectiveness. These findings were mapped in the framework defined. The mapping illustrates the range and evidence for mechanisms varies and is more developed for some target areas such as the health workforce. Across the governance sub-functions, more mechanisms and with evidence of effectiveness are found for setting priorities and standards and organizing and monitoring for action. This framework can support system stewards to map the quality of care mechanisms used in their systems and to uncover opportunities for optimization backed by systems thinking.

Indexed as

Health PolicyClinical GovernanceHumansQuality ImprovementQuality of Health CareSystematic Reviews as TopicClinical governanceHealth policyQuality improvementQuality of health care

Identifiers

PMID31791717
PMCPMC6946442

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.