Challenges and opportunities with adapting international health care quality indicators to local contexts: A descriptive case study

Clicks: 3
ID: 332563
2026
Free PDF
Article Quality & Performance Metrics
Overall Quality
Not rated
Combines reader engagement with the AI quality analysis. This article has not been analysed, so there is no overall score — reader engagement is measured and shown alongside.
AI Quality Assessment
Not analyzed
Readership in this journal
Emerging

Ranked #150 of 154 articles by views in International journal for quality in health care : journal of the International Society for Quality in Health Care

Most read Least read

Bar heights use a square-root scale. Only the 120 most-read articles are drawn; the journal has 154 in total.

Mint this article as an NFT
Not yet minted

Create a permanent, verifiable on-chain record of this article on the Scimatic Network. The NFT is held in your Journament account, and you can withdraw it to your own wallet at any time.

5 SUSD one-off · no wallet required
Sign in to mint
Abstract
BACKGROUND: International quality of care indicators provide a common framework for interoperability among different health care systems. We aimed to demonstrate the challenges and opportunities with adapting such quality indicators through the case of adapting the International Consortium for Health Outcomes Measurement (ICHOM) set of patient-centered outcome measures for older persons to the context of Canada. METHODS: In this descriptive case study, we purposefully recruited diverse stakeholders. Adapting a nominal group technique, we conducted group discussions to identify additional aspects deemed important for the context and needed to be added to the ICHOM. Transcripts were thematically analyzed to describe challenges and opportunities with adapting the ICHOM. RESULTS: Four older persons, seven clinicians, five health managers, and four decision-makers participated. Four emerging themes indicated that the ICHOM set for older persons was: 1) focusing on the negative aspects of care, suggesting an opportunity to have a positive perspective and strength-based approach; 2) omitting equity in care delivery, which should be across all domains; 3) disease-centered while a holistic approach was preferable; and 4) primarily descriptive although it is key to generating action plans. Ageing in place-helping older persons remain in the communities through integrated care-was viewed as the optimal outcome. CONCLUSION: International quality of care indicators are excellent starting points, but care must be taken to adapt them for use in local contexts. Social norms, relationships between users and health care providers, trust in health and social care systems, and contextual values are important factors to situate the quality indicators in an action-oriented context.
Reference Key
openalex_W7222686333 Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Isabelle Vedel, Deniz Cetin‐Sahin, Geneviève Arsenault‐Lapierre, Clara Bolster‐Foucault, Marwa Ilali, Amélie Quesnel‐Vallée
Journal International journal for quality in health care : journal of the International Society for Quality in Health Care
Year 2026
DOI
10.1093/intqhc/mzag165
URL
https://doi.org/10.1093/intqhc/mzag165
Keywords Keywords not found

Citations

No citations found. To add a citation, contact the admin at info@scimatic.org

Comments

No comments yet. Be the first to comment on this article.