Definitions, measurement and indicator selection for quality of care in abortion

Blair Darney, Nathalie Kapp, Kathryn Andersen, Sarah E. Baum, K. Blanchard, Caitlin Gerdts, Dominic Montagu, Nirali M. Chakraborty, Bill Powell

Research output: Contribution to journalComment/debate

Abstract

Little consensus exists about how to measure quality of care in abortion. Our purpose is to (a) provide common language for healthcare quality definitions, frameworks and measurement; (b) synthesize literature about quality measurement in abortion; and (c) present criteria for quality metric development. Quality includes effectiveness, patient centeredness, timeliness, efficiency and equity of care. Information about structure, process and outcomes of care is used to measure quality. We do not have good evidence about expected population-level health and behavioral outcomes associated with improving abortion service quality. Abortion patients overwhelmingly report high satisfaction with services, but it is not clear if their satisfaction indicates high-quality care. Guidance exists for quality metric selection; measures must focus on priority topics, be scientifically sound and be feasible. Technical quality standards and clinical guidelines exist, but we lack a standard set of quality metrics. Partners in the Abortion Service Quality Initiative (https://asq-initiative.org/) are collaborating to develop the first-ever global standard for measuring abortion service quality in low- and middle-income countries, both in and out of health care facilities. Standardized and validated quality metrics would move our field forward and contribute to quality improvement activities and, ultimately, to improved health outcomes for women and families. Implications: We define quality of health care, synthesize the evidence about quality of care in abortion and advocate for standardized and validated quality metrics to improve health outcomes for women.

Original languageEnglish (US)
JournalContraception
DOIs
StateAccepted/In press - Jan 1 2019

Fingerprint

Quality of Health Care
Women's Health
Family Health
Health Facilities
Quality Improvement
Health Status
Consensus
Language
Guidelines
Delivery of Health Care
Population

Keywords

  • Abortion
  • Indicators
  • Metrics
  • Quality of care

ASJC Scopus subject areas

  • Reproductive Medicine
  • Obstetrics and Gynecology

Cite this

Darney, B., Kapp, N., Andersen, K., Baum, S. E., Blanchard, K., Gerdts, C., ... Powell, B. (Accepted/In press). Definitions, measurement and indicator selection for quality of care in abortion. Contraception. https://doi.org/10.1016/j.contraception.2019.07.006

Definitions, measurement and indicator selection for quality of care in abortion. / Darney, Blair; Kapp, Nathalie; Andersen, Kathryn; Baum, Sarah E.; Blanchard, K.; Gerdts, Caitlin; Montagu, Dominic; Chakraborty, Nirali M.; Powell, Bill.

In: Contraception, 01.01.2019.

Research output: Contribution to journalComment/debate

Darney, B, Kapp, N, Andersen, K, Baum, SE, Blanchard, K, Gerdts, C, Montagu, D, Chakraborty, NM & Powell, B 2019, 'Definitions, measurement and indicator selection for quality of care in abortion', Contraception. https://doi.org/10.1016/j.contraception.2019.07.006
Darney, Blair ; Kapp, Nathalie ; Andersen, Kathryn ; Baum, Sarah E. ; Blanchard, K. ; Gerdts, Caitlin ; Montagu, Dominic ; Chakraborty, Nirali M. ; Powell, Bill. / Definitions, measurement and indicator selection for quality of care in abortion. In: Contraception. 2019.
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