Data on Health and Society Reported by Researchers at University of Massachusetts School of Medicine (Organizational Characteristics Associated With High Performance On Quality Measures In Pediatric Primary Care: a Positive Deviance Study)

2021 JUL 09 (NewsRx) -- By a News Reporter-Staff News Editor at Insurance Daily News -- Investigators publish new report on Health and Medicine - Health and Society. According to news reporting from Springfield, Massachusetts, by NewsRx journalists, research stated, “Pediatric health care quality in the United States varies, but the reasons for variation are not fully understood. Differences in pediatric practices’ organizational characteristics, such as organizational structures, strategies employed to improve quality, and other contextual factors, may contribute to the variation observed.”

Financial supporters for this research include NIH Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD), NHLBI Mid-Career Development Award.

The news correspondents obtained a quote from the research from the University of Massachusetts School of Medicine, “To assess the relationship between organizational characteristics and performance on clinical quality (CQ) and patient experience (PE) measures in primary care pediatric practices in Massachusetts. A 60-item questionnaire that assessed the presence of selected organizational characteristics was sent to 172 pediatric practice managers in Massachusetts between December 2017 and February 2018. The associations between select organizational characteristics and publicly available CQ and PE scores were analyzed using analysis of variance; open-ended survey questions were analyzed using qualitative content analysis. Eighty-six practices (50.0%) responded; 80 (46.5%) were included in the primary analysis. Having a quality champion (p = .03), offering co-located specialty services (e.g., behavioral health; p = .04), being a privately owned practice (p = .04), believing that patients and families feel respected (p = .03), and having a lower percentage of patients (10%-25%) covered by public health insurance (p = .04) were associated with higher CQ scores. Higher PE scores were associated with private practice ownership (p = .0006). Qualitative analysis suggested organizational culture and external factors, such as health care finance, may affect quality. Both modifiable organizational practices and factors external to a practice may affect quality of care. Addressing differences in practice performance may not be reducible to implementation of changes in single organizational characteristics.”

According to the news reporters, the research concluded: “Practice Implications Pediatric practices seeking to improve quality of care may wish to adopt the strategies that were associated with higher performance on quality measures, but additional studies are needed to better understand the mechanisms behind these associations and how they relate to each other.”

This research has been peer-reviewed.

For more information on this research see: Organizational Characteristics Associated With High Performance On Quality Measures In Pediatric Primary Care: a Positive Deviance Study. Health Care Management Review, 2021;46(3):196-205. Health Care Management Review can be contacted at: Lippincott Williams & Wilkins, Two Commerce Sq, 2001 Market St, Philadelphia, PA 19103, USA. (Lippincott Williams and Wilkins - www.lww.com; Health Care Management Review - http://journals.lww.com/hcmrjournal/pages/default.aspx)

Our news journalists report that additional information may be obtained by contacting Sarah L. Goff, University of Massachusetts School of Medicine Baystate, Inst Healthcare Delivery & Populat Hlth Sci, Springfield, MA 01107, United States. Additional authors for this research include Kathleen M. Mazor, Aruna Priya, Michael Moran, Penelope S. Pekow and Peter K. Lindenauer.

The direct object identifier (DOI) for that additional information is: https://doi.org/10.1097/HMR.0000000000000247. This DOI is a link to an online electronic document that is either free or for purchase, and can be your direct source for a journal article and its citation.

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