John Peabody
Datos Biográficos
| ID | 748342 |
|---|---|
| NOMBRE | John Peabody |
| NOMBRES | John |
| APELLIDO | Peabody |
| FIRMA | PEABODY J |
| AFILIACIONES | University of California, San Francisco |
| ORCID | 0000-0002-0210-9232 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 26 |
| TOTAL DE CITAS | 62 |
| TOTAL COMO AUTOR | 26 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 1983 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2020 |
| ÍNDICE H | 5 |
A nationwide program to improve clinical care quality in the Kyrgyz Republic
BACKGROUND: To assess baseline quality of care in the Kyrgyz Republic in 2019 and determine the effect of online simulated patients in changing doctors' practice in three specific disease areas: non-communicable disease, neonatal/child health, and maternal health. METHODS: Over 2000 family health, pediatric, neonatology, therapy, and obstetric-gynecologic doctors from every rayon (district) hospital and at least one associated family health (Prim…
Methods to improve quality performance at scale in lower- and middle-income countries
Universal Health Coverage is one of the Sustainable Development Goal targets. But coverage without quality health services limits benefits to populations. Performance-based financing programs (PBF) use strategic purchasing of services to expand coverage and promote quality by measuring quality and rewarding good performance. The widespread presence of PBF programs in lower and middle-income countries provide an opportunity to introduce and test n…
Does health insurance coverage or improved quality protect better against out-of-pocket payments? Experimental evidence from the Philippines
Comparative effectiveness of two disparate policies on child health
BACKGROUND: Should health systems invest more in access to care by expanding insurance coverage or in health care services including improving the quality of care? Comparing these options experimentally would shed light on the impact and cost-effectiveness of these strategies. METHODS: The Quality Improvement Demonstration Study (QIDS) was a randomized policy experiment conducted across 30 districts in the Philippines. The study had a control gro…
Misdiagnosis of obstetrical cases and the clinical and cost consequences to patients
BACKGROUND: Misdiagnosis may be a significant and under-recognized quality of care problem. In birthing facilities located in anurban Philippine setting, we investigated the diagnostic accuracy for three obstetric conditions: cephalopelvic disproportion (CPD), post-partum hemorrhage (PPH), and pre-eclampsia. DESIGN: =103). We linked misdiagnosis - identified by the simulated cases - to obstetrical complications of the patients at the participatin…
A psychosocial resilience curriculum provides the "missing piece" to boost adolescent physical health
This study is among the first to assess the impact of a combined psychosocial and adolescent health program on physical health. We found that combining these curricula amplified effects achieved by either curriculum alone. These findings suggest that psychosocial wellbeing should receive much broader attention, not only from those interested in improving psychosocial outcomes but also from those interested in improving physical health outcomes
The impact of performance incentives on child health outcomes
Improving clinical performance using measurement and payment incentives, including pay for performance (or P4P), has, so far, shown modest to no benefit on patient outcomes. Our objective was to assess the impact of a P4P programme on paediatric health outcomes in the Philippines. We used data from the Quality Improvement Demonstration Study. In this study, the P4P intervention, introduced in 2004, was randomly assigned to 10 community district h…
Patient and provider perspectives on quality and health system effectiveness in a transition economy
Improving stove evaluation using survey data
Quality Variation and its Impact on Costs and Satisfaction
BACKGROUND: Improving the quality of inpatient hospital care is increasingly attainable in a variety of settings. However, the relationship between rising quality and costs is unclear; similarly the relationship between varying levels of quality and a patient's satisfaction remains poorly defined. METHODS: We use data from the Quality Improvement Demonstration Study (QIDS) based in 30 district hospitals in the Philippines. There were 974 children…
A novel method for measuring health care system performance
OBJECTIVES: Measuring and monitoring health system performance is important albeit controversial. Technical, logistic and financial challenges are formidable. We introduced a system of measurement, which we call Q, to measure the quality of hospital clinical performance across a range of facilities. This paper describes how Q was developed, implemented in hospitals in the Philippines and how it compares with typical measures. METHODS: Q consists …
Health Care Expenditure Prediction With a Single Item, Self-Rated Health Measure
