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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Development of paediatric quality of inpatient care indicators for low-income countries - A Delphi study
BMC Pediatrics, Volume 10, Article 90, Year 2010
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Description
Background: Indicators of quality of care for children in hospitals in low-income countries have been proposed, but information on their perceived validity and acceptability is lacking.Methods: Potential indicators representing structural and process aspects of care for six common conditions were selected from existing, largely qualitative WHO assessment tools and guidelines. We employed the Delphi technique, which combines expert opinion and existing scientific information, to assess their perceived validity and acceptability. Panels of experts, one representing an international panel and one a national (Kenyan) panel, were asked to rate the indicators over 3 rounds and 2 rounds respectively according to a variety of attributes.Results: Based on a pre-specified consensus criteria most of the indicators presented to the experts were accepted: 112/137(82%) and 94/133(71%) for the international and local panels respectively. For the other indicators there was no consensus; none were rejected. Most indicators were rated highly on link to outcomes, reliability, relevance, actionability and priority but rated more poorly on feasibility of data collection under routine conditions. There was moderate to substantial agreement between the two panels of experts.Conclusions: This Delphi study provided evidence for the perceived usefulness of most of a set of measures of quality of hospital care for children proposed for use in low-income countries. However, both international and local experts expressed concerns that data for many process-based indicators may not currently be available. The feasibility of widespread quality assessment and responsiveness of indicators to intervention should be examined as part of continued efforts to improve approaches to informative hospital quality assessment. © 2010 Ntoburi et al; licensee BioMed Central Ltd.
Available Materials
https://efashare.b-cdn.net/share/pmc/articles/PMC3022793/bin/1471-2431-10-90-S1.DOC
https://efashare.b-cdn.net/share/pmc/articles/PMC3022793/bin/1471-2431-10-90-S2.XLS
https://efashare.b-cdn.net/share/pmc/articles/PMC3022793/bin/1471-2431-10-90-S3.XLS
https://efashare.b-cdn.net/share/pmc/articles/PMC3022793/bin/1471-2431-10-90-S4.DOC
Authors & Co-Authors
Ntoburi, Stephen
Unknown Affiliation
Hutchings, Andrew
Unknown Affiliation
Sanderson, Colin F.B.
Unknown Affiliation
Carpenter, James
Unknown Affiliation
Weber, Martin Willi
Unknown Affiliation
English, Michael C.
Unknown Affiliation
Statistics
Citations: 39
Authors: 6
Affiliations: 5
Identifiers
Doi:
10.1186/1471-2431-10-90
e-ISSN:
14712431
Research Areas
Health System And Policy
Maternal And Child Health
Study Design
Randomised Control Trial
Grounded Theory
Study Approach
Qualitative
Systematic review