Validation of a New Method for Testing Provider Clinical Quality in Rural Settings in Low- and Middle-Income Countries: The Observed Simulated Patient
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{"title"=>"Validation of a new method for testing provider clinical quality in rural settings in low- and middle-income countries: The observed simulated patient", "type"=>"journal", "authors"=>[{"first_name"=>"Tin", "last_name"=>"Aung", "scopus_author_id"=>"56011687000"}, {"first_name"=>"Dominic", "last_name"=>"Montagu", "scopus_author_id"=>"6506242486"}, {"first_name"=>"Karen", "last_name"=>"Schlein", "scopus_author_id"=>"54911974700"}, {"first_name"=>"Thin Myat", "last_name"=>"Khine", "scopus_author_id"=>"54912926200"}, {"first_name"=>"Willi", "last_name"=>"McFarland", "scopus_author_id"=>"35492450400"}], "year"=>2012, "source"=>"PLoS ONE", "identifiers"=>{"issn"=>"19326203", "scopus"=>"2-s2.0-84856097419", "pui"=>"364129344", "doi"=>"10.1371/journal.pone.0030196", "isbn"=>"1932-6203 (Electronic)\\r1932-6203 (Linking)", "sgr"=>"84856097419", "pmid"=>"22291918"}, "id"=>"36742ab3-cee3-3229-a290-a014ed4455b9", "abstract"=>"BACKGROUND: Assessing the quality of care provided by individual health practitioners is critical to identifying possible risks to the health of the public. However, existing assessment methods can be inaccurate, expensive, or infeasible in many developing country settings, particularly in rural areas and especially for children. Following an assessment of the strengths and weaknesses of the existing methods for provider assessment, we developed a synthesis method combining components of direct observation, clinical vignettes, and medical mannequins which we have termed \"Observed Simulated Patient\" or OSP. An OSP assessment involves a trained actor playing the role of a 'mother', a life-size doll representing a 5-year old boy, and a trained observer. The provider being assessed was informed in advance of the role-playing, and told to conduct the diagnosis and treatment as he normally would while verbally describing the examinations. METHODOLOGY/PRINCIPAL FINDINGS: We tested the validity of OSP by conducting parallel scoring of medical providers in Myanmar, assessing the quality of their diagnosis and treatment of pediatric malaria, first by direct observation of true patients and second by OSP. Data were collected from 20 private independent medical practitioners in Mon and Kayin States, Myanmar between December 26, 2010 and January 12, 2011. All areas of assessment showed agreement between OSP and direct observation above 90% except for history taking related to past experience with malaria medicines. In this area, providers did not ask questions of the OSP to the same degree that they questioned real patients (agreement 82.8%). CONCLUSIONS/SIGNIFICANCE: The OSP methodology may provide a valuable option for quality assessment of providers in places, or for health conditions, where other assessment tools are unworkable.", "link"=>"http://www.mendeley.com/research/validation-new-method-testing-provider-clinical-quality-rural-settings-low-middleincome-countries-ob-1", "reader_count"=>22, "reader_count_by_academic_status"=>{"Professor > Associate Professor"=>1, "Researcher"=>8, "Student > Doctoral Student"=>3, "Student > Ph. D. Student"=>2, "Student > Master"=>6, "Lecturer > Senior Lecturer"=>1, "Professor"=>1}, "reader_count_by_user_role"=>{"Professor > Associate Professor"=>1, "Researcher"=>8, "Student > Doctoral Student"=>3, "Student > Ph. D. Student"=>2, "Student > Master"=>6, "Lecturer > Senior Lecturer"=>1, "Professor"=>1}, "reader_count_by_subject_area"=>{"Nursing and Health Professions"=>1, "Medicine and Dentistry"=>10, "Business, Management and Accounting"=>4, "Social Sciences"=>6, "Decision Sciences"=>1}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>10}, "Social Sciences"=>{"Social Sciences"=>6}, "Decision Sciences"=>{"Decision Sciences"=>1}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>1}, "Business, Management and Accounting"=>{"Business, Management and Accounting"=>4}}, "reader_count_by_country"=>{"Netherlands"=>1, "Belgium"=>1}, "group_count"=>2}

