National Healthcare Quality and Disparities Report
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Search All Research Studies
AHRQ Research Studies Date
Topics
- Access to Care (1)
- Cancer (1)
- Children's Health Insurance Program (CHIP) (3)
- (-) Children/Adolescents (11)
- Critical Care (1)
- Healthcare Delivery (1)
- (-) Health Services Research (HSR) (11)
- Long-Term Care (1)
- Low-Income (1)
- Medical Expenditure Panel Survey (MEPS) (1)
- Patient and Family Engagement (1)
- Patient Experience (2)
- Policy (1)
- Primary Care (2)
- Quality Measures (4)
- Quality of Care (3)
- Telehealth (2)
- Urban Health (1)
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 11 of 11 Research Studies DisplayedRay KN, Mehrotra A
Trends in access to primary care for children in the United States, 2002-2013.
Using MEPS data, the authors described how access to primary care has changed over the last decade for children. They found no change in the proportion of children with a usual source of care (USC). Other measures improved, but out-of-pocket costs increased among privately insured children. Results suggested that after-hours accommodation within the USC is worsening, despite the promotion of patient-centered medical home initiatives. All measures of acceptability improved, consistent with a growing focus on family-centeredness of care.
AHRQ-funded; HS022989.
Citation: Ray KN, Mehrotra A .
Trends in access to primary care for children in the United States, 2002-2013.
JAMA Pediatr 2016 Oct;170(10):1023-25. doi: 10.1001/jamapediatrics.2016.0985.
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Keywords: Access to Care, Children/Adolescents, Health Services Research (HSR), Medical Expenditure Panel Survey (MEPS), Primary Care
Brand SR, Pickard L, Mack JW
What adult cancer care can learn from pediatrics.
However, pediatric cancer centers follow three core principles that enhance their patients’ overall care experience. This article discusses those principles, with the aim of helping adult cancer centers learn from what pediatric centers do well.
AHRQ-funded; HS000063.
Citation: Brand SR, Pickard L, Mack JW .
What adult cancer care can learn from pediatrics.
J Oncol Pract 2016 Sep;12(9):765-7. doi: 10.1200/jop.2016.015057..
Keywords: Cancer, Children/Adolescents, Health Services Research (HSR), Healthcare Delivery, Patient Experience, Children/Adolescents
Luff D, Allair B, Litterer K
Parent and teen engagement in pediatric health services research training.
The Harvard-wide Pediatric Health Services Research (HSR) Fellowship Program is a multidisciplinary program that has trained child health researchers for over 20 years. In 2013, it set out to engage patients and families in the redesign of its research training activities. The authors concluded that the benefits from including parents and teens in our program exceeded their expectations. Patients and parents of children with chronic illness came to understand how research informs the care they receive.
AHRQ-funded; HS000063.
Citation: Luff D, Allair B, Litterer K .
Parent and teen engagement in pediatric health services research training.
Acad Pediatr 2016 Jul;16(5):496-98. doi: 10.1016/j.acap.2016.02.004.
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Keywords: Children/Adolescents, Health Services Research (HSR), Health Services Research (HSR), Patient and Family Engagement, Children/Adolescents
McConnochie KM, Wood NE, Alarie C
Care offered by an information-rich pediatric acute illness connected care model.
The authors described care provided over a 12-year period by Health-e-Access, an evidence-based, information-rich, connected care model designed to serve children with acute illness. They demonstrated the broad clinical capacity of this care model and key components imparting this capacity. They concluded that Health-e-Access included technology essential for establishing diagnoses, ruling out more serious conditions, and identifying problems beyond its scope.
AHRQ-funded; HS018912; HS016871; HS015165.
Citation: McConnochie KM, Wood NE, Alarie C .
Care offered by an information-rich pediatric acute illness connected care model.
Telemed J E Health 2016 Jun;22(6):465-72. doi: 10.1089/tmj.2015.0161.
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Keywords: Critical Care, Children/Adolescents, Health Services Research (HSR), Children/Adolescents, Telehealth
Beck AF, Tschudy MM, Coker TR
AHRQ Author: Mistry KB
Determinants of health and pediatric primary care practices.
This article describes how care structures and processes can be altered in ways that align with the needs of families living in poverty. It also illustrate how such a roadmap can be adapted by practices depending on the degree of patient need and the availability of practice resources devoted to intervening on the social determinants of health.
AHRQ-authored.
Citation: Beck AF, Tschudy MM, Coker TR .
Determinants of health and pediatric primary care practices.
Pediatrics 2016 Mar;137(3):e20153673. doi: 10.1542/peds.2015-3673.
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Keywords: Primary Care, Low-Income, Children/Adolescents, Health Services Research (HSR), Policy
McIntosh S, Cirillo D, Wood N
Patient evaluation of an acute care pediatric telemedicine service in urban neighborhoods.