BACKGROUND: Prediction models that identify populations at risk for high health expenditures can guide the management and allocation of financial resources. OBJECTIVE: To compare the ability for identifying individuals at risk for high health expenditures between the single-item assessment of general self-rated health (GSRH), "In general, would you say your health is Excellent, Very Good, Good, Fair, or Poor?," and 3 more complex measures. STUDY …
Should we have confidence if a physician is accredited? A study of the relative impacts of accreditation and insurance payments on quality of care in the Philippines
A cross-national comparison of the quality of clinical care using vignettes
In studies comparing clinical practice to evidence-based standards, researchers have found that quality of care is inconsistently provided to different segments of the population in both developing and developed countries. To test the hypothesis that quality of care varies widely within different countries, we conducted a prospectively designed evaluation of quality for three common clinical conditions: diarrhoea, tuberculosis and prenatal care. …
Assessing Measurement Properties of Two Single-item General Health Measures
Quality of care and its impact on population health
The burden of disease, economic costs and clinical consequences of tuberculosis in the Philippines
OBJECTIVE: To provide a multidisciplinary and comprehensive analysis on the impact of tuberculosis (TB) in a high incidence country. METHODS: Data from several large scale surveys, carried out between 1997 and 2001 in the Philippines, were used to: (1) perform a burden of disease (BoD) analysis, (2) model the economic costs to society due to lost wages, and (3) determine the clinical outcomes, including the costs of care, for a hypothetical cohor…
Assessing the Accuracy of Administrative Data in Health Information Systems
BACKGROUND: Administrative data play a central role in health care. Inaccuracies in such data are costly to health systems, they obscure health research, and they affect the quality of patient care. OBJECTIVES: We sought to prospectively determine the accuracy of the primary and secondary diagnoses recorded in administrative data sets. RESEARCH DESIGN: Between March and July 2002, standardized patients (SPs) completed unannounced visits at 3 site…
An Evaluation of Universal Health Insurance in the Elderly
By simultaneously analyzing utilization rates, disease patterns, and relative costs of care, policymakers may be able to avert a financing crisis. Stronger pricing strategies and better disease targeting would adjust utilization and increase efficiency of health expenditures
Market reforms and public incentives
Comparison of Vignettes, Standardized Patients, and Chart Abstraction
CONTEXT: Better health care quality is a universal goal, yet measuring quality has proven to be difficult and problematic. A central problem has been isolating physician practices from other effects of the health care system. OBJECTIVE: To validate clinical vignettes as a method for measuring the competence of physicians and the quality of their actual practice. DESIGN: Prospective trial conducted in 1997 comparing 3 methods for measuring the qua…
Are clinical criteria just proxies for socioeconomic status? A study of low birth weight in Jamaica
OBJECTIVE: To determine if the clinical risk factors for low birth weight are independent of socioeconomic risk factors in a population based sample from a developing country. DESIGN: Survey data from patient reported socioeconomic measures and their most recent pregnancy history. SETTING: A national sample of randomly selected households in Jamaica. SUBJECTS: All women aged 14-50 in the household who had a pregnancy lasting seven months in the p…
Health policy-An introduction to process and power
Economic reform and health sector policy
An organizational analysis of the World Health Organization
An organizational analysis of the World Health Organization
Economic reform and health sector policy
A cross-national comparison of the quality of clinical care using vignettes
In studies comparing clinical practice to evidence-based standards, researchers have found that quality of care is inconsistently provided to different segments of the population in both developing and developed countries. To test the hypothesis that quality of care varies widely within different countries, we conducted a prospectively designed evaluation of quality for three common clinical conditions: diarrhoea, tuberculosis and prenatal care. …
The impact of performance incentives on child health outcomes
Improving clinical performance using measurement and payment incentives, including pay for performance (or P4P), has, so far, shown modest to no benefit on patient outcomes. Our objective was to assess the impact of a P4P programme on paediatric health outcomes in the Philippines. We used data from the Quality Improvement Demonstration Study. In this study, the P4P intervention, introduced in 2004, was randomly assigned to 10 community district h…
A psychosocial resilience curriculum provides the "missing piece" to boost adolescent physical health