Scopus | Further Information

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  • {"files"=>["https://ndownloader.figshare.com/files/689191"], "description"=>"<p>OSP testing of a rural provider.</p>", "links"=>[], "tags"=>["Infectious diseases", "public health and epidemiology", "pediatrics and child health", "Non-clinical medicine"], "article_id"=>359677, "categories"=>["Medicine", "Infectious Diseases", "Biotechnology"], "users"=>["Tin Aung", "Dominic Montagu", "Karen Schlein", "Thin Myat Khine", "Willi McFarland"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0030196.g001", "stats"=>{"downloads"=>0, "page_views"=>5, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_OSP_testing_of_a_rural_provider_/359677", "title"=>"OSP testing of a rural provider.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-02-20 09:37:40"}
  • {"files"=>["https://ndownloader.figshare.com/files/689654"], "description"=>"<p>Comparison of Observed Simulated Patients and Existing Quality Measurement Tools.</p>", "links"=>[], "tags"=>["observed", "simulated", "patients"], "article_id"=>360142, "categories"=>["Medicine", "Infectious Diseases", "Biotechnology"], "users"=>["Tin Aung", "Dominic Montagu", "Karen Schlein", "Thin Myat Khine", "Willi McFarland"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0030196.t004", "stats"=>{"downloads"=>1, "page_views"=>6, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Comparison_of_Observed_Simulated_Patients_and_Existing_Quality_Measurement_Tools_/360142", "title"=>"Comparison of Observed Simulated Patients and Existing Quality Measurement Tools.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-02-20 09:40:12"}
  • {"files"=>["https://ndownloader.figshare.com/files/689383"], "description"=>"<p>Twenty providers were scored on their performance diagnosing and treating malaria, first by direct observation with real patients; subsequently using the OSP methodology. <a href=\"http://www.plosone.org/article/info:doi/10.1371/journal.pone.0030196#pone-0030196-g003\" target=\"_blank\">Figure 3</a> shows the providers scored for each of the five diagnosis modules. The weights given to each module were determined through consultation with experts in malaria treatment as described in the text. Possible scores were: Unit 1: History Taking (5); Unit 2: Identify severe signs of malaria (13); Unit 3: Vital Signs (8); Unit 4: Antimalarial drug history (5); Unit 5: Perform Rapid Diagnostic Kit test (30).</p>", "links"=>[], "tags"=>["scores", "diagnosing", "patients", "osp"], "article_id"=>359869, "categories"=>["Medicine", "Infectious Diseases", "Biotechnology"], "users"=>["Tin Aung", "Dominic Montagu", "Karen Schlein", "Thin Myat Khine", "Willi McFarland"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0030196.g003", "stats"=>{"downloads"=>1, "page_views"=>5, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Average_Provider_scores_when_diagnosing_patients_and_OSP_mannequins_/359869", "title"=>"Average Provider scores when diagnosing patients and OSP mannequins.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-02-20 09:38:46"}

