Evidence map›Paper›PMID 35804384›Full record

ReviewBMC health services research2022

Global core indicators for measuring WHO's paediatric quality-of-care standards in health facilities: development and expert consensus.

Moise Muzigaba, Tamar Chitashvili, Allysha Choudhury, Wilson M Were, Theresa Diaz, Kathleen L Strong, Debra Jackson, Jennifer Requejo, Anne Detjen, Emma Sacks

Open access · goldAbstract readReviewConsensus Statement
In one paragraph

Review in BMC health services research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
3.0field-weighted citation impact, top 9% 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

6 citing papers in PubMed, 9 citations in OpenAlex.

  1. Review
  2. Review
  3. Article
  4. Article
  5. Article
  6. Quality Metrics in Acute Stroke: Time to Own.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2023
    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

10 authors at 5 institutions in 4 countries.

Moise MuzigabaDepartment of Maternal, Newborn, Child, and Adolescent Health, and Ageing, World Health Organization, Avenue Appia 20, 1202, Geneva, Switzerland. muzigabam@who.int.
Tamar ChitashviliUniversity Research Co. LLC, 4600 Creek Shore Dr. Rockville, Rocville, MD, 20852, USA.
Allysha ChoudhuryDepartment of Maternal and Child Health, Gillings School of Global Public Health, University of North Carolina, 135 Dauer Dr, Chapel Hill, Chapel Hill, NC, 27599, USA.
Wilson M WereDepartment of Maternal, Newborn, Child, and Adolescent Health, and Ageing, World Health Organization, Avenue Appia 20, 1202, Geneva, Switzerland.
Theresa DiazDepartment of Maternal, Newborn, Child, and Adolescent Health, and Ageing, World Health Organization, Avenue Appia 20, 1202, Geneva, Switzerland.
Kathleen L StrongDepartment of Maternal, Newborn, Child, and Adolescent Health, and Ageing, World Health Organization, Avenue Appia 20, 1202, Geneva, Switzerland.
Debra JacksonLondon School of Hygiene and Tropical Medicine, Faculty of Epidemiology and Population Health, Department of Infectious Disease Epidemiology, Keppel Street, London, UK.
Jennifer RequejoData & Analytics Section, UNICEF, 3 UN Plaza, New York, NY, 10017, USA.
Anne DetjenChild and Community Health Unit, UNICEF, 3 UN Plaza, New York, NY, 10017, USA.
Emma SacksChild and Community Health Unit, UNICEF, 3 UN Plaza, New York, NY, 10017, USA.
World Health Organization · CHUnited Nations Children's Fund · USUniversity of North Carolina at Chapel Hill · USUniversity of the Western Cape · ZAUniversity Research Co (United States) · US

Funding

World Health Organization 001
6 · The paper itself

Abstract

backgroundThere are currently no global recommendations on a parsimonious and robust set of indicators that can be measured routinely or periodically to monitor quality of hospital care for children and young adolescents. We describe a systematic methodology used to prioritize and define a core set of such indicators and their metadata for progress tracking, accountability, learning and improvement, at facility, (sub) national, national, and global levels.

methodsWe used a deductive methodology which involved the use of the World Health Organization Standards for improving the quality-of-care for children and young adolescents in health facilities as the organizing framework for indicator development. The entire process involved 9 complementary steps which included: a rapid literature review of available evidence, the application of a peer-reviewed systematic algorithm for indicator systematization and prioritization, and multiple iterative expert consultations to establish consensus on the proposed indicators and their metadata.

resultsWe derived a robust set of 25 core indicators and their metadata, representing all 8 World Health Organization quality standards, 40 quality statements and 520 quality measures. Most of these indicators are process-related (64%) and 20% are outcome/impact indicators. A large proportion (84%) of indicators were proposed for measurement at both outpatient and inpatient levels. By virtue of being a parsimonious set and given the stringent criteria for prioritizing indicators with "quality measurement" attributes, the recommended set is not evenly distributed across the 8 quality standards.

conclusionsTo support ongoing global and national initiatives around paediatric quality-of-care programming at country level, the recommended indicators can be adopted using a tiered approach that considers indicator measurability in the short-, medium-, and long-terms, within the context of the country's health information system readiness and maturity. However, there is a need for further research to assess the feasibility of implementing these indicators across contexts, and the need for their validation for global common reporting.

Indexed as

Quality Indicators, Health CareStandard of CareAdolescentChildHealth FacilitiesHumansWorld Health OrganizationChild healthConsultationGlobalIndicatorsMeasurementMethodologyQuality-of-careRobustWHO quality-of-care standardsYoung adolescent

Identifiers

PMID35804384
PMCPMC9270792
OpenAlexW4284969670

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.