National Healthcare Quality and Disparities Report
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Topics
- Cardiovascular Conditions (2)
- Children/Adolescents (1)
- Chronic Conditions (1)
- Clinician-Patient Communication (2)
- Communication (1)
- Decision Making (1)
- Electronic Health Records (EHRs) (1)
- Evidence-Based Practice (3)
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- Implementation (1)
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- (-) Patient and Family Engagement (10)
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- Primary Care: Models of Care (1)
- (-) Quality Improvement (10)
- Quality of Care (5)
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AHRQ Research Studies
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Research Studies is a compilation of published research articles funded by AHRQ or authored by AHRQ researchers.
Results
1 to 10 of 10 Research Studies DisplayedThorp K, Van CM, Olin SS
Integrating youth voice in health plan quality improvement.
This article describes lessons learned from working with health plans to incorporate youth voice in quality improvement (QI) approaches to improve adolescent depression care. Findings showed that plan approaches to youth engagement varied and evolved over time as plans learned how to employ deliberate approaches to engage youth perspectives. Further, plans learned that building genuine relationships with youth and family takes an investment of time and trust that can provide rich and useful information for QI.
AHRQ-funded; HS025296.
Citation: Thorp K, Van CM, Olin SS .
Integrating youth voice in health plan quality improvement.
Acad Pediatr 2022 Apr;22(3s):S68-s69. doi: 10.1016/j.acap.2021.03.006..
Keywords: Children/Adolescents, Patient and Family Engagement, Quality Improvement, Quality of Care
Dickinson WP, Nease DE, Rhyne RL
Practice transformation support and patient engagement to improve cardiovascular care: from EvidenceNOW Southwest (ENSW).
The purpose of this study was to improve cardiovascular care through supporting primary care practices' adoption of evidence-based guidelines; a cluster randomized trial compared standard practice support--practice facilitation, practice assessment with feedback, health information technology assistance, and collaborative learning sessions--and standard support plus patient engagement support. Findings showed that practice transformation support can assist practices with improving quality of care. Patient engagement in practice transformation can further enhance practices' implementation of aspects of new models of care.
AHRQ-funded; HS023904.
Citation: Dickinson WP, Nease DE, Rhyne RL .
Practice transformation support and patient engagement to improve cardiovascular care: from EvidenceNOW Southwest (ENSW).
J Am Board Fam Med 2020 Sep-Oct;33(5):675-86. doi: 10.3122/jabfm.2020.05.190395..
Keywords: Cardiovascular Conditions, Primary Care: Models of Care, Primary Care, Patient and Family Engagement, Evidence-Based Practice, Implementation, Quality Improvement, Quality of Care
Fisher KA, Gallagher TH, Smith KM
Communicating with patients about breakdowns in care: a national randomised vignette-based survey.
This study examined the impact of an apology when problems occur in patient care breakdowns occur at hospitals. Breakdowns included slow response to call bell, rude aide, and unanswered questions. A national online survey of 1188 adults aged 35 years or older were sampled from an online panel representative of the entire US population, created and maintained by GfK. Twice as many participants receiving an in-depth prompt about care breakdowns would recommend the hospital compared with those receiving no prompt (18.4% vs 8.8%). Almost three times as many participants who received a full apology would probably/definitely recommend the hospital compared with those receiving no apology (34.1% vs 13.6%). The survey also asked whether the respondent would speak up, with feeling upset being a strong determinant of greater intent to speak up.
AHRQ-funded; HS024596; HS022757.
Citation: Fisher KA, Gallagher TH, Smith KM .
Communicating with patients about breakdowns in care: a national randomised vignette-based survey.
BMJ Qual Saf 2020 Apr;29(4):313-19. doi: 10.1136/bmjqs-2019-009712..
Keywords: Clinician-Patient Communication, Communication, Patient Experience, Patient and Family Engagement, Quality Improvement, Quality of Care, Hospitals
Hall TL, Knierim KE, Nease DE
Primary care practices' implementation of patient-team partnership: findings from EvidenceNOW Southwest.
The authors reported on practice characteristics associated with greater patient-team partnership scores. Using EvidenceNOW Southwest data, they found that practices can improve efforts to partner with patients to assess social needs, gather meaningful input on practice improvement and patient experience, and offer resource connections. These findings supplement recent evidence that patient registries and evidence-based guidelines may effectively prevent and manage cardiovascular disease.
AHRQ-funded; HS023904.
Citation: Hall TL, Knierim KE, Nease DE .
Primary care practices' implementation of patient-team partnership: findings from EvidenceNOW Southwest.
J Am Board Fam Med 2019 Jul-Aug;32(4):490-504. doi: 10.3122/jabfm.2019.04.180361..
Keywords: Cardiovascular Conditions, Clinician-Patient Communication, Evidence-Based Practice, Patient-Centered Healthcare, Patient-Centered Outcomes Research, Patient and Family Engagement, Primary Care, Quality of Care, Quality Improvement
Maurer M, Carman KL, Yang M
Increasing the use of comparative quality information in maternity care: results from a randomized controlled trial.
