Cover: Quality of Care for Children and Adolescents

Quality of Care for Children and Adolescents

A Review of Selected Clinical Conditions and Quality Indicators

Edited by Elizabeth A. McGlynn, Cheryl L. Damberg, Eve A. Kerr, Mark A. Schuster

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Abstract

This report is one of five volumes providing detailed information on the QA Tools, RAND’s comprehensive, clinically based system for assessing quality of care for children and adults. The QA Tools indicators encompass screening, diagnosis, treatment, and follow-up in 46 clinical areas and cover a variety of modes of providing care, including history, physical examination, laboratory study, medication, and other interventions and contacts. Development of each indicator was based on the ratings of a panel of experts in the relevant fields and on a focused review of the scientific literature, which is clearly documented for each clinical condition. This volume focuses on indicators for care of children and adolescents. Each chapter summarizes the results of the literature review for a particular condition, provides RAND staff’s recommended indicators based on that review, and lists the cited studies. In addition, this work details the process by which the expert panel evaluated the indicators and the final disposition of each indicator. Clinical conditions covered in this volume are: Acne, preventive services, allergic rhinitis, asthma, attention deficit disorder, cesarean delivery, depression, developmental screening, diabetes mellitus,acute diarrheal disease, family planning/contraception, fever without source of infection in children under 3 years of age, headache, immunizations, otitis media, acute otitis media, prenatal care, sickle cell screening, tuberculosis, upper respiratory infections, urinary tract infections, vaginitis and sexually transmitted diseases, well child care. Other RAND Health titles on the QA Tools system focus on indicators for general medicine, oncology and HIV, cardiopulmonary conditions, and women.

Table of Contents

  • Preface PDF

  • Tables PDF

  • Figures PDF

  • Acknowledgements

    Acknowledgments PDF

  • Introduction PDF

  • Chapter 1

    Acne PDF

  • Chapter 2

    Adolescent Preventive Services PDF

  • Chapter 3

    Allergic Rhinitis PDF

  • Chapter 4

    Asthma PDF

  • Chapter 5

    Attention Deficit/Hyperactivity Disorder PDF

  • Chapter 6

    Cesarean Delivery PDF

  • Chapter 7

    Depression PDF

  • Chapter 8

    Developmental Screening PDF

  • Chapter 9

    Diabetes Mellitus PDF

  • Chapter 10

    Diarrheal Disease, Acute PDF

  • Chapter 11

    Family Planning/Contraception PDF

  • Chapter 12

    Fever Without Source of Infection in Children Under 3 Years of Age PDF

  • Chapter 13

    Headache PDF

  • Chapter 14

    Immunizations PDF

  • Chapter 15

    Otitis Media PDF

  • Chapter 16

    Prenatal Care PDF

  • Chapter 17

    Sickle Cell Screening and Select Topics in Prevention of Complications PDF

  • Chapter 18

    Tuberculosis Screening PDF

  • Chapter 19

    Upper Respiratory Infections PDF

  • Chapter 20

    Urinary Tract Infections PDF

  • Chapter 21

    Vaginitis and Sexually Transmitted Diseases (Diagnosis and Treatment) PDF

  • Chapter 22

    Well Child Care PDF

  • Appendix A

    Definitions for Indicator Tables PDF

  • Appendix B

    Panel Rating Sheets PDF

  • Appendix C

    Indicator Crosswalk Table PDF

Research conducted by

The study was conducted within RAND Health and supported by the Health Care Financing Administration, U.S. Department of Health and Human Services.

This report is part of the RAND Corporation monograph report series. The monograph/report was a product of the RAND Corporation from 1993 to 2003. RAND monograph/reports presented major research findings that addressed the challenges facing the public and private sectors. They included executive summaries, technical documentation, and synthesis pieces.

The RAND Corporation is a nonprofit institution that helps improve policy and decisionmaking through research and analysis. RAND's publications do not necessarily reflect the opinions of its research clients and sponsors.