The Paediatric Admission Quality of Care (PAQC) score: designing a tool to measure the quality of early inpatient paediatric care in a low-income setting.

ABSTRACT:

Background

Evaluating clinician compliance with recommended steps in clinical guidelines provides one measure of quality of process of care but can result in a multiplicity of indicators across illnesses, making it problematic to produce any summative picture of process quality, information that may be most useful to policy-makers and managers.

Objective

We set out to develop a clinically logical summative measure of the quality of care provided to children admitted to hospital in Kenya spanning the three diagnoses present in 60% or more of admissions that would provide a patient-level measure of quality of care in the face of comorbidity.

Methods

We developed a conceptual model of care based on three domains: assessment, diagnosis and treatment of illnesses. Individu

SUBMITTER: Opondo C 

PROVIDER: S-EPMC5053245 | biostudies-literature | 2016 Oct

REPOSITORIES: biostudies-literature