Adam Chow

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INTRODUCTION AND OBJECTIVE This paper provides an overview of the DUQuE (Deepening our Understanding of Quality Improvement in Europe) project, the first study across multiple countries of the European Union (EU) to assess relationships between quality management and patient outcomes at EU level. The paper describes the conceptual framework and methods(More)
OBJECTIVE The aim of this study was to develop and validate an index to assess the implementation of quality management systems (QMSs) in European countries. DESIGN Questionnaire development was facilitated through expert opinion, literature review and earlier empirical research. A cross-sectional online survey utilizing the questionnaire was undertaken(More)
OBJECTIVE To investigate the relationship between ISO 9001 certification, healthcare accreditation and quality management in European hospitals. DESIGN A mixed method multi-level cross-sectional design in seven countries. External teams assessed clinical services on the use of quality management systems, illustrated by four clinical pathways. SETTING(More)
OBJECTIVE The assessment of integral quality management (QM) in a hospital requires measurement and monitoring from different perspectives and at various levels of care delivery. Within the DUQuE project (Deepening our Understanding of Quality improvement in Europe), seven measures for QM were developed. This study investigates the relationships between the(More)
BACKGROUND To characterize the association of antiretroviral drug combinations on risk of cardiovascular events. METHODS Certain antiretroviral medications for human immunodeficiency virus (HIV) have been implicated in increasing risk of cardiovascular disease. However, antiretroviral drugs are typically prescribed in combination. We characterized the(More)
We examined how emergency department (ED) visits for potentially preventable, mental health, and other diagnoses were related to same-day access and provider continuity in primary care using administrative data from 71,296 patients in 22 VHA clinics over a three-year period. ED visits were categorized as non-emergent; primary care treatable; preventable;(More)
OBJECTIVE This study estimated the loss in outpatient copayment revenue for the U.S. Department of Veterans Affairs (VA) health care system from a mandate for free care related to military sexual trauma. s METHODS A retrospective database analysis located all VA enrollees who screened positive for military sexual trauma and received related care in fiscal(More)
We analyzed healthcare costs and medical conditions for 2,008 veterans with spinal cord injuries and disorders (SCI/Ds) near end of life. The average age at SCI/D onset and/ or occurrence was 42 years and at death was 66 years. The conditions that incurred the most costs included cancer (20.9%), influenza and/or pneumonia (15.1%), heart disease (13.5%),(More)
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