Assessing healthcare quality using routine data: evaluating the performance of the national tuberculosis programme in South Africa Article Swipe
Zoë M McLaren
,
Alana Sharp
,
Jifang Zhou
,
Sean Wasserman
,
Ananta Nanoo
·
YOU?
·
· 2016
· Open Access
·
· DOI: https://doi.org/10.1111/tmi.12819
YOU?
·
· 2016
· Open Access
·
· DOI: https://doi.org/10.1111/tmi.12819
Objective To assess the performance of healthcare facilities by means of indicators based on guidelines for clinical care of TB , which is likely a good measure of overall facility quality. Methods We assessed quality of care in all public health facilities in South Africa using graphical, correlation and locally weighted kernel regression analysis of routine TB test data. Results Facility performance falls short of national standards of care. Only 74% of patients with TB provided a second specimen for testing, 18% received follow‐up testing and 14% received drug resistance testing. Only resistance testing rates improved over time, tripling between 2004 and 2011. National awareness campaigns and changes in clinical guidelines had only a transient impact on testing rates. The poorest performing facilities remained at the bottom of the rankings over the period of study. Conclusion The optimal policy strategy requires both broad‐based policies and targeted resources to poor performers. This approach to assessing facility quality of care can be adapted to other contexts and also provides a low‐cost method for evaluating the effectiveness of proposed interventions. Devising targeted policies based on routine data is a cost‐effective way to improve the quality of public health care provided.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1111/tmi.12819
- https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/tmi.12819
- OA Status
- bronze
- Cited By
- 15
- References
- 31
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W2551258773
All OpenAlex metadata
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- OpenAlex ID
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https://openalex.org/W2551258773Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1111/tmi.12819Digital Object Identifier
- Title
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Assessing healthcare quality using routine data: evaluating the performance of the national tuberculosis programme in South AfricaWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2016Year of publication
- Publication date
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2016-11-25Full publication date if available
- Authors
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Zoë M McLaren, Alana Sharp, Jifang Zhou, Sean Wasserman, Ananta NanooList of authors in order
- Landing page
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https://doi.org/10.1111/tmi.12819Publisher landing page
- PDF URL
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https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/tmi.12819Direct link to full text PDF
- Open access
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YesWhether a free full text is available
- OA status
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bronzeOpen access status per OpenAlex
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https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/tmi.12819Direct OA link when available
- Concepts
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Medicine, Health care, Psychological intervention, Quality (philosophy), Public health, Environmental health, Tuberculosis, Test (biology), Nursing, Economic growth, Biology, Economics, Pathology, Paleontology, Epistemology, PhilosophyTop concepts (fields/topics) attached by OpenAlex
- Cited by
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15Total citation count in OpenAlex
- Citations by year (recent)
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2023: 2, 2022: 2, 2021: 1, 2020: 5, 2019: 3Per-year citation counts (last 5 years)
- References (count)
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31Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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