Building a Better Quality Measure
Are Some Patients With ???Poor Quality??? Actually Getting Good Care
Bibliographic Data
| ID | 9101104 |
|---|---|
| Authors | Eve A Kerr (0000-0002-8492-7086, VA Ann Arbor Healthcare System, corresponding author), Dylan M Smith (0000-0003-3303-4840), Dylan Smith (0000-0003-2628-8375, VA Ann Arbor Healthcare System, corresponding author), Mary M Hogan (VA Ann Arbor Healthcare System, corresponding author), Timothy P Hofer (0000-0003-0434-8787, VA Ann Arbor Healthcare System, corresponding author), Sarah L Krein (0000-0003-2111-8131, VA Ann Arbor Healthcare System, corresponding author), Martin Bermann, Rodney A Hayward (VA Ann Arbor Healthcare System, corresponding author) |
| Year | 2003 |
| Volume | 41 |
| Issue | 10 |
| Pages | 1173-1182 |
| Publication date | 2003-10-01 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | Medical Care (JOURNAL) |
| Journal identifiers | ISSN: 0025-7079 • E-ISSN: 1537-1948 |
| Publisher | Ovid Technologies (Wolters Kluwer Health) (PUBLISHER) |
| DOI | 10.1097/01.mlr.0000088453.57269.29 |
| PMID | 14515113 |
| OpenAlex | W1986900160 |
| Language | EN |
| Citations received | 14 |
| References cited | 15 |
BACKGROUND: National performance measures monitor the proportion of diabetic patients with low-density lipoprotein (LDL) levels >/=130 mg/dL, but such simple intermediate outcomes measure poor control, not necessarily poor care. "Tightly linked" quality measures define good quality either by a good intermediate outcome (LDL /=130 mg/dL using the simple intermediate outcome measure, only 13% (148 of 1154) were classified as having substandard quality using the tightly linked measure. Among the 159 reclassified to adequate quality, 117 had lipid-lowering medication started or increased within 6 months of an LDL >/=130 mg/dL, 8 were already on high-dose medication, 12 had a repeat LDL <130 mg/dL, and 22 had contraindications to treatment. CONCLUSION: Simple intermediate outcome measures can be an inaccurate reflection of true quality of care, and many patients classified as having substandard quality by "poor control" might actually be receiving good quality of care
Diabetes mellitus · Hyperlipidemia · Quality (philosophy) · Retrospective cohort study · Diabetes, Cardiovascular Risks, and Lipoproteins · Emergency Medicine · Endocrinology · Internal Medicine · Medication Adherence and Compliance · Medicine · Primary Care and Health Outcomes
A retrospective cohort study of a community-based primary care program’s effects on pharmacotherapy quality in low-income Peruvians with type 2 diabetes and hypertension
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| Unique citing works | 14 |
|---|---|
| Citations per year | 0,64 |
| Citation span | 2004 - 2024 (21) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 10 |