The authors tested an intervention to increase uptake of hospital-level maternity care quality reports among 245 pregnant women in North Carolina. They found that intervention participants were significantly more likely to report adopting behaviors to inform care, such as thinking through preferences, talking with their doctor, or creating a birth plan. They concluded that reports designed to put quality information into the larger context of what consumers want and need to know, along with targeted and timely communications, can increase consumer use of quality information and prompt them to talk with providers about care preferences and evidence-based practices.
AHRQ-funded; HS021873.
Citation: Maurer M, Carman KL, Yang M .
Increasing the use of comparative quality information in maternity care: results from a randomized controlled trial.
Med Care Res Rev 2019 Apr;76(2):208-28. doi: 10.1177/1077558717712290.
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Keywords: Maternal Care, Patient and Family Engagement, Quality Improvement, Women, Pregnancy
Sequist TD, Holliday AM, Orav EJ
Physician and patient tools to improve chronic kidney disease care.
This study sought to determine if electronic health record (EHR) tools and patient engagement can improve the quality of chronic kidney disease (CKD) care. It found that, among high-risk patients, those in the intervention arm were significantly more likely to have an office visit with a nephrologist compared with those in the control arm.
AHRQ-funded; HS018226.
Citation: Sequist TD, Holliday AM, Orav EJ .
Physician and patient tools to improve chronic kidney disease care.
Am J Manag Care 2018 Apr;24(4):e107-e14.
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Keywords: Chronic Conditions, Electronic Health Records (EHRs), Kidney Disease and Health, Patient and Family Engagement, Quality Improvement
Armstrong MJ, Rueda JD, Gronseth GS
Framework for enhancing clinical practice guidelines through continuous patient engagement.
The authors propose a ten-step framework outlining steps and options for patient engagement in guideline development with the goal of highlighting steps for patient engagement and methods by which this can be achieved. This framework can serve as a resource for guideline developers desiring to increase patient engagement and reference for researchers investigating engagement methodology at different steps of the clinical practice guideline lifecycle.
AHRQ-funded; HS024159.
Citation: Armstrong MJ, Rueda JD, Gronseth GS .
Framework for enhancing clinical practice guidelines through continuous patient engagement.
Health Expect 2017 Feb;20(1):3-10. doi: 10.1111/hex.12467.
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Keywords: Evidence-Based Practice, Guidelines, Patient and Family Engagement, Patient-Centered Outcomes Research, Quality Improvement
Balbale SN, Locatelli SM, LaVela SL
Through their eyes: lessons learned using participatory methods in health care quality improvement projects.
The authors examined participatory methods to demonstrate how these methods can be adopted for quality improvement (QI) projects in health care. They concluded that using participatory methods is a valuable strategy to harness participant engagement and drive improvements that address individual needs.
AHRQ-funded; HS000084.
Citation: Balbale SN, Locatelli SM, LaVela SL .
Through their eyes: lessons learned using participatory methods in health care quality improvement projects.
Qual Health Res 2016 Aug;26(10):1382-92. doi: 10.1177/1049732315618386.
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Keywords: Healthcare Delivery, Quality of Care, Patient and Family Engagement, Quality Improvement
Mazor KM, Smith KM, Fisher KA
Speak up! Addressing the paradox plaguing patient-centered care.
The authors discuss the patient-centered care paradox in which patients' perceptions of care rarely translate into improvements. Instead of placing the burden on patieents to voice their concerns, the authors recommended that health care systems and providers create an environment in which patients and family members feel safe raising concerns. The authors also addressed the issue that health care institutions cannot respond in real time even when patients do express a concern. They concluded by offering suggestions on how to improve this paradox.
AHRQ-funded; HS022757.
Citation: Mazor KM, Smith KM, Fisher KA .
Speak up! Addressing the paradox plaguing patient-centered care.
Ann Intern Med 2016 May 3;164(9):618-9. doi: 10.7326/m15-2416.
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Keywords: Healthcare Delivery, Patient and Family Engagement, Patient-Centered Healthcare, Quality Improvement
Lavallee DC, Chenok KE, Love RM
Incorporating patient-reported outcomes into health care to engage patients and enhance care.
The authors examine the opportunities for using patient-reported outcomes to enhance care delivery and outcomes as health care information needs and technology platforms change. They highlight emerging practices in which patient-reported outcomes provide value to patients and clinicians and improve care delivery. Finally, they examine present and future challenges to maximizing the use of patient-reported outcomes in the clinic.
AHRQ-funded; HS022789.
Citation: Lavallee DC, Chenok KE, Love RM .
Incorporating patient-reported outcomes into health care to engage patients and enhance care.
Health Aff 2016 Apr;35(4):575-82. doi: 10.1377/hlthaff.2015.1362.
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Keywords: Healthcare Delivery, Decision Making, Patient-Centered Outcomes Research, Patient and Family Engagement, Quality Improvement