This study is among the first to assess the impact of a combined psychosocial and adolescent health program on physical health. We found that combining these curricula amplified effects achieved by either curriculum alone. These findings suggest that psychosocial wellbeing should receive much broader attention, not only from those interested in improving psychosocial outcomes but also from those interested in improving physical health outcomes
Patient and provider perspectives on quality and health system effectiveness in a transition economy
Quality of care and its impact on population health
Does health insurance coverage or improved quality protect better against out-of-pocket payments? Experimental evidence from the Philippines
A novel method for measuring health care system performance
OBJECTIVES: Measuring and monitoring health system performance is important albeit controversial. Technical, logistic and financial challenges are formidable. We introduced a system of measurement, which we call Q, to measure the quality of hospital clinical performance across a range of facilities. This paper describes how Q was developed, implemented in hospitals in the Philippines and how it compares with typical measures. METHODS: Q consists …
Market reforms and public incentives
Are clinical criteria just proxies for socioeconomic status? A study of low birth weight in Jamaica
OBJECTIVE: To determine if the clinical risk factors for low birth weight are independent of socioeconomic risk factors in a population based sample from a developing country. DESIGN: Survey data from patient reported socioeconomic measures and their most recent pregnancy history. SETTING: A national sample of randomly selected households in Jamaica. SUBJECTS: All women aged 14-50 in the household who had a pregnancy lasting seven months in the p…
Health policy-An introduction to process and power
The Papers of John Peabody Harrington in the Smithsonian Institution
An organizational analysis of the World Health Organization
Health policy-An introduction to process and power
Economic reform and health sector policy
Are clinical criteria just proxies for socioeconomic status? A study of low birth weight in Jamaica
OBJECTIVE: To determine if the clinical risk factors for low birth weight are independent of socioeconomic risk factors in a population based sample from a developing country. DESIGN: Survey data from patient reported socioeconomic measures and their most recent pregnancy history. SETTING: A national sample of randomly selected households in Jamaica. SUBJECTS: All women aged 14-50 in the household who had a pregnancy lasting seven months in the p…
Comparison of Vignettes, Standardized Patients, and Chart Abstraction
CONTEXT: Better health care quality is a universal goal, yet measuring quality has proven to be difficult and problematic. A central problem has been isolating physician practices from other effects of the health care system. OBJECTIVE: To validate clinical vignettes as a method for measuring the competence of physicians and the quality of their actual practice. DESIGN: Prospective trial conducted in 1997 comparing 3 methods for measuring the qua…
An Evaluation of Universal Health Insurance in the Elderly
By simultaneously analyzing utilization rates, disease patterns, and relative costs of care, policymakers may be able to avert a financing crisis. Stronger pricing strategies and better disease targeting would adjust utilization and increase efficiency of health expenditures
Market reforms and public incentives
Assessing the Accuracy of Administrative Data in Health Information Systems
BACKGROUND: Administrative data play a central role in health care. Inaccuracies in such data are costly to health systems, they obscure health research, and they affect the quality of patient care. OBJECTIVES: We sought to prospectively determine the accuracy of the primary and secondary diagnoses recorded in administrative data sets. RESEARCH DESIGN: Between March and July 2002, standardized patients (SPs) completed unannounced visits at 3 site…
The burden of disease, economic costs and clinical consequences of tuberculosis in the Philippines
OBJECTIVE: To provide a multidisciplinary and comprehensive analysis on the impact of tuberculosis (TB) in a high incidence country. METHODS: Data from several large scale surveys, carried out between 1997 and 2001 in the Philippines, were used to: (1) perform a burden of disease (BoD) analysis, (2) model the economic costs to society due to lost wages, and (3) determine the clinical outcomes, including the costs of care, for a hypothetical cohor…
Assessing Measurement Properties of Two Single-item General Health Measures
Quality of care and its impact on population health
A cross-national comparison of the quality of clinical care using vignettes
In studies comparing clinical practice to evidence-based standards, researchers have found that quality of care is inconsistently provided to different segments of the population in both developing and developed countries. To test the hypothesis that quality of care varies widely within different countries, we conducted a prospectively designed evaluation of quality for three common clinical conditions: diarrhoea, tuberculosis and prenatal care. …
