scholarly journals Is organizational justice associated with clinical performance in the care for patients with diabetes in primary care? Evidence from the improving Quality of care in Diabetes study

2012 ◽  
Vol 30 (1) ◽  
pp. 31-39 ◽  
Author(s):  
M. Elovainio ◽  
N. Steen ◽  
J. Presseau ◽  
J. Francis ◽  
S. Hrisos ◽  
...  
Keyword(s):  
Primary Care ◽  
Quality Of Care ◽  
Organizational Justice ◽  
Clinical Performance ◽  
Patients With Diabetes

scholarly journals Quality of care for patients with Diabetes Mellitus in the More Doctors Program, in a municipality in the metropolitan region of Recife (PE), Brazil

2020 ◽  
Vol 44 (125) ◽  
pp. 384-399
Author(s):  
Maria da Penha Rodrigues dos Santos ◽  
Maria do Socorro Veloso de Albuquerque ◽  
Tereza Maciel Lyra ◽  
Antonio da Cruz Gouveia Mendes ◽  
Fabiana Letícia da Silva ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Primary Care ◽  
Quality Of Care ◽  
Assessment Tool ◽  
Metropolitan Region ◽  
Care Assessment ◽  
Patients With Diabetes ◽  
Primary Care Assessment Tool

RESUMO Avaliou-se a qualidade da atenção aos pacientes com diabetes nas equipes do Programa Mais Médicos. Tratou-se de um estudo quantitativo, transversal, realizado em Goiana, Pernambuco, entre novembro de 2016 e agosto de 2017. Utilizaram-se entrevistas estruturadas a partir do Primary Care Assessment Tool. Foram entrevistados 41 profissionais de Equipes de Saúde da Família ligadas ao Programa Mais Médicos e 437 usuários com Diabetes Mellitus acompanhados por essas equipes. Os achados demonstram que a presença regular dos médicos pode ter ocasionado bons resultados quanto à longitudinalidade (usuários: 7,1; profissionais: 8,2) e à utilização dos serviços (usuários: 8,5). A qualidade do componente sistema de informações (usuários: 7,6; profissionais: 9,2) indica preenchimento e disponibilidade de informações sobre pacientes. Deficiência estrutural do município pode ter contribuído para o baixo desempenho da acessibilidade (usuários: 3,6; profissionais: 3,9). Resultados insatisfatórios para orientação familiar (4,6) e comunitária (2,88), segundo usuários, reforçam a necessidade de fortalecimento desses atributos, peculiares à Estratégia Saúde da Família. Ademais, por tratar-se de um programa, existe a possibilidade de sua descontinuidade, sobretudo no cenário da Emenda Constitucional nº 95, de 2016, podendo comprometer o acesso e a continuidade dos cuidados, especialmente aos usuários com doenças crônicas que utilizam frequentemente o sistema de saúde.

scholarly journals Online physician ratings fail to predict actual performance on measures of quality, value, and peer review

2017 ◽  
Vol 25 (4) ◽  
pp. 401-407 ◽  
Author(s):  
Timothy J Daskivich ◽  
Justin Houman ◽  
Garth Fuller ◽  
Jeanne T Black ◽  
Hyung L Kim ◽  
...  
Keyword(s):  
Primary Care ◽  
Quality Of Care ◽  
Peer Review ◽  
Clinical Performance ◽  
Care Physician ◽  
Specific Performance ◽  
Consumer Ratings ◽  
Online Ratings ◽  
Online Consumer

Abstract Objective Patients use online consumer ratings to identify high-performing physicians, but it is unclear if ratings are valid measures of clinical performance. We sought to determine whether online ratings of specialist physicians from 5 platforms predict quality of care, value of care, and peer-assessed physician performance. Materials and Methods We conducted an observational study of 78 physicians representing 8 medical and surgical specialties. We assessed the association of consumer ratings with specialty-specific performance scores (metrics including adherence to Choosing Wisely measures, 30-day readmissions, length of stay, and adjusted cost of care), primary care physician peer-review scores, and administrator peer-review scores. Results Across ratings platforms, multivariable models showed no significant association between mean consumer ratings and specialty-specific performance scores (β-coefficient range, −0.04, 0.04), primary care physician scores (β-coefficient range, −0.01, 0.3), and administrator scores (β-coefficient range, −0.2, 0.1). There was no association between ratings and score subdomains addressing quality or value-based care. Among physicians in the lowest quartile of specialty-specific performance scores, only 5%–32% had consumer ratings in the lowest quartile across platforms. Ratings were consistent across platforms; a physician’s score on one platform significantly predicted his/her score on another in 5 of 10 comparisons. Discussion Online ratings of specialist physicians do not predict objective measures of quality of care or peer assessment of clinical performance. Scores are consistent across platforms, suggesting that they jointly measure a latent construct that is unrelated to performance. Conclusion Online consumer ratings should not be used in isolation to select physicians, given their poor association with clinical performance.

Improvements in quality of care of patients with diabetes in primary care in Tunisia

2007 ◽  
Vol 24 (3) ◽  
pp. 152-157 ◽  
Author(s):  
Hugh Alberti ◽  
Nessiba Boudriga ◽  
Mounira Nabli
Keyword(s):  
Primary Care ◽  
Quality Of Care ◽  
Patients With Diabetes

scholarly journals Assessing methods for measurement of clinical outcomes and quality of care in primary care practices

2012 ◽  
Vol 12 (1) ◽  
Author(s):  
Michael E Green ◽  
William Hogg ◽  
Colleen Savage ◽  
Sharon Johnston ◽  
Grant Russell ◽  
...  
Keyword(s):  
Primary Care ◽  
Quality Of Care ◽  
Clinical Outcomes ◽  
Care Practices ◽  
Primary Care Practices
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