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. 2023:12:7884.
doi: 10.34172/ijhpm.2023.7884. Epub 2023 Sep 25.

Quality Measurement as a Path to High Quality Care Comment on "Quality and Performance Measurement in Primary Diabetes Care: A Qualitative Study in Urban China"

John C Matulis Iii  1 , Rozalina G McCoy  1   2   3   4
Affiliations

Quality Measurement as a Path to High Quality Care Comment on "Quality and Performance Measurement in Primary Diabetes Care: A Qualitative Study in Urban China"

John C Matulis Iii et al. Int J Health Policy Manag. 2023.

Abstract

A rigorous evaluation of the implementation of a diabetes quality measure implementation program across community healthcare clinics in Shanghai, China, where both quality measurement and primary care delivery are relatively recent but centrally supported, identified important concerns about the meaningfulness, feasibility, and accuracy of quality measures that are relevant to all quality measurement programs. These include the importance of stakeholder involvement in measure development and implementation, the need to select measures that accurately and reliably reflect care quality, the link between incentives for improved performance and data manipulation, the necessity for scientific credibility and practical feasibility of the measure, and the assurance that measure performance can be impacted by those being evaluated. In addition to elaborating on these aspects of quality measurement, we also discuss the need for quality measures that are balanced across established domains of quality, are not burdensome to participants, and are transparent, parsimonious, nimble, and oriented around continuous evaluation and improvement.

Keywords: Diabetes; Healthcare Delivery; Population Health; Primary Care; Quality; Quality Measures.

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Conflict of interest statement

In the last 36 months, Rozalina G. McCoy has received support from the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), National Institute on Aging (NIA) of the NIH, the Patient Centered Outcomes Research Institute (PCORI), and the National Center for Advancing Translational Sciences (NCATS). She also serves as a consultant to Emmi® (Wolters Kluwer) on developing patient education materials related to diabetes.

Comment on

  • Int J Health Policy Manag. 11:3019.

References

    1. Saeedi P, Petersohn I, Salpea P, et al. Global and regional diabetes prevalence estimates for 2019 and projections for 2030 and 2045: results from the International Diabetes Federation Diabetes Atlas, 9(th) edition. Diabetes Res Clin Pract. 2019;157:107843. doi: 10.1016/j.diabres.2019.107843. - DOI - PubMed
    1. Neuhauser D. Ernest Amory Codman MD. Qual Saf Health Care. 2002;11(1):104–105. doi: 10.1136/qhc.11.1.104. - DOI - PMC - PubMed
    1. Donabedian A. Evaluating the quality of medical care. Milbank Mem Fund Q. 1966;44(3):166–206. - PubMed
    1. Donabedian A. The quality of care. How can it be assessed? JAMA. 1988;260(12):1743–1748. doi: 10.1001/jama.260.12.1743. - DOI - PubMed
    1. Institute of Medicine (IOM). Committee on Quality of Health Care in America: Crossing the Quality Chasm: A New Health System for the 21st Century. IOM; 2001.

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