{"id":"https://openalex.org/W2116252877","doi":"https://doi.org/10.1136/bmjqs-2012-001081","title":"More quality measures versus measuring what matters: a call for balance and parsimony","display_name":"More quality measures versus measuring what matters: a call for balance and parsimony","publication_year":2012,"publication_date":"2012-08-14","ids":{"openalex":"https://openalex.org/W2116252877","doi":"https://doi.org/10.1136/bmjqs-2012-001081","mag":"2116252877","pmid":"https://pubmed.ncbi.nlm.nih.gov/22893696","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/3594932"},"language":"en","primary_location":{"id":"doi:10.1136/bmjqs-2012-001081","doi":"https://doi.org/10.1136/bmjqs-2012-001081","is_oa":true,"landing_page_url":"https://doi.org/10.1136/bmjqs-2012-001081","pdf_url":"https://qualitysafety.bmj.com/content/qhc/21/11/964.full.pdf","source":{"id":"https://openalex.org/S152101599","display_name":"BMJ Quality & Safety","issn_l":"1475-3898","issn":["1475-3898","1475-3901","2044-5415","2044-5423"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","fnege-3","jufo-3","ki-jl-2","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319945","host_organization_name":"BMJ","host_organization_lineage":["https://openalex.org/P4310319945"],"host_organization_lineage_names":["BMJ"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMJ Quality &amp; Safety","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://qualitysafety.bmj.com/content/qhc/21/11/964.full.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5028309092","display_name":"Gregg S. Meyer","orcid":"https://orcid.org/0000-0001-9419-2100","observed_orcids":["https://orcid.org/0000-0001-9419-2100"]},"institutions":[{"id":"https://openalex.org/I1289422878","display_name":"Dartmouth\u2013Hitchcock Medical Center","ror":"https://ror.org/00d1dhh09","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I107672454","https://openalex.org/I1289422878","https://openalex.org/I4390039337"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Gregg S Meyer","raw_affiliation_strings":["Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire, USA","Dartmouth Hitchcock Medical Center, One Medical Center Drive, Lebanon, NH 03756, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire, USA","institution_ids":["https://openalex.org/I1289422878"]},{"raw_affiliation_string":"Dartmouth Hitchcock Medical Center, One Medical Center Drive, Lebanon, NH 03756, USA","institution_ids":["https://openalex.org/I1289422878"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5082275695","display_name":"Eugene C. Nelson","orcid":"https://orcid.org/0000-0002-7991-7836","observed_orcids":["https://orcid.org/0000-0002-7991-7836"]},"institutions":[{"id":"https://openalex.org/I1289422878","display_name":"Dartmouth\u2013Hitchcock Medical Center","ror":"https://ror.org/00d1dhh09","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I107672454","https://openalex.org/I1289422878","https://openalex.org/I4390039337"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Eugene C Nelson","raw_affiliation_strings":["Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire, USA","1Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire, USA","institution_ids":["https://openalex.org/I1289422878"]},{"raw_affiliation_string":"1Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire, USA","institution_ids":["https://openalex.org/I1289422878"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5109894991","display_name":"David B. Pryor","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1320343167","display_name":"Ascension","ror":"https://ror.org/00s1szh94","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1320343167"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"David B Pryor","raw_affiliation_strings":["Ascension Health, St Louis, Missouri, USA","2Ascension Health, St Louis, Missouri, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Ascension Health, St Louis, Missouri, USA","institution_ids":["https://openalex.org/I1320343167"]},{"raw_affiliation_string":"2Ascension Health, St Louis, Missouri, USA","institution_ids":["https://openalex.org/I1320343167"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5112713101","display_name":"Brent C. James","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I108785884","display_name":"Intermountain Healthcare","ror":"https://ror.org/04mvr1r74","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I108785884"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Brent James","raw_affiliation_strings":["Intermountain Healthcare, Salt Lake City, Utah, USA","#N#3Intermountain Healthcare, Salt Lake City, Utah, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Intermountain Healthcare, Salt Lake City, Utah, USA","institution_ids":["https://openalex.org/I108785884"]},{"raw_affiliation_string":"#N#3Intermountain Healthcare, Salt Lake City, Utah, USA","institution_ids":["https://openalex.org/I108785884"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5113532263","display_name":"Stephen J. Swensen","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1330342723","display_name":"Mayo