This study will present a critical appraisal of the validity and applicability of the research study “Quality of Care for Diabetic Patients in a Large Urban Public Hospital” written by Pitiporn Suwattee, J. Christopher Lynch, and Merri L. Pendergrass…
According to the research findings, it can, therefore, be said that Suwattee, Lynch, and Pendergrass relied on hospital records mainly from the quality improvement department to collect data pertaining to patient characteristics and information on their follow up by physicians. They analyzed the data using x2 test, ANOVA, Fisher’s PLSD test to observe categorical and continuous variables, while taking the help of SAS statistical software. They concluded that diabetes clinic provided the highest quality care while clinic staffed by internal medicine residents provided the intermediate and the other clinic staffed by faculty physicians provided the least amount of care. Validity: As it was mentioned by the authors, the research was mainly based on documented reports rather than direct observations. Also, if their pre-existing favorability towards diabetes clinic had made them perform an overlooked biased study with respect to selection and testing of measures, the internal validity would have been in question. However, the documentation of their data analysis and the correlation of results and assumptions with relevant published data suggest that the study can be considered as validated. From the data, assumptions and relative measures provided by the authors, it can be stated that the results of this study have content, predictive and concurrent validity, respectively. Applicability: The main point identified in this research was that diabetes clinic having a disease-management process provided highest quality care to patients. It was in spite of the fact that some aspects of the care in the diabetes clinic are provided by least experienced personnel than those in the clinic staffed by faculty physicians. Adherence to standard guidelines for patient care through a system-wide coordination among involved providers is the key for this difference. Though this comprehensive approach seems widely applicable, the fact that even the diabetes clinic’s score was also suboptimal indicates that applicability needs long-term commitment and participation of all involved entities. ...
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