Appendix C. Tables (continued)

Evaluation of AHRQ's Children's Health Activities

 

Table 13. Number and Percent of Publications by Children's Health Strategic Plan Goals

Children's Health Strategic Plan GoalsNumber of PublicationsPercent of Publications
1. Contribute to new knowledge about child health services47364%
2. Create tools and nourish talent to strengthen the knowledge base in child health services13618%
3. Translate new knowledge into practice649%
4. Improve communication with stakeholders in child health------
5. Include children and child health care in all AHRQ-supported research------
6. Balance the AHRQ research portfolio to represent a broader range of children and child health care689%
Total741100%

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Table 14. AHRQ Portfolios of Research

#Portfolio of ResearchDescription
1.Care Management MissionTo promote the receipt of effective, evidence-based, and patient-centered care for acute and chronic conditions through research, information dissemination, tool development, and promotion of policies.
2.Cost, Organization, and Socio-Economics MissionTo improve quality, efficiency, and effectiveness of health care by providing public and private decisionmakers with the information, tools, and assistance they need to improve the way they organize, finance, pay for, and regulate health care.
3.Data Development MissionTo develop and maintain data and tools to measure health care quality, efficiency, and effectiveness and to facilitate data use and translation into usable information by external and internal stakeholders to inform decision-making and quality improvement processes.
4.Health Information Technology MissionTo increase the development, diffusion, and adoption of health IT to improve the quality, safety, efficiency, and effectiveness of health care for all Americans.
5.Long-term Care (LTC) MissionTo improve outcomes, quality, and evidence-based info focused on care provided in all LTC settings, transitions across settings, special service accommodation for the LTC population (e.g., assistance with mobility, basic activities of daily living, homemaker services and other role activities across all ages): a primary focus is on improving and maintaining functioning, community participation, and health-related quality of life.
6.Patient Safety MissionTo decrease errors, risks, and/or hazards in health care and their harmful impact on patients.
7.Pharmaceutical Outcomes MissionTo improve health outcomes through the safe and effective use of pharmaceuticals.
8.Prevention MissionTo increase the adoption and the delivery (and use) of evidence-based clinical preventive services in the United States.
9.System Capacity and Emergency Preparedness MissionTo empower communities and health care systems to support all people by enhancing system capacity and preparing for urgent and emergent demands and needs.
10.Training MissionTo continue to foster the growth, dissemination, and translation of the field and science of health services research to achieve AHRQ's mission and address Department priorities in the transfer of health care research.

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Table 15. Number and Percent of External Child Health Activities by AHRQ Portfolios of Research, Overall and Over Time

AHRQ Portfolios of ResearchNumber of External ActivitiesPercent of External ActivitiesCategories by Years
1990-1995
(n=86)
1996-1998
(n=54)
1999-2002
(n=236)
2003-2005
(n=118)
1. Care Management Mission19137%50%33%39%26%
2. Cost, Organization, and Socio-Economics Mission13426%38%46%24%13%
3. Data Development Mission2<1%----1%--
4. Health Information Technology Mission5110%----5%33%
5. Long-term Care (LTC) Mission------------
6. Patient Safety Mission5511%--4%13%16%
7. Pharmaceutical Outcomes Mission112%--2%3%2%
8. Prevention Mission316%5%9%7%3%
9. System Capacity and Emergency Preparedness Mission41%----<1%3%
10. Training Mission357%7%6%8%5%
Total514100%100%100%100%100%

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Table 16. Total and Percent of Funding for External Child Health Activities by AHRQ Portfolios of Research

AHRQ Portfolios of ResearchTotal FundingPercent of Total Funding
1. Care Management Mission$81,605,00023%
2. Cost, Organization, and Socio-Economics Mission$76,596,00022%
3. Data Development Mission$766,000<1%
4. Health Information Technology Mission$48,303,00014%
5. Long-term Care (LTC) Mission------
6. Patient Safety Mission$64,679,00018%
7. Pharmaceutical Outcomes Mission$21,546,0006%
8. Prevention Mission$25,267,0007%
9. System Capacity and Emergency Preparedness Mission$1,423,000<1%
10. Training Mission$32,455,0009%
Total$352,639,000100%