Clinic","ror":"https://ror.org/02qp3tb03","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1330342723"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Stephen J Swensen","raw_affiliation_strings":["Mayo Clinic, Rochester, Minnesota, USA","#N#            4Mayo Clinic, Rochester, Minnesota, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Mayo Clinic, Rochester, Minnesota, USA","institution_ids":["https://openalex.org/I1330342723"]},{"raw_affiliation_string":"#N#            4Mayo Clinic, Rochester, Minnesota, USA","institution_ids":["https://openalex.org/I1330342723"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5108510529","display_name":"Gary S. Kaplan","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1317886745","display_name":"Virginia Mason Medical Center","ror":"https://ror.org/00cm2cb35","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1317886745","https://openalex.org/I2802797007","https://openalex.org/I4210118434"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Gary S Kaplan","raw_affiliation_strings":["Virginia Mason Health System, Seattle, Washington, USA","5Virginia Mason Health System, Seattle, Washington, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Virginia Mason Health System, Seattle, Washington, USA","institution_ids":["https://openalex.org/I1317886745"]},{"raw_affiliation_string":"5Virginia Mason Health System, Seattle, Washington, USA","institution_ids":["https://openalex.org/I1317886745"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5111951370","display_name":"JED I. WEISSBERG","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1343052199","display_name":"Kaiser Permanente","ror":"https://ror.org/00t60zh31","country_code":"US","type":"nonprofit","lineage":["https://openalex.org/I1343052199"]},{"id":"https://openalex.org/I2801936213","display_name":"Kaiser Permanente Oakland Medical Center","ror":"https://ror.org/05rfek682","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1343052199","https://openalex.org/I2801936213"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Jed I Weissberg","raw_affiliation_strings":["Quality and Care Delivery Excellence, Kaiser Permanente, Oakland, California, USA","6Quality and Care Delivery Excellence, Kaiser Permanente, Oakland, California, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Quality and Care Delivery Excellence, Kaiser Permanente, Oakland, California, USA","institution_ids":["https://openalex.org/I1343052199","https://openalex.org/I2801936213"]},{"raw_affiliation_string":"6Quality and Care Delivery Excellence, Kaiser Permanente, Oakland, California, USA","institution_ids":["https://openalex.org/I1343052199","https://openalex.org/I2801936213"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5022033193","display_name":"Maureen A. Bisognano","orcid":"https://orcid.org/0000-0002-1280-8635","observed_orcids":["https://orcid.org/0000-0002-1280-8635"]},"institutions":[{"id":"https://openalex.org/I4210106231","display_name":"Institute for Healthcare Improvement","ror":"https://ror.org/01ahb7328","country_code":"US","type":"nonprofit","lineage":["https://openalex.org/I4210106231"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Maureen Bisognano","raw_affiliation_strings":["Institute for Healthcare Improvement, Boston, Massachusetts, USA","7Institute for Healthcare Improvement, Boston, Massachusetts, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Institute for Healthcare Improvement, Boston, Massachusetts, USA","institution_ids":["https://openalex.org/I4210106231"]},{"raw_affiliation_string":"7Institute for Healthcare Improvement, Boston, Massachusetts, USA","institution_ids":["https://openalex.org/I4210106231"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5111992521","display_name":"Gary R. Yates","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Gary R Yates","raw_affiliation_strings":["Sentara Healthcare, Norfolk, Virginia, USA","8Sentara Healthcare, Norfolk, Virginia, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Sentara Healthcare, Norfolk, Virginia, USA","institution_ids":[]},{"raw_affiliation_string":"8Sentara Healthcare, Norfolk, Virginia, USA","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5023082207","display_name":"Gordon C. Hunt","orcid":"https://orcid.org/0000-0001-6928-2657","observed_orcids":["https://orcid.org/0000-0001-6928-2657"]},"institutions":[{"id":"https://openalex.org/I114073160","display_name":"Sutter Health","ror":"https://ror.org/0060avh92","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I114073160"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Gordon C Hunt","raw_affiliation_strings":["Sutter Health, Sacramento, California, USA","9Sutter Health, Sacramento, California, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Sutter Health, Sacramento, California, USA","institution_ids":["https://openalex.org/I114073160"]},{"raw_affiliation_string":"9Sutter Health, Sacramento, California, USA","institution_ids":["https://openalex.org/I114073160"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":9,"corresponding_author_ids":["https://openalex.org/A5028309092"],"corresponding_institution_ids":["https://openalex.org/I1289422878"],"apc_list":null,"apc_paid":null,"fwci":15.3672,"has_fulltext":true,"cited_by_count":143,"citation_normalized_percentile":{"value":0.99176455,"is_in_top_1_percent":true,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":94,"max":99},"biblio":{"volume":"21","issue":"11","first_page":"964","last_page":"968"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12871","display_name":"Healthcare