PMC Usage Stats | Further Information

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  • {"unique-ip"=>"10", "full-text"=>"8", "pdf"=>"5", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2017", "month"=>"11"}
  • {"unique-ip"=>"2", "full-text"=>"2", "pdf"=>"0", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2017", "month"=>"12"}
  • {"unique-ip"=>"1", "full-text"=>"1", "pdf"=>"1", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2018", "month"=>"1"}
  • {"unique-ip"=>"12", "full-text"=>"10", "pdf"=>"2", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2018", "month"=>"3"}
  • {"unique-ip"=>"3", "full-text"=>"3", "pdf"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2019", "month"=>"1"}
  • {"unique-ip"=>"3", "full-text"=>"3", "pdf"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2018", "month"=>"10"}
  • {"unique-ip"=>"13", "full-text"=>"14", "pdf"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2018", "month"=>"5"}
  • {"unique-ip"=>"1", "full-text"=>"1", "pdf"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2018", "month"=>"6"}
  • {"unique-ip"=>"2", "full-text"=>"1", "pdf"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"2", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2018", "month"=>"4"}
  • {"unique-ip"=>"5", "full-text"=>"4", "pdf"=>"1", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2018", "month"=>"7"}
  • {"unique-ip"=>"7", "full-text"=>"5", "pdf"=>"3", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2018", "month"=>"8"}
  • {"unique-ip"=>"11", "full-text"=>"9", "pdf"=>"2", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2018", "month"=>"11"}
  • {"unique-ip"=>"11", "full-text"=>"12", "pdf"=>"1", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2018", "month"=>"12"}
  • {"unique-ip"=>"3", "full-text"=>"2", "pdf"=>"2", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2018", "month"=>"9"}
  • {"unique-ip"=>"4", "full-text"=>"5", "pdf"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2019", "month"=>"2"}
  • {"unique-ip"=>"6", "full-text"=>"7", "pdf"=>"1", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2019", "month"=>"3"}
  • {"unique-ip"=>"6", "full-text"=>"4", "pdf"=>"5", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2019", "month"=>"4"}
  • {"unique-ip"=>"12", "full-text"=>"11", "pdf"=>"1", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2019", "month"=>"5"}
  • {"unique-ip"=>"4", "full-text"=>"5", "pdf"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2019", "month"=>"8"}
  • {"unique-ip"=>"5", "full-text"=>"6", "pdf"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2019", "month"=>"9"}
  • {"unique-ip"=>"6", "full-text"=>"6", "pdf"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2019", "month"=>"10"}
  • {"unique-ip"=>"6", "full-text"=>"1", "pdf"=>"7", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2019", "month"=>"12"}
  • {"unique-ip"=>"11", "full-text"=>"10", "pdf"=>"3", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2020", "month"=>"2"}

Relative Metric

{"start_date"=>"2012-01-01T00:00:00Z", "end_date"=>"2012-12-31T00:00:00Z", "subject_areas"=>[{"subject_area"=>"/Medicine and health sciences", "average_usage"=>[312, 547, 668, 769, 861, 953, 1046, 1135, 1224, 1307, 1388, 1464, 1536, 1606, 1676, 1744, 1812, 1882, 1954, 2020, 2089, 2155, 2218, 2282, 2344]}, {"subject_area"=>"/Medicine and health sciences/Pediatrics", "average_usage"=>[300, 544, 655, 754, 851, 952, 1048, 1105, 1224, 1296, 1390, 1469, 1524, 1594, 1666, 1742, 1805, 1852, 1936, 2002, 2069, 2153, 2222, 2309, 2373]}, {"subject_area"=>"/Medicine and health sciences/Tropical diseases", "average_usage"=>[318, 641, 793, 914, 1020, 1113, 1234, 1345, 1446, 1565, 1664, 1752, 1824, 1900, 1980, 2054, 2132, 2215, 2270, 2358, 2434, 2498, 2579, 2629, 2698]}]}
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Net::HTTPTooManyRequests

Source
Scopus
Time
2019-08-27 18:05:26 UTC
Target URL
https://api.elsevier.com/content/search/index:SCOPUS?query=DOI(10.1371%2Fjournal.pone.0030196)
Trace

/app/models/concerns/networkable.rb:21:in `get_result'
/app/models/source.rb:165:in `get_data'
/app/models/retrieval_status.rb:47:in `perform_get_data'
/app/jobs/source_job.rb:52:in `block (2 levels) in perform'
/app/jobs/source_job.rb:51:in `block in perform'
/app/jobs/source_job.rb:35:in `each'
/app/jobs/source_job.rb:35:in `perform'