ArticlePloS one2022
Composite measures of quality of health care: Evidence mapping of methodology and reporting.
Article in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 2 of them syntheses that pooled it.
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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.
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Who cites it
26 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Methods to derive composite indicators used for quality and safety measurement and monitoring in healthcare: a scoping review.Frontiers in health services · 2026Pooled it
- Spatial and spatiotemporal machine learning models for COVID-19 dynamics: a review of methodology and reporting practices.Epidemiologic reviews · 2025Pooled it
- Beyond Binary ICU Admission: Duration-Sensitive Evaluation and Patient-Level Reclassification of Textbook Outcome After Colorectal Cancer Surgery.Journal of clinical medicine · 2026Article
- The obesity-related chronic disease index (ORCDi), a novel composite metric to quantify ORCD burden: an ecological study across U.S. census tracts.Lancet regional health. Americas · 2026Article
- Value operating system: a practical framework to measure outcomes-per-cost at the episode level.BMJ open quality · 2026Article
- Evaluating implementation of the HEARTS model for management of hypertension and diabetes in Guatemala: protocol for a prospective observational hybrid type 3 study.Implementation science communications · 2026Article
- Generative artificial intelligence-driven chatbots and medical misinformation: an accuracy, referencing and readability audit.BMJ open · 2026Article
- Effective coverage practice in Ethiopia.BMJ global health · 2026Review
- From Network Governance to Real-World-Time Learning: A High-Reliability Operating Model for Rare Cancers.Cancers · 2026Article
- Insurance-related differences in high-intensity care utilization among older patients with cancer.Frontiers in public health · 2026Observational
- Aligning emergency admission and stroke center catchment areas: Association with intravenous thrombolysis rates.SAGE open medicine · 2026Article
- Prominent mediatory role of gut microbiome in the effect of lifestyle on host metabolic phenotypes.Gut microbes · 2025Article
- Intermediate Care Unit performance being properly assessed?Critical care (London, England) · 2025Article
- An analysis of primary care safety-nets' preventive service provision with a new composite reporting measure.Family practice · 2025Article
- Development of a midwifery regulatory environment index using data from the Global Midwives' Associations map survey.BMC health services research · 2025Article
- High-Deductible Health Plans and Receipt of Guideline-Concordant Care for Adults With Chronic Illness.JAMA network open · 2025Article
- A Composite Indicator for Primary Diabetes Care: A Cross-Sectional Study in Hungary.Healthcare (Basel, Switzerland) · 2025Article
- One for all? Assessing the quality of Italian hospital care with the "benefit of the doubt" composite indicator methods.Health economics review · 2024Article
- Process indicators outshine outcome measures: assessing hospital quality of care in breast cancer treatment in China.Scientific reports · 2024Article
- Selecting patient-reported outcome measures: "what" and "for whom".Health affairs scholar · 2024Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundQuality indicators are used to quantify the quality of care. A large number of quality indicators makes assessment of overall quality difficult, time consuming and impractical. There is consequently an increasing interest for composite measures based on a combination of multiple indicators.
objectiveTo examine the use of different approaches to construct composite measures of quality of care and to assess the use of methodological considerations and justifications.
methodsWe conducted a literature search on PubMed and EMBASE databases (latest update 1 December 2020). For each publication, we extracted information on the weighting and aggregation methodology that had been used to construct composite indicator(s).
resultsA total of 2711 publications were identified of which 145 were included after a screening process. Opportunity scoring with equal weights was the most used approach (86/145, 59%) followed by all-or-none scoring (48/145, 33%). Other approaches regarding aggregation or weighting of individual indicators were used in 32 publications (22%). The rationale for selecting a specific type of composite measure was reported in 36 publications (25%), whereas 22 papers (15%) addressed limitations regarding the composite measure.
conclusionOpportunity scoring and all-or-none scoring are the most frequently used approaches when constructing composite measures of quality of care. The attention towards the rationale and limitations of the composite measures appears low. DISCUSSION: Considering the widespread use and the potential implications for decision-making of composite measures, a high level of transparency regarding the construction process of the composite and the functionality of the measures is crucial.
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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.