Evidence map›Paper›PMID 37418097›Full record

SynthesisMaternal and child health journal2023

Facility-Based Maternal Quality of Care Frameworks: A Systematic Review and Best Fit Framework Analysis.

Sureka Pavalagantharajah, Atziri Ramirez Negrin, Katrina Bouzanis, Tin-Suet Joan Lee, Peter Miller, Rebecca Jones, Will Sinnott, Elizabeth Alvarez

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Maternal and child health journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

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

  1. Pooled it
  2. Article
  3. 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

8 authors.

Sureka PavalagantharajahDepartment of Pediatrics, McMaster University, Hamilton, ON, Canada.
Atziri Ramirez NegrinDepartment of Gynecology, Hospital Dr. Manuel Gea Gonzalez, Mexico City, Mexico.
Katrina BouzanisDepartment of Global Health, McMaster University, Hamilton, ON, Canada.
Tin-Suet Joan LeeFaculty of Health Sciences, McMaster University, Hamilton, ON, Canada.
Peter MillerFaculty of Science, McMaster University, Hamilton, ON, Canada.
Rebecca JonesDepartment of Obstetrics and Gynecology, McMaster University, Hamilton, ON, Canada.
Will SinnottDepartment of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, ON, Canada.
Elizabeth AlvarezDepartment of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, ON, Canada. alvare@mcmaster.ca.ORCID http://orcid.org/0000-0003-2333-0144

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe World Health Organization has adopted two main strategies to improve the quality of maternal health: increasing the number of deliveries by skilled birth attendants and increasing access to emergency obstetric care. Despite increased access to care, there continue to be high rates of maternal morbidity and mortality in part due to quality of care. This study aims to identify and summarize existing frameworks for measuring quality of maternal care at a facility-level.

methodsPubMed, Health Systems Evidence, Embase, Global Health, OVID Healthstar, OVID Medline, PsycINFO, and Web of Science were searched for frameworks, tools, theories, or components of frameworks relevant to maternal quality of care in facility-level settings. Title/abstract and full-text screening were completed by two independent reviewers and conflicts resolved through consensus or a third reviewer.

resultsAn initial search resulted in 3182 studies. Fifty-four studies were included in the qualitative analysis. A best fit framework analysis was done using the updated Hulton framework as the conceptual framework. A facility-based maternal quality of care framework is proposed including the following components, separated into provision and experience of care: (1) human resources; (2) infrastructure; (3) equipment, supplies and medicine; (4) evidence and information; (5) referral and networks of care; (6) cultural competence; (7) clinical practice; (8) financing; (9) leadership and governance; (10) cognition; and 11) respect, dignity, equity, and emotional support.

Indexed as

Maternal Health ServicesFemaleHumansPregnancyQuality of Health Carematernal healthmaternal morbiditymaternal mortalityobstetric careQuality of care

Identifiers

PMID37418097

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.