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Centre for Policy on Ageing | |
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Evidence for the impact of quality improvement collaboratives
— systematic review | | Author(s) | Loes M T Schouten, Marlies E J L Hulscher, Jannes J E van Everdingen |
| Journal title | British Medical Journal, vol 336, no 7659, 28 June 2008 |
| Pages | pp 1491-1494 |
| Source | http://www.bmj.com |
| Keywords | Management [care] ; Quality ; Evaluation ; Clinical surveys ; Literature reviews. |
| Annotation | The effectiveness of quality improvement collaboratives in improving the quality of care was evaluated in a search of relevant studies through Medline, Embase, PsychINFO, CINAHL and Cochrane databases. Of 1104 articles identified, 72 were included in the study. 12 reports representing 9 studies (including two randomised controlled trials) used a controlled design to measure the effects of the quality improvement collaborative intervention on care processes or outcomes of care. Systematic review of these 9 studies showed moderate positive results. 7 studies (including one randomised controlled trial) reported an effect on some of the selected outcome measures. Two studies (including one randomised controlled trial) did not show any significant effect. The evidence underlying quality improvement collaboratives is positive nut limited, and the effects cannot be predicted with greater certainty. Considering that quality improvement collaboratives seem to play a key part in current strategies focused on accelerating improvements, but may at best only have modest effects on outcomes, further knowledge of the basic components - effectiveness, cost effectiveness, and success factors - is crucial in determining the value of quality improvement collaboratives. (RH). |
| Accession Number | CPA-080702220 A |
| Classmark | QA: 59: 4C: 3G: 64A * |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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