Developing a Clinical Performance Measure
American Journal of Preventive MedicinePublished 1 April 1998
Elizabeth A. McGlynn
Citations259
SJR quartileQ1
SJR score2.08
SNIP1.50
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
Four steps required to develop a clinical performance measure that is suitable for making comparisons among health delivery systems are discussed, with an emphasis on a measure of adequacy of control of blood pressure.
Abstract
Developing useful clinical performance measures requires careful attention to methodologic issues. Following the steps outlined in this paper should enhance the quality of future measurement development.
Keywords
MedicineHealth Professions
HypertensionPrevalence of Hypertension in the US Adult Population
2,997 Citations1995Vicki L. Burt, Paul K. Whelton +6 more
awareness, treatment, and control of hypertension have improved substantially since the 1976-1980 National Health and Nutrition Examination Survey but continue to be suboptimal, especially in Mexican Americans.(ABSTRACT TRUNCATED AT 250 WORDS)
Southern Economic JournalFree for All? Lessons from the RAND Health Insurance Experiment
1,007 Citations1995Leland Gerson Neuberg, Joseph P. Newhouse +1 more
Medical CarePatient Satisfaction and Change in Medical Care Provider: A Longitudinal Study
329 Citations1983M. Susan Marquis, Allyson Ross Davies +1 more
Longitudinal data from The Rand Corporation's Health Insurance Experiment were used to test the hypothesis that provider continuity can be modeled as one behavioral consequence of patient satisfaction, and the relationship between satisfaction scores and continuity during the following year appears to be roughly linear.
HypertensionHypertension prevalence and the status of awareness, treatment, and control in the United States. Final report of the Subcommittee on Definition and Prevalence of the 1984 Joint National Committee.
271 Citations1985
Data from the 1976-1980 National Health and Nutrition Examination Survey (NHANES II) allow for a revised estimate of the prevalence of high blood pressure in the United States and confirm the tendency for the prevalence to increase with age in the U.S. population.
American Journal of Public HealthThe determinants of hypertension awareness, treatment, and control in an insured population.
143 Citations1994David H. Stockwell, S Madhavan +3 more
It is demonstrated that in conventional community settings, even in the absence of financial barriers, treatment for hypertension continues to be characterized by poor outcomes and improving access to primary care, without changes in the nature of that care, may not substantially improve blood pressure control.
The American Journal of CardiologyCurrent and future strategies in the treatment of hypertension
9 Citations1988Lennart Hansson
Renewed efforts to reduce blood pressure into the clearly normotensive range are made in an attempt to lower the excess risk demonstrable in treated hypertensive patients.
