1980
DOI: 10.1542/peds.65.2.307
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Patient and Provider Factors Associated with Selected Measures of Quality of Care

Abstract: Studies assessing quality of general pediatric care are handicapped by (1) lack of explicit criteria, (2) the broad spectrum of medical needs presented, and (3) the need to distinguish between influence of patient and provider factors. In this study, part of a comprehensive study of utilization of pediatric services at five sites (three neighborhood health centers, an emergency room, and a hospital-based primary care program), we selected three measures sampling different aspects of quality of care, including … Show more

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Cited by 10 publications
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“…[1][2][3] Continuity is associated with improved preventive care 4 and immunizations for children, 5,6 improved compliance with medication prescriptions, 7,8 improved physician recognition of medical problems, [9][10][11] and reduced rates of hospital admissions 12 and emergency department visits. [13][14][15] Patients who have physician continuity are more satisfied with their care, 16,17 are more likely to keep follow-up appointments, 14,18 and communicate better with their physician. 19 Additionally, patients rank continuity as a high priority in their medical care.…”
Section: Introductionmentioning
confidence: 99%
“…[1][2][3] Continuity is associated with improved preventive care 4 and immunizations for children, 5,6 improved compliance with medication prescriptions, 7,8 improved physician recognition of medical problems, [9][10][11] and reduced rates of hospital admissions 12 and emergency department visits. [13][14][15] Patients who have physician continuity are more satisfied with their care, 16,17 are more likely to keep follow-up appointments, 14,18 and communicate better with their physician. 19 Additionally, patients rank continuity as a high priority in their medical care.…”
Section: Introductionmentioning
confidence: 99%
“…The barriers encountered in evaluative health research are administrative, financial, consensual, methodological, and technical. Studies that assess the quality of care can be handicapped by (1) the lack of explicit, measurable, realistic, clinically sound criteria, as well as indicator quality and quantity; (2) the need to distinguish between client and provider factors and quality and cost; (3) the multiplicity of health workers and records; (4) the absence of written evaluation mechanisms; ( 5 ) inadequate provision for timely feedback of results, budget restrictions, and insufficient expertise in evaluation techniques, and (6) inadequate data, collected with instruments of questionable reliability and validity (ANA, 1976;Hegyvary and Haussmann, 1976;Morris, 1977;Highriter, 1977;Daubert, 1979;Flynn and Ray, 1979;Kelman, 1980;Martin, 1980;Spivak and Bonanno, 1980;Lavenhar et al, 1981;and Cradduck, 1986).…”
mentioning
confidence: 99%