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Title: The impact of redesigning care processes on quality of care: A systematic review
Authors: Van Leijen-Zeelenberg J.E.
Elissen A.M.J.
Grube K.
Van Raak A.J.A.
Vrijhoef H.J.M. 
Kremer B.
Ruwaard D.
Keywords: checklist
systematic review
health care delivery
health care quality
organization and management
outcome assessment
total quality management
treatment outcome
Delivery of Health Care
Outcome and Process Assessment (Health Care)
Outcome Assessment (Health Care)
Quality Improvement
Quality of Health Care
Research Design
Issue Date: 2016
Publisher: BioMed Central Ltd.
Citation: Van Leijen-Zeelenberg J.E., Elissen A.M.J., Grube K., Van Raak A.J.A., Vrijhoef H.J.M., Kremer B., Ruwaard D. (2016). The impact of redesigning care processes on quality of care: A systematic review. BMC Health Services Research 16 (1) : 19. ScholarBank@NUS Repository.
Abstract: Background: This literature review evaluates the current state of knowledge about the impact of process redesign on the quality of healthcare. Methods: Pubmed, CINAHL, Web of Science and Business Premier Source were searched for relevant studies published in the last ten years [2004-2014]. To be included, studies had to be original research, published in English with a before-and-after study design, and be focused on changes in healthcare processes and quality of care. Studies that met the inclusion criteria were independently assessed for excellence in reporting by three reviewers using the SQUIRE checklist. Data was extracted using a framework developed for this review. Results: Reporting adequacy varied across the studies. Process redesign interventions were diverse, and none of the studies described their effects on all dimensions of quality defined by the Institute of Medicine. Conclusions: The results of this systematic literature review suggests that process redesign interventions have positive effects on certain aspects of quality. However, the full impact cannot be determined on the basis of the literature. A wide range of outcome measures were used, and research methods were limited. This review demonstrates the need for further investigation of the impact of redesign interventions on the quality of healthcare. © 2016 van Leijen-Zeelenberg et al.
Source Title: BMC Health Services Research
ISSN: 14726963
DOI: 10.1186/s12913-016-1266-0
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