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dc.contributor.authorAragon, Lucy G.
dc.contributor.authorSchieman, Karen B.
dc.contributor.authorCure, Laila
dc.identifier.citationAragon, L., Schieman, K., & Cure, L. (2021). Incorporating the six aims for quality in the analysis of trauma care. Health Systems, doi:10.1080/20476965.2021.1906763en_US
dc.descriptionClick on the DOI link to access the article (may not be free).en_US
dc.description.abstractThe Institute of Medicine proposed six aims for healthcare quality improvement. Nevertheless, trauma care quality research still focuses on one aim at a time. This research investigates how to incorporate all aims into trauma care quality assessments using data from the Michigan Trauma Quality Improvement Program. Through a literature review, we identified quantifiable metrics for most aims, except for equity and patient-centeredness. We proposed two approaches to build composite scores accounting for equity via an adjustment procedure based on observed disparities. The single- and multi-aim approaches were compared through correlation, concordance of trauma centre categorisations, and hypothetical incentives. The differences in the approaches stemmed mainly from the weights allocated to the different aims. Results indicated the potential value of multi-aim quality assessment and provided insights about implementation challenges and opportunities. The methods are applicable to the preferred metrics; nevertheless, further research is needed in measuring patient-centeredness.en_US
dc.description.sponsorshipThe authors would like to thank Bronson Trauma Surgery Services, particularly Scott Davidson, MD, for supporting this study and providing access to the necessary information and resources. Funding support was provided through the Bronson Research Fund.en_US
dc.publisherTaylor and Francisen_US
dc.relation.ispartofseriesHealth Systems;
dc.subjectTrauma careen_US
dc.titleIncorporating the six aims for quality in the analysis of trauma careen_US
dc.rights.holder© Operational Research Society 2021.en_US

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  • ISME Research Publications
    Research works published by faculty and students of the Department of Industrial, Systems, and Manufacturing Engineering

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