Arch Pediat Adol Med
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Arch Pediat Adol Med · Nov 1997
Development of a quality of care measurement system for children and adolescents. Methodological considerations and comparisons with a system for adult women.
To describe the development of a pediatric quality of care measurement system designed to cover multiple clinical topics that could be applied to enrollees in managed care organizations and to compare the development of this system with the concurrent development of a similar system for adult women. ⋯ This study contributes to the field of pediatric quality of care assessment by providing many more indicators than have been available previously and by documenting the strength of evidence supporting these indicators. Formal consensus methods are essential for the development of pediatric quality measures because the evidence base for pediatric care is more limited than for adult care.
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Arch Pediat Adol Med · Nov 1997
Variation in the management of pediatric diabetic ketoacidosis by specialty training.
To compare management strategies for pediatric diabetic ketoacidosis (DKA) among physicians with different specialty training. ⋯ Substantial differences exist in the management of pediatric DKA among physicians of different specialties, presumably due to differences in specialty training. These differences obscure our ability to evaluate the treatment of DKA and highlight the necessity for further studies comparing the outcomes of different treatment strategies.