The authors characterized health problems prompting neighborhood telemedicine use and to assessed parent perceptions of its value. They found that family preferences and the high value placed on neighborhood telemedicine suggest such service is important, and that service provided by neighborhood telemedicine holds potential to meet a large demand for care of acute childhood illness.
AHRQ-funded; HS018912.
Citation: McIntosh S, Cirillo D, Wood N .
Patient evaluation of an acute care pediatric telemedicine service in urban neighborhoods.
Telemed J E Health 2014 Dec;20(12):1121-6. doi: 10.1089/tmj.2014.0032.
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Keywords: Children/Adolescents, Health Services Research (HSR), Patient Experience, Telehealth, Urban Health
Larson EL, Cohen B, Murray M
Challenges in conducting research in pediatric long-term care facilities.
The purposes of this article are to describe the challenges associated with conducting research in pediatric long-term care facilities (LTCFs) and to recommend approaches to build a successful collaborative relationship between the clinical and administrative staff in LTCFs and the academic research team.
AHRQ-funded; HS021470.
Citation: Larson EL, Cohen B, Murray M .
Challenges in conducting research in pediatric long-term care facilities.
Clin Pediatr 2014 Oct;53(11):1041-6. doi: 10.1177/0009922814540986..
Keywords: Children/Adolescents, Long-Term Care, Health Services Research (HSR)
Mistry KB, Chesley F, Llanos K
AHRQ Author: Mistry KB, Chesley F, Dougherty D.
Advancing children's health care and outcomes through the pediatric quality measures program.
This article focuses on the Pediatric Quality Measures Program and provides an overview of the program's goals and related activities, lessons learned, and future opportunities.
AHRQ-authored.
Citation: Mistry KB, Chesley F, Llanos K .
Advancing children's health care and outcomes through the pediatric quality measures program.
Acad Pediatr 2014 Sep-Oct;14(5 Suppl):S19-26. doi: 10.1016/j.acap.2014.06.025.
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Keywords: Children's Health Insurance Program (CHIP), Quality of Care, Health Services Research (HSR), Children/Adolescents, Quality Measures
Dougherty D, Mistry KB, Llanos K
AHRQ Author: Dougherty D, Mistry KB, Chesley F
An AHRQ and CMS perspective on the pediatric quality measures program.
This article describes the Pediatric Quality Measures Program (PQMP). The PQMP has worked to close gaps in children’s health care quality by increasing the portfolio of new measures and methods as envisioned by the CHIPRA legislation. It is the adoption and use of these measures that can lead to improvements in the quality of care and elimination of disparities in health care for children over time.
AHRQ-authored.
Citation: Dougherty D, Mistry KB, Llanos K .
An AHRQ and CMS perspective on the pediatric quality measures program.
Acad Pediatr 2014 Sep-Oct;14(5 Suppl):S17-8. doi: 10.1016/j.acap.2014.06.017.
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Keywords: Children's Health Insurance Program (CHIP), Quality of Care, Health Services Research (HSR), Children/Adolescents, Quality Measures
Forrest CB, Silber JH
Concept and measurement of pediatric value.
The authors investigate providing information on pediatric value, which will require new investments in data collection systems that include outcomes that matter to children and families and costs measured at the level of the child. They discuss analysis of these data to account for the perspective of the user of the information. They recommend that, in the case of families, direct standardization be used to contrast care in one health care system with another according to the unique characteristics of each family and child.
AHRQ-funded; HS020408.
Citation: Forrest CB, Silber JH .
Concept and measurement of pediatric value.
Acad Pediatr 2014 Sep-Oct;14(5 Suppl):S33-8. doi: 10.1016/j.acap.2014.03.013.
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Keywords: Children/Adolescents, Health Services Research (HSR), Quality Measures, Quality Measures, Children/Adolescents
Dougherty D, Mistry KB, Lindly O
AHRQ Author: Dougherty D, Mistry KB, Desoto M, Chesley F
Systematic evidence-based quality measurement life-cycle approach to measure retirement in CHIPRA.
The authors assessed selected child core set (CCS) measures for potential retirement. The Subcommittee of the National Advisory Council on Healthcare Research and Quality recommended 3 measures for retirement: access to primary care; testing for strep before recommending antibiotics for pharyngitis; and annual HbA1c testing of children with diabetes. CMS recommended that state Medicaid and CHIP programs retire 2 of the recommended measures from the CCS, but retained the access to primary care measure.
AHRQ-authored.
Citation: Dougherty D, Mistry KB, Lindly O .
Systematic evidence-based quality measurement life-cycle approach to measure retirement in CHIPRA.
Acad Pediatr 2014 Sep-Oct;14(5 Suppl):S97-s103. doi: 10.1016/j.acap.2014.06.015.
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Keywords: Children's Health Insurance Program (CHIP), Quality of Care, Health Services Research (HSR), Children/Adolescents, Quality Measures