{"id":"https://openalex.org/W1585320176","doi":null,"title":"Assessing the quality of healthcare provided to children.","display_name":"Assessing the quality of healthcare provided to children.","publication_year":1998,"publication_date":"1998-10-01","ids":{"openalex":"https://openalex.org/W1585320176","mag":"1585320176","pmid":"https://pubmed.ncbi.nlm.nih.gov/9776949","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/1070304"},"language":"en","primary_location":{"id":"pmh:oai:pubmedcentral.nih.gov:1070304","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/1070304","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC1070304/pdf/hsresearch00029-0114.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health Serv Res","raw_type":"Text"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["pubmed"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC1070304/pdf/hsresearch00029-0114.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5029986159","display_name":"Rita M. Mangione-Smith","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I161318765","display_name":"University of California, Los Angeles","ror":"https://ror.org/046rm7j60","country_code":"US","type":"education","lineage":["https://openalex.org/I161318765"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"R Mangione-Smith","raw_affiliation_strings":["UCLA Department of Pediatrics 90095-1752, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"UCLA Department of Pediatrics 90095-1752, USA","institution_ids":["https://openalex.org/I161318765"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5066187518","display_name":"Elizabeth A. McGlynn","orcid":"https://orcid.org/0000-0002-4944-2518","observed_orcids":["https://orcid.org/0000-0002-4944-2518"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"E A McGlynn","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":5.2554,"has_fulltext":true,"cited_by_count":64,"citation_normalized_percentile":{"value":0.94761235,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":88,"max":98},"biblio":{"volume":"33","issue":"4 Pt 2","first_page":"1059","last_page":"90"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12871","display_name":"Healthcare Quality and Management","score":0.7139000296592712,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T12871","display_name":"Healthcare Quality and Management","score":0.7139000296592712,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11590","display_name":"Primary Care and Health Outcomes","score":0.1348000019788742,"subfield":{"id":"https://openalex.org/subfields/2714","display_name":"Family Practice"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13883","display_name":"Child and Adolescent Health","score":0.062199998646974564,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/quality-of-care-measurement","display_name":"quality of care measurement","score":0.6779999732971191},{"id":"https://openalex.org/keywords/children-and-adolescents","display_name":"children and adolescents","score":0.6510000228881836},{"id":"https://openalex.org/keywords/developmental-differences","display_name":"developmental differences","score":0.3799999952316284},{"id":"https://openalex.org/keywords/outcome-attribution","display_name":"outcome attribution","score":0.44699999690055847},{"id":"https://openalex.org/keywords/patient-satisfaction","display_name":"patient satisfaction","score":0.5619999766349792},{"id":"https://openalex.org/keywords/children-with-special-needs","display_name":"children with special needs","score":0.4830000102519989}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.7098227739334106},{"id":"https://openalex.org/C2779530757","wikidata":"https://www.wikidata.org/wiki/Q1207505","display_name":"Quality (philosophy)","level":2,"score":0.5486895442008972},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.5321416258811951},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.49755600094795227},{"id":"https://openalex.org/C187212893","wikidata":"https://www.wikidata.org/wiki/Q123028","display_name":"Pediatrics","level":1,"score":0.42878782749176025},{"id":"https://openalex.org/C148220186","wikidata":"https://www.wikidata.org/wiki/Q7111912","display_name":"Outcome (game theory)","level":2,"score":0.4223261773586273},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.41617250442504883},{"id":"https://openalex.org/C2779951463","wikidata":"https://www.wikidata.org/wiki/Q7268788","display_name":"Quality of life (healthcare)","level":2,"score":0.41160136461257935},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.18528828024864197},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.17072555422782898},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.0},{"id":"https://openalex.org/C138885662","wikidata":"https://www.wikidata.org/wiki/Q5891","display_name":"Philosophy","level":0,"score":0.0},{"id":"https://openalex.org/C144237770","wikidata":"https://www.wikidata.org/wiki/Q747534","display_name":"Mathematical economics","level":1,"score":0.0},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0},{"id":"https://openalex.org/C111472728","wikidata":"https://www.wikidata.org/wiki/Q9471","display_name":"Epistemology","level":1,"score":0.0},{"id":"https://openalex.org/C33923547","wikidata":"https://www.wikidata.org/wiki/Q395","display_name":"Mathematics","level":0,"score":0.0},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.0}],"mesh":[{"descriptor_ui":"D000293","descriptor_name":"Adolescent","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002648","descriptor_name":"Child","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002657","descriptor_name":"Child Development","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002662","descriptor_name":"Child Health Services","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":true},{"descriptor_ui":"D006297","descriptor_name":"Health Services Accessibility","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":false},{"descriptor_ui":"D006301","descriptor_name":"Health Services Needs and Demand","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006302","descriptor_name":"Health Services Research","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009017","descriptor_name":"Morbidity","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010043","descriptor_name":"Outcome and Process Assessment, Health Care","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D010043","descriptor_name":"Outcome and Process Assessment, Health Care","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":true},{"descriptor_ui":"D011785","descriptor_name":"Quality Assurance, Health Care","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D011785","descriptor_name":"Quality Assurance, Health Care","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":false},{"descriptor_ui":"D012720","descriptor_name":"Severity of Illness Index","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D015995","descriptor_name":"Prevalence","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D019317","descriptor_name":"Evidence-Based Medicine","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D019984","descriptor_name":"Quality Indicators, Health Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":3,"locations":[{"id":"pmh:oai:pubmedcentral.nih.gov:1070304","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/1070304","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC1070304/pdf/hsresearch00029-0114.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health Serv Res","raw_type":"Text"},{"id":"pmid:9776949","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/9776949","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health services research","raw_type":"Journal Article"},{"id":"mag:1585320176","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/9776949","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":"PubMed","raw_type":null}],"best_oa_location":{"id":"pmh:oai:pubmedcentral.nih.gov:1070304","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/1070304","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC1070304/pdf/hsresearch00029-0114.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health Serv Res","raw_type":"Text"},"sustainable_development_goals":[{"score":0.9922999739646912,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W1585320176.pdf","grobid_xml":"https://content.openalex.org/works/W1585320176.grobid-xml"},"referenced_works_count":65,"referenced_works":["https://openalex.org/W31605554","https://openalex.org/W46957710","https://openalex.org/W122871759","https://openalex.org/W1490191833","https://openalex.org/W1527772205","https://openalex.org/W1528774857","https://openalex.org/W1532454916","https://openalex.org/W1555069091","https://openalex.org/W1582083193","https://openalex.org/W1586176502","https://openalex.org/W1595435984","https://openalex.org/W1646616356","https://openalex.org/W1965351821","https://openalex.org/W1969610457","https://openalex.org/W1971767311","https://openalex.org/W1976109681","https://openalex.org/W1976584367","https://openalex.org/W1976795352","https://openalex.org/W1984216858","https://openalex.org/W1986773891","https://openalex.org/W1993889997","https://openalex.org/W1997847037","https://openalex.org/W1999