Quality and Management","score":0.8598999977111816,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T12871","display_name":"Healthcare Quality and Management","score":0.8598999977111816,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11590","display_name":"Primary Care and Health Outcomes","score":0.08749999850988388,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11722","display_name":"Patient Satisfaction in Healthcare","score":0.03579999879002571,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"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":0.8169999718666077},{"id":"https://openalex.org/keywords/quality-measures","display_name":"quality metrics","score":0.6470000147819519},{"id":"https://openalex.org/keywords/patient-outcomes","display_name":"patient outcomes","score":0.5759999752044678},{"id":"https://openalex.org/keywords/health-care-costs","display_name":"health care costs","score":0.7009999752044678},{"id":"https://openalex.org/keywords/payers","display_name":"payers","score":0.6100000143051147},{"id":"https://openalex.org/keywords/accreditation","display_name":"accreditation","score":0.656000018119812},{"id":"https://openalex.org/keywords/performance-indicators","display_name":"performance indicators","score":0.5239999890327454},{"id":"https://openalex.org/keywords/health-policy","display_name":"health policy","score":0.43799999356269836}],"concepts":[{"id":"https://openalex.org/C2779530757","wikidata":"https://www.wikidata.org/wiki/Q1207505","display_name":"Quality (philosophy)","level":2,"score":0.771022379398346},{"id":"https://openalex.org/C127598652","wikidata":"https://www.wikidata.org/wiki/Q558635","display_name":"Per capita","level":3,"score":0.5339450240135193},{"id":"https://openalex.org/C162118730","wikidata":"https://www.wikidata.org/wiki/Q1128453","display_name":"Actuarial science","level":1,"score":0.4989795684814453},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.4896426796913147},{"id":"https://openalex.org/C21547014","wikidata":"https://www.wikidata.org/wiki/Q1423657","display_name":"Operations management","level":1,"score":0.4580721855163574},{"id":"https://openalex.org/C2780009758","wikidata":"https://www.wikidata.org/wiki/Q6804172","display_name":"Measure (data warehouse)","level":2,"score":0.4447788596153259},{"id":"https://openalex.org/C71405471","wikidata":"https://www.wikidata.org/wiki/Q757012","display_name":"Quality management","level":3,"score":0.4294090270996094},{"id":"https://openalex.org/C168031717","wikidata":"https://www.wikidata.org/wiki/Q1530280","display_name":"Balance (ability)","level":2,"score":0.42795252799987793},{"id":"https://openalex.org/C162853370","wikidata":"https://www.wikidata.org/wiki/Q39809","display_name":"Marketing","level":1,"score":0.3400540351867676},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.27663251757621765},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.27291062474250793},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.1628262996673584},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.12795650959014893},{"id":"https://openalex.org/C2780378061","wikidata":"https://www.wikidata.org/wiki/Q25351891","display_name":"Service (business)","level":2,"score":0.11249780654907227},{"id":"https://openalex.org/C124101348","wikidata":"https://www.wikidata.org/wiki/Q172491","display_name":"Data mining","level":1,"score":0.09701946377754211},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.0},{"id":"https://openalex.org/C99508421","wikidata":"https://www.wikidata.org/wiki/Q2678675","display_name":"Physical medicine and rehabilitation","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/C111472728","wikidata":"https://www.wikidata.org/wiki/Q9471","display_name":"Epistemology","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D006761","descriptor_name":"Hospitals","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011785","descriptor_name":"Quality Assurance, Health Care","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D015279","descriptor_name":"Organizational Culture","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D016134","descriptor_name":"Organizational Policy","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016730","descriptor_name":"Program Development","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017048","descriptor_name":"Health Care Costs","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D019300","descriptor_name":"Medical Errors","qualifier_ui":"Q000517","qualifier_name":"prevention & control","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":"Q000191","qualifier_name":"economics","is_major_topic":true},{"descriptor_ui":"D058996","descriptor_name":"Quality