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Framing the problem of measuring and improving healthcare quality: has the Quality Health Outcomes Model been useful?
Med Care. 2004 Feb; 42(2 Suppl):II4-11.MC

Abstract

OBJECTIVE

The objective of this study was to determine the uses of the Quality Health Outcomes framework and indicator categories in the healthcare literature.

DATA SOURCES

We studied personal communications and conducted a literature search using computerized databases since 1997, when the recommendations of the Invitational Conference on Measures and Outcomes of Care Delivery were available.

PRINCIPAL FINDINGS

The Quality Health Outcomes Model has been used explicitly to frame a small number of research summaries and programs. The outcome indicator categories can be found in several "report card" initiatives in the United States and Canada. Use of these outcome categories, thought to be sensitive to nursing care inputs, has grown since 1977, with a rising number of uses linked to system or organizational factors or interventions.

CONCLUSIONS

This model and others like it are increasingly forming the conceptual framework for studies that evaluate quality and system interventions to improve care. However, the available data continue to require the linking of negative outcomes (adverse events, complications) to structural and process inputs that reflect nursing care. An urgent need remains to incorporate this broader range of outcomes into available databases.

Authors+Show Affiliations

Mitchell PH
University of Washington School of Nursing, Seattle, Washington 98195-7265, USA. pmitch@u.washington.edu
Lang NM
No affiliation info available

MeSH

CanadaHealth Services ResearchHumansModels, OrganizationalNursing CareNursing Evaluation ResearchOutcome Assessment, Health CareProgram EvaluationQuality Assurance, Health CareQuality Indicators, Health CareUnited StatesUnited States Agency for Healthcare Research and Quality

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

14734937

Citation

Mitchell, Pamela H., and Norma M. Lang. "Framing the Problem of Measuring and Improving Healthcare Quality: Has the Quality Health Outcomes Model Been Useful?" Medical Care, vol. 42, no. 2 Suppl, 2004, pp. II4-11.
Mitchell PH, Lang NM. Framing the problem of measuring and improving healthcare quality: has the Quality Health Outcomes Model been useful? Med Care. 2004;42(2 Suppl):II4-11.
Mitchell, P. H., & Lang, N. M. (2004). Framing the problem of measuring and improving healthcare quality: has the Quality Health Outcomes Model been useful? Medical Care, 42(2 Suppl), II4-11.
Mitchell PH, Lang NM. Framing the Problem of Measuring and Improving Healthcare Quality: Has the Quality Health Outcomes Model Been Useful. Med Care. 2004;42(2 Suppl):II4-11. PubMed PMID: 14734937.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Framing the problem of measuring and improving healthcare quality: has the Quality Health Outcomes Model been useful? AU - Mitchell,Pamela H, AU - Lang,Norma M, PY - 2004/1/22/pubmed PY - 2004/3/6/medline PY - 2004/1/22/entrez SP - II4 EP - 11 JF - Medical care JO - Med Care VL - 42 IS - 2 Suppl N2 - OBJECTIVE: The objective of this study was to determine the uses of the Quality Health Outcomes framework and indicator categories in the healthcare literature. DATA SOURCES: We studied personal communications and conducted a literature search using computerized databases since 1997, when the recommendations of the Invitational Conference on Measures and Outcomes of Care Delivery were available. PRINCIPAL FINDINGS: The Quality Health Outcomes Model has been used explicitly to frame a small number of research summaries and programs. The outcome indicator categories can be found in several "report card" initiatives in the United States and Canada. Use of these outcome categories, thought to be sensitive to nursing care inputs, has grown since 1977, with a rising number of uses linked to system or organizational factors or interventions. CONCLUSIONS: This model and others like it are increasingly forming the conceptual framework for studies that evaluate quality and system interventions to improve care. However, the available data continue to require the linking of negative outcomes (adverse events, complications) to structural and process inputs that reflect nursing care. An urgent need remains to incorporate this broader range of outcomes into available databases. SN - 0025-7079 UR - https://www.unboundmedicine.com/medline/citation/14734937/Framing_the_problem_of_measuring_and_improving_healthcare_quality:_has_the_Quality_Health_Outcomes_Model_been_useful DB - PRIME DP - Unbound Medicine ER -