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Table 17. Number and Percent of Publications by AHRQ Portfolios of Research

AHRQ Portfolios of ResearchNumber of PublicationsPercent of Publications
1. Care Management Mission30441%
2. Cost, Organization, and Socio-Economics Mission23031%
3. Data Development Mission------
4. Health Information Technology Mission253%
5. Long-term Care (LTC) Mission------
6. Patient Safety Mission669%
7. Pharmaceutical Outcomes Mission314%
8. Prevention Mission649%
9. System Capacity and Emergency Preparedness Mission------
10. Training Mission213%
Total741100%

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Table 18. Child Health Publications by Stryer Category

Stryer CategoryNumber of PublicationsPercent of Publications
1. Research findings47070%
2. Policy impact9514%
3. Clinical impact9915%
4. Outcomes impact81%
Total672100%

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Table 19. Mean (standard deviation) Stryer Score, Citations, and Impact Factors for Children's Health Research Publications, Overall and by Categorization (Excludes Internal Publications)

AHRQ Strategic GoalsMean (Standard Deviation)
Stryer ScoreCitationsImpact Factor
1. Improve health outcomes1.51 (.80)7.38 (11.14)3.92 (4.51)
2. Improve access, appropriate use and efficiency and reduce costs1.46 (.83)4.236 (6.41)3.06 (2.63)
3. Use data to make informed decisions2.04c (1.07)9.93 (11.78)3.92 (4.75)
4. Strengthen quality measurement and improvementNANANA
5. Promote safety1.26 (.58)11.372 (32.31)3.47 (3.56)
Children's Health Plan Strategic Goals   
1. Contribute to new knowledge about child health services1.51 (.89)7.34 (10.81)3.60 (4.03)
2. Create tools and nourish talent to strengthen the knowledge base in child health services1.55 (.74)7.00 (10.06)3.63 (3.95)
3. Translate new knowledge into practice2.21c (.97)1.36 (1.86)2.97 (1.71)
4. Improve communication with stakeholders in child healthNANANA
5. Include children and child health care in all AHRQ-supported research.1.27 (.65)9.14 (5.27)3.73 (3.42)
6. Balance the AHRQ research portfolio to represent a broader range of children and child health care1.27 (.69)11.72 (37.7)5.31 (6.23)
AHRQ Portfolios of Research   
1. Care Management Mission1.404,8 (.81)6.53 (9.13)3.54 (4.07)
2. Cost, Organization, and Socio-Economics Mission1.554 (.73)6.95 (10.07)3.61 (3.93)
3. Data Development MissionNANANA
4. Health Information Technology Mission2.211,2,6,10 (.97)1.36 (1.86)2.97 (1.71)
5. Long-term Care (LTC) MissionNANANA
6. Patient Safety Mission1.184,8 (.58)11.86 (40.25)4.99 (5.86)
7. Pharmaceutical Outcomes Mission1.75 (1.00)13.63 (19.88)4.96 (5.27)
8. Prevention Mission2.041,6,10 (1.07)9.93 (11.78)3.92 (4.75)
9. System Capacity and Emergency Preparedness MissionNANANA
10. Training Mission1.278,4 (.59)5.64 (6.09)3.72 (1.43)
Overall1.47 (.78)7.44 (14.53)3.79 (4.52)

c. = different from all other categories at p < 0.05.
1, 2, 3, etc. = different from specific category represented in superscript at p < 0.05

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Table 20. Average Impact Score of Child Health Publications by Stryer Category

Stryer CategoryAverage Impact Score
1. Research findings3.16
2. Policy impact3.65
3. Clinical impact4.56
4. Outcomes impact7.84

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Current as of October 2006
Internet Citation: Appendix C. Tables (continued): Evaluation of AHRQ's Children's Health Activities. October 2006. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/research/findings/final-reports/childhealth/childhealthapc2.html