Improvement","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":true}],"locations_count":4,"locations":[{"id":"doi:10.1136/bmjqs-2012-001081","doi":"https://doi.org/10.1136/bmjqs-2012-001081","is_oa":true,"landing_page_url":"https://doi.org/10.1136/bmjqs-2012-001081","pdf_url":"https://qualitysafety.bmj.com/content/qhc/21/11/964.full.pdf","source":{"id":"https://openalex.org/S152101599","display_name":"BMJ Quality & Safety","issn_l":"1475-3898","issn":["1475-3898","1475-3901","2044-5415","2044-5423"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","fnege-3","jufo-3","ki-jl-2","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319945","host_organization_name":"BMJ","host_organization_lineage":["https://openalex.org/P4310319945"],"host_organization_lineage_names":["BMJ"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMJ Quality &amp; Safety","raw_type":"journal-article"},{"id":"pmh:oai:europepmc.org:2595927","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/3594932","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":null,"raw_type":"Text"},{"id":"pmh:oai:pubmedcentral.nih.gov:3594932","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/3594932","pdf_url":null,"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":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMJ Qual Saf","raw_type":"Text"},{"id":"pmid:22893696","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/22893696","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":"BMJ quality & safety","raw_type":"Journal Article"}],"best_oa_location":{"id":"doi:10.1136/bmjqs-2012-001081","doi":"https://doi.org/10.1136/bmjqs-2012-001081","is_oa":true,"landing_page_url":"https://doi.org/10.1136/bmjqs-2012-001081","pdf_url":"https://qualitysafety.bmj.com/content/qhc/21/11/964.full.pdf","source":{"id":"https://openalex.org/S152101599","display_name":"BMJ Quality & Safety","issn_l":"1475-3898","issn":["1475-3898","1475-3901","2044-5415","2044-5423"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","fnege-3","jufo-3","ki-jl-2","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319945","host_organization_name":"BMJ","host_organization_lineage":["https://openalex.org/P4310319945"],"host_organization_lineage_names":["BMJ"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMJ Quality &amp; Safety","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.4000000059604645,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W2116252877.pdf","grobid_xml":"https://content.openalex.org/works/W2116252877.grobid-xml"},"referenced_works_count":9,"referenced_works":["https://openalex.org/W1951106586","https://openalex.org/W2006900797","https://openalex.org/W2024641550","https://openalex.org/W2053780829","https://openalex.org/W2101896626","https://openalex.org/W2123296106","https://openalex.org/W2138871559","https://openalex.org/W2148606613","https://openalex.org/W2789629778"],"related_works":["https://openalex.org/W2172766917","https://openalex.org/W2139979091","https://openalex.org/W2052506475","https://openalex.org/W2058516404","https://openalex.org/W2014833143","https://openalex.org/W3087328162","https://openalex.org/W4212768317","https://openalex.org/W4299570837","https://openalex.org/W2316410537","https://openalex.org/W2468359073"],"abstract_inverted_index":{"External":[0],"groups":[1],"requiring":[2],"measures":[3,40],"now":[4],"include":[5],"public":[6],"and":[7,12,21,66,69,76,102,105,116,121,127],"private":[8],"payers,":[9],"regulators,":[10],"accreditors":[11],"others":[13],"that":[14,55,64,86,132],"certify":[15],"performance":[16,104],"levels":[17],"for":[18],"consumers,":[19],"patients":[20,65],"payers.":[22],"Although":[23],"benefits":[24],"have":[25,57],"accrued":[26],"from":[27,45],"the":[28,33,37,62,94,106,113],"growth":[29],"in":[30,36],"quality":[31,47,87,101],"measurement,":[32],"recent":[34],"explosion":[35],"number":[38],"of":[39,52,96,108,118],"threatens":[41],"to":[42,48,92,99,110,123],"shift":[43],"resources":[44],"improving":[46],"cover":[49],"a":[50,58,84],"plethora":[51],"quality-performance":[53],"metrics":[54,131],"may":[56],"limited":[59],"impact":[60],"on":[61,136],"things":[63],"payers":[67],"want":[68],"need":[70,95,107],"(ie,":[71],"better":[72,74],"outcomes,":[73],"care,":[75],"lower":[77],"per":[78],"capita":[79],"costs).":[80],"Here":[81],"we":[82],"propose":[83],"policy":[85],"measurement":[88],"should":[89],"be:":[90],"balanced":[91],"meet":[93],"end":[97],"users":[98],"judge":[100],"cost":[103],"providers":[109],"continuously":[111],"improve":[112],"quality,":[114,125],"outcomes":[115,126],"costs":[117,128],"their":[119],"services;":[120],"parsimonious":[122],"measure":[124],"with":[129],"appropriate":[130],"are":[133],"selected":[134],"based":[135],"end-user":[137],"needs.":[138]},"counts_by_year":[{"year":2026,"cited_by_count":6},{"year":2025,"cited_by_count":6},{"year":2024,"cited_by_count":12},{"year":2023,"cited_by_count":8},{"year":2022,"cited_by_count":14},{"year":2021,"cited_by_count":9},{"year":2020,"cited_by_count":14},{"year":2019,"cited_by_count":10},{"year":2018,"cited_by_count":9},{"year":2017,"cited_by_count":13},{"year":2016,"cited_by_count":11},{"year":2015,"cited_by_count":13},{"year":2014,"cited_by_count":9},{"year":2013,"cited_by_count":7},{"year":2012,"cited_by_count":2}],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2016-06-24T00:00:00"}
