Evidence map›Paper›PMID 35301202›Full record

ArticleBMJ open2022

WHO standards-based tools to measure service providers' and service users' views on the quality of hospital child care: development and validation in Italy.

Marzia Lazzerini, Ilaria Mariani, Tereza Rebecca de Melo E Lima, Enrico Felici, Stefano Martelossi, Riccardo Lubrano, Annunziata Lucarelli, Gian Luca Trobia, Paola Cogo, Francesca Peri and 6 more

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
6.9field-weighted citation impact, top 3% of its field
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

11 citing papers in PubMed, 18 citations in OpenAlex.

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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

16 authors at 10 institutions in 3 countries.

Marzia LazzeriniWHO Collaborating Centre for Maternal and Child Health, Institute for Maternal and Child Health IRCCS Burlo Garofolo, Trieste, Italy marzia.lazzerini@burlo.trieste.it.ORCID 0000-0001-8608-2198
Ilaria MarianiWHO Collaborating Centre for Maternal and Child Health, Institute for Maternal and Child Health IRCCS Burlo Garofolo, Trieste, Italy.ORCID 0000-0001-8260-4788
Tereza Rebecca de Melo E LimaInstituto de Medicina Integral Professor Fernando Figueira/IMIP, Recife, Brazil.
Enrico FeliciPediatric and Pediatric Emergency Unit, The Children Hospital, AO SS Antonio e Biagio e Cesare Arrigo, Alessandria, Italy.
Stefano MartelossiPediatric Unit, Ospedale Santa Maria di Ca Foncello, Treviso, Italy.
Riccardo LubranoDepartment of Pediatrics, "La Sapienza" University -Hospital "Santa Maria Goretti" of Latina, Roma, Italy.
Annunziata LucarelliPediatric Emergency Department, Giovanni XXIII Pediatric Hospital, University of Bari, Bari, Italy.
Gian Luca TrobiaPediatric and Pediatric Emergency Room Unit, "Cannizzaro" Emergency Hospital, Catania, Italy.
Paola CogoDivision of Paediatrics, Department of Medicine DAME, Academic Hospital Santa Maria della Misericordia, University of Udine, Udine, Italy.
Francesca PeriUniversity of Trieste, Trieste, Italy.
Daniela NisticòUniversity of Trieste, Trieste, Italy.
Wilson Milton WereDepartment of Maternal, Newborn, Child and Adolescent Health and Ageing, World Health Organization, Geneva, Switzerland.
Valentina BaltagDepartment of Maternal, Newborn, Child and Adolescent Health and Ageing, World Health Organization, Geneva, Switzerland.
Moise MuzigabaDepartment of Maternal, Newborn, Child and Adolescent Health and Ageing, World Health Organization, Geneva, Switzerland.
Egidio BarbiUniversity of Trieste, Trieste, Italy.
CHOICE Study Group
University of Trieste · ITWorld Health Organization · CHIRCCS Materno Infantile Burlo Garofolo · ITAzienda Ospedaliera Nazionale SS. Antonio e Biagio e Cesare Arrigo · ITInstituto de Medicina Integral Professor Fernando Figueira · BROspedale Cannizzaro · ITOspedale Pediatrico Giovanni XXIII · ITOspedale Santa Maria · ITOspedale Santa Maria Goretti · ITUniversity of Udine · IT

Funding

World Health Organization 001
6 · The paper itself

Abstract

objectivesEvidence showed that, even in high-income countries, children and adolescents may not receive high quality of care (QOC). We describe the development and initial validation, in Italy, of two WHO standards-based questionnaires to conduct an assessment of QOC for children and young adolescents at inpatient level, based on the provider and user perspectives.

designMultiphase, mixed-methods study. SETTING, PARTICIPANTS AND

methodsThe two questionnaires were developed in four phases equally conducted for each tool. Phase 1 which included the prioritisation of the WHO Quality Measures according to predefined criteria and the development of the draft questionnaires. In phase 2 content face validation of the draft questionnaires was assessed among both experts and end-users. In phase 3 the optimised questionnaires were field tested to assess acceptability, perceived utility and comprehensiveness (N=163 end-users). In phase 4 intrarater reliability and internal consistency were evaluated (N=170 and N=301 end-users, respectively).

resultsThe final questionnaires included 150 WHO Quality Measures. Observed face validity was excellent (kappa value of 1). The field test resulted in response rates of 98% and 76% for service users and health providers, respectively. Among respondents, 96.9% service users and 90.4% providers rated the questionnaires as useful, and 86.9% and 93.9%, respectively rated them as comprehensive. Intrarater reliability was good, with Cohen's kappa values exceeding 0.70. Cronbach alpha values ranged from 0.83 to 0.95, indicating excellent internal consistency.

conclusionsStudy findings suggest these tools developed have good content and face validity, high acceptability and perceived utility, and good intrarater reliability and internal consistency, and therefore could be used in health facilities in Italy and similar contexts. Priority areas for future research include how tools measuring paediatric QOC can be more effectively used to help health professionals provide the best possible care.

Indexed as

Child CareQuality of Health CareAdolescentChildHospitalsHumansReproducibility of ResultsSurveys and QuestionnairesWorld Health Organizationepidemiologypaediatricsquality in health care

Identifiers

PMID35301202
PMCPMC8932272
OpenAlexW4221068521

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.