963759","https://openalex.org/W1999984538","https://openalex.org/W2005734878","https://openalex.org/W2007282777","https://openalex.org/W2012828930","https://openalex.org/W2031767381","https://openalex.org/W2034549363","https://openalex.org/W2035998922","https://openalex.org/W2050593940","https://openalex.org/W2053171603","https://openalex.org/W2057907155","https://openalex.org/W2059331137","https://openalex.org/W2060977466","https://openalex.org/W2062125199","https://openalex.org/W2064551188","https://openalex.org/W2065355613","https://openalex.org/W2066397786","https://openalex.org/W2067822042","https://openalex.org/W2071371846","https://openalex.org/W2073105350","https://openalex.org/W2073591460","https://openalex.org/W2075612965","https://openalex.org/W2078897968","https://openalex.org/W2084466229","https://openalex.org/W2092482388","https://openalex.org/W2093569088","https://openalex.org/W2109259567","https://openalex.org/W2119731464","https://openalex.org/W2126511453","https://openalex.org/W2128369995","https://openalex.org/W2131723677","https://openalex.org/W2136587464","https://openalex.org/W2313987662","https://openalex.org/W2341426152","https://openalex.org/W2412017125","https://openalex.org/W2416780479","https://openalex.org/W2460071913","https://openalex.org/W2992335830","https://openalex.org/W4206651546","https://openalex.org/W4233051876","https://openalex.org/W4235746460","https://openalex.org/W4241661963","https://openalex.org/W4293247586"],"related_works":["https://openalex.org/W2089996161","https://openalex.org/W2097770275","https://openalex.org/W4302492596","https://openalex.org/W2042003950","https://openalex.org/W2126468178","https://openalex.org/W2566586297","https://openalex.org/W3010826267","https://openalex.org/W4392994967","https://openalex.org/W2035494562","https://openalex.org/W2314780373"],"abstract_inverted_index":{"OBJECTIVE:":[0],"To":[1],"present":[2,34],"a":[3,128,143,151,187,358,437,474,608,633,669],"conceptual":[4,634,687],"framework":[5,635,688],"for":[6,11,49,123,169,264,381,484,527,538,542,597,643,707],"evaluating":[7],"quality":[8,26,46,120,162,304,322,378,539,559,583,629,644,672,703],"of":[9,27,40,47,121,127,134,163,223,242,247,268,275,291,305,323,330,343,379,402,413,421,440,463,488,552,584,591,600,628,640,671,685,704],"care":[10,48,122,164,185,309,380,395,425,506,526,585,705],"children":[12,50,75,227,237,248,259,283,313,382,408,472,580],"and":[13,33,65,89,101,146,221,273,325,396,406,451,465,499,541,581,626,657],"adolescents,":[14],"summarize":[15],"the":[16,45,61,111,119,131,181,192,196,200,204,215,218,269,289,292,303,308,318,341,365,400,424,443,461,550,601,616,638,647,658,683,686],"key":[17],"issues":[18,533,696],"related":[19,496,534,694],"to":[20,23,72,110,117,139,203,214,262,311,316,339,356,363,392,397,460,473,486,497,516,535,576,578,604,636,665,695],"developing":[21,115,668,702],"measures":[22,116,257,586,602,706],"assess":[24,118],"pediatric":[25,278,293,333,570,611,648],"care,":[28],"examine":[29],"some":[30,487],"existing":[31],"measures,":[32],"evidence":[35],"about":[36],"their":[37,93,407,489],"current":[38],"level":[39],"performance.":[41],"PRINCIPAL":[42],"FINDINGS:":[43],"Assessing":[44],"poses":[51],"many":[52,565],"challenges":[53,566],"not":[54,166,557,562],"encountered":[55,113,375],"when":[56,114,180,376,568],"making":[57],"these":[58,285,312,456,528,592],"measurements":[59],"in":[60,83,234,258,302,385,471,546,589,646,701],"adult":[62],"population.":[63,548],"Children":[64],"adolescents":[66],"(from":[67],"this":[68,547,662],"point":[69],"forward":[70],"referred":[71],"collectively":[73],"as":[74,510],"unless":[76],"differentiation":[77],"is":[78,97,183,228,314,383,556,561,650],"necessary)":[79],"differ":[80],"from":[81,160,186,231,250],"adults":[82,391,483],"two":[84],"clinically":[85],"important":[86],"ways":[87],"(Jameson":[88],"Wehr":[90],"1993):":[91],"(1)":[92],"normal":[94],"developmental":[95,156],"trajectory":[96],"characterized":[98],"by":[99,147,226,300],"change,":[100],"(2)":[102],"they":[103,388,426,492],"have":[104,317,410,418,493,587,606,630],"differential":[105],"morbidity.":[106],"These":[107,520],"factors":[108],"contribute":[109],"limitations":[112],"children.":[124,598,708],"The":[125,327,564],"movement":[126],"child":[129,182],"through":[130],"various":[132,457],"stages":[133],"development":[135,639],"makes":[136,336],"it":[137,337],"difficult":[138,338],"establish":[140],"what":[141,149,414],"constitutes":[142,150],"\"normal\"":[144],"outcome":[145,202,619],"extension":[148],"poor":[152,161,175,553],"outcome.":[153],"Additionally,":[154],"salient":[155],"outcomes":[157,176,401,469