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Type: Journal article
Title: An evidence-based framework to measure quality of allied health care
Author: Grimmer, K.
Lizarondo, L.
Kumar, S.
Bell, E.
Buist, M.
Weinstein, P.
Citation: Health Research Policy and Systems, 2014; 12(1):10-1-10-10
Publisher: BioMed Central
Issue Date: 2014
ISSN: 1478-4505
Statement of
Karen Grimmer, Lucylynn Lizarondo, Saravana Kumar, Erica Bell, Michael Buist, and Philip Weinstein
Abstract: BACKGROUND: There is no standard way of describing the complexities of allied health (AH) care, or its quality. AH is an umbrella term which excludes medicine and nursing, and variably includes disciplines which provide therapy, diagnostic, or scientific services. This paper outlines a framework for a standard approach to evaluate the quality of AH therapy services. METHODS: A realist synthesis framework describing what AH does, how it does it, and what is achieved, was developed. This was populated by the findings of a systematic review of literature published since 1980 reporting concepts of quality relevant to AH. Articles were included on quality measurement concepts, theories, debates, and/or hypothetical frameworks. RESULTS: Of 139 included articles, 21 reported on descriptions of quality potentially relevant to AH. From these, 24 measures of quality were identified, with 15 potentially relating to what AH does, 17 to how AH delivers care, 8 relating to short term functional outcomes, and 9 relating to longer term functional and health system outcomes. CONCLUSIONS: A novel evidence-based quality framework was proposed to address the complexity of AH therapies. This should assist in better evaluation of AH processes and outcomes, costs, and evidence-based engagement of AH providers in healthcare teams.
Keywords: Humans; Program Evaluation; Allied Health Occupations; Patient Satisfaction; Delivery of Health Care; Quality of Health Care; Outcome Assessment (Health Care); Evidence-Based Practice
Rights: © 2014 Grimmer et al.; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver ( applies to the data made available in this article, unless otherwise stated.
RMID: 0030023126
DOI: 10.1186/1478-4505-12-10
Appears in Collections:Public Health publications

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