Should we have confidence if a physician is accredited? A study of the relative impacts of accreditation and insurance payments on quality of care in the Philippines
A novel method for measuring health care system performance
OBJECTIVES: Measuring and monitoring health system performance is important albeit controversial. Technical, logistic and financial challenges are formidable. We introduced a system of measurement, which we call Q, to measure the quality of hospital clinical performance across a range of facilities. This paper describes how Q was developed, implemented in hospitals in the Philippines and how it compares with typical measures. METHODS: Q consists …
Health Care Expenditure Prediction With a Single Item, Self-Rated Health Measure
BACKGROUND: Prediction models that identify populations at risk for high health expenditures can guide the management and allocation of financial resources. OBJECTIVE: To compare the ability for identifying individuals at risk for high health expenditures between the single-item assessment of general self-rated health (GSRH), "In general, would you say your health is Excellent, Very Good, Good, Fair, or Poor?," and 3 more complex measures. STUDY …
Quality Variation and its Impact on Costs and Satisfaction
BACKGROUND: Improving the quality of inpatient hospital care is increasingly attainable in a variety of settings. However, the relationship between rising quality and costs is unclear; similarly the relationship between varying levels of quality and a patient's satisfaction remains poorly defined. METHODS: We use data from the Quality Improvement Demonstration Study (QIDS) based in 30 district hospitals in the Philippines. There were 974 children…
Improving stove evaluation using survey data
The impact of performance incentives on child health outcomes
Improving clinical performance using measurement and payment incentives, including pay for performance (or P4P), has, so far, shown modest to no benefit on patient outcomes. Our objective was to assess the impact of a P4P programme on paediatric health outcomes in the Philippines. We used data from the Quality Improvement Demonstration Study. In this study, the P4P intervention, introduced in 2004, was randomly assigned to 10 community district h…
Patient and provider perspectives on quality and health system effectiveness in a transition economy
Misdiagnosis of obstetrical cases and the clinical and cost consequences to patients
BACKGROUND: Misdiagnosis may be a significant and under-recognized quality of care problem. In birthing facilities located in anurban Philippine setting, we investigated the diagnostic accuracy for three obstetric conditions: cephalopelvic disproportion (CPD), post-partum hemorrhage (PPH), and pre-eclampsia. DESIGN: =103). We linked misdiagnosis - identified by the simulated cases - to obstetrical complications of the patients at the participatin…
A psychosocial resilience curriculum provides the "missing piece" to boost adolescent physical health
This study is among the first to assess the impact of a combined psychosocial and adolescent health program on physical health. We found that combining these curricula amplified effects achieved by either curriculum alone. These findings suggest that psychosocial wellbeing should receive much broader attention, not only from those interested in improving psychosocial outcomes but also from those interested in improving physical health outcomes
Comparative effectiveness of two disparate policies on child health
BACKGROUND: Should health systems invest more in access to care by expanding insurance coverage or in health care services including improving the quality of care? Comparing these options experimentally would shed light on the impact and cost-effectiveness of these strategies. METHODS: The Quality Improvement Demonstration Study (QIDS) was a randomized policy experiment conducted across 30 districts in the Philippines. The study had a control gro…
Methods to improve quality performance at scale in lower- and middle-income countries
Universal Health Coverage is one of the Sustainable Development Goal targets. But coverage without quality health services limits benefits to populations. Performance-based financing programs (PBF) use strategic purchasing of services to expand coverage and promote quality by measuring quality and rewarding good performance. The widespread presence of PBF programs in lower and middle-income countries provide an opportunity to introduce and test n…
Does health insurance coverage or improved quality protect better against out-of-pocket payments? Experimental evidence from the Philippines
Medicine (22 obras) · Health care (16 obras) · Environmental health (14 obras) · Business (13 obras) · Economics (13 obras) · Economic growth (12 obras) · Healthcare Policy and Management (12 obras) · Family medicine (8 obras) · Primary Care and Health Outcomes (8 obras) · Global Health Care Issues (6 obras)