,555],"that":[158,174,194,217,232,295,403,513,660,675,697],"result":[159],"may":[165,177,409],"be":[167,178,209,297,574,699],"observed":[168,179,233,470],"several":[170,623,678,692],"years.":[171],"This":[172],"implies":[173],"receiving":[184],"delivery":[188,206,477],"system":[189,207],"other":[190],"than":[191],"one":[193],"provided":[195,310],"low-quality":[197],"care.":[198,306,404,519],"Attributing":[199],"suboptimal":[201],"new":[205,344],"would":[208],"inappropriate.":[210],"Differential":[211],"morbidity":[212],"refers":[213],"fact":[216],"type,":[219],"prevalence,":[220],"severity":[222],"illness":[224,241],"experienced":[225],"measurably":[229],"different":[230,411,419],"adults.":[235],"Most":[236,599],"experience":[238],"numerous":[239],"self-limited":[240],"mild":[243],"severity.":[244],"A":[245],"minority":[246],"suffer":[249],"markedly":[251],"more":[252],"severe":[253,277,332],"diseases.":[254],"Thus,":[255],"condition-specific":[256],"are":[260,287,353],"problematic":[261],"implement":[263],"routine":[265],"assessments":[266,540],"because":[267],"extremely":[270],"low":[271,328],"incidence":[272],"prevalence":[274,329],"most":[276,298,331,386],"diseases":[279,334],"(Halfon":[280],"1996).":[281],"However,":[282],"with":[284,423,431],"conditions":[286],"potentially":[288],"segment":[290],"population":[294,649],"can":[296],"affected":[299],"variations":[301],"Improving":[307],"likely":[315],"largest":[319],"impact":[320],"on":[321,390,399,436,455,482,667],"life":[324],"longevity.":[326],"also":[335,434,480],"evaluate":[340],"effectiveness":[342],"treatment":[345],"modalities;":[346],"multi-center":[347],"trials":[348,369],"or":[349,370,417,613,618],"long":[350],"enrollment":[351],"periods":[352],"usually":[354,522],"required":[355],"obtain":[357,394,517],"large":[359],"enough":[360],"patient":[361],"sample":[362],"conduct":[364],"necessary":[366],"randomized":[367],"controlled":[368],"cohort":[371],"studies.":[372],"Another":[373],"challenge":[374],"measuring":[377,464],"that,":[384],"cases,":[387],"depend":[389,435,481],"both":[393,579],"report":[398],"Parents":[405],"perceptions":[412],"defines":[415],"health":[416,468,554,654],"levels":[420],"satisfaction":[422],"receive.":[427],"Children,":[428],"particularly":[429],"those":[430],"special":[432,494,532],"needs,":[433],"broad":[438],"range":[439],"services":[441,458,655],"including":[442],"medical":[444],"system,":[445],"community":[446],"intervention":[447],"programs,":[448,450],"social":[449],"school-based":[452,511],"services.":[453],"Dependency":[454],"adds":[459],"difficulty":[462],"appropriately":[466],"attributing":[467],"particular":[475],"service":[476],"entity.":[478],"Adolescents":[479,503],"access":[485],"care;":[490],"however,":[491],"needs":[495],"confidentiality":[498],"parent-child":[500],"information":[501,536],"sharing.":[502],"commonly":[504],"seek":[505],"at":[507],"facilities,":[508],"such":[509,641],"clinics,":[512],"allow":[514],"them":[515],"confidential":[518],"facilities":[521],"provide":[523],"out-of-health":[524],"plan":[525],"children,":[529],"which":[530],"raises":[531],"availability":[537],"assessing":[543],"utilization":[544],"patterns":[545],"If":[549],"source":[551],"known,":[558],"improvement":[560],"possible.":[563],"faced":[567],"constructing":[569],"(this":[571],"term":[572],"will":[573,676],"used":[575],"refer":[577],"adolescents)":[582],"resulted":[588],"few":[590],"instruments":[593],"being":[594],"developed":[595,603],"specifically":[596],"date":[605],"either":[607],"very":[609],"limited":[610],"component":[612],"still":[614],"require":[615],"process":[617],"validation":[620],"step.":[621],"Although":[622],"practice":[624],"guidelines":[625],"indicators":[627],"been":[631],"constructed,":[632],"guide":[637],"tools":[642,674],"assessment":[645,673],"lacking.":[651],"CONCLUSIONS:":[652],"Pediatric":[653],"researchers":[656],"organizations":[659],"fund":[661],"work":[663],"need":[664],"focus":[666],"set":[670],"address":[677],"challenging":[679],"issues.":[680],"Working":[681],"within":[682],"context":[684],"presented,":[689],"we":[690],"draw":[691],"conclusions":[693],"should":[698],"considered":[700]},"counts_by_year":[{"year":2022,"cited_by_count":1},{"year":2021,"cited_by_count":2},{"year":2020,"cited_by_count":1},{"year":2019,"cited_by_count":1},{"year":2018,"cited_by_count":2},{"year":2017,"cited_by_count":4},{"year":2016,"cited_by_count":2},{"year":2015,"cited_by_count":1},{"year":2014,"cited_by_count":4},{"year":2013,"cited_by_count":2},{"year":2012,"cited_by_count":4}],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2016-06-24T00:00:00"}