Appendix C. Tables (continued)

Table 13.  Number and Percent of Publications by Children's Health Strategic Plan Goals

Children's Health Strategic Plan Goals	Number of Publications	Percent of Publications
1. Contribute to new knowledge about child health services	473	64%
2. Create tools and nourish talent to strengthen the knowledge base in child health services	136	18%
3. Translate new knowledge into practice	64	9%
4. Improve communication with stakeholders in child health	---	---
5. Include children and child health care in all AHRQ-supported research	---	---
6. Balance the AHRQ research portfolio to represent a broader range of children and child health care	68	9%
Total	741	100%

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Table 14.  AHRQ Portfolios of Research

#	Portfolio of Research	Description
1.	Care Management Mission	To promote the receipt of effective, evidence-based, and patient-centered care for acute and chronic conditions through research, information dissemination, tool development, and promotion of policies.
2.	Cost, Organization, and Socio-Economics Mission	To improve quality, efficiency, and effectiveness of health care by providing public and private decisionmakers with the information, tools, and assistance they need to improve the way they organize, finance, pay for, and regulate health care.
3.	Data Development Mission	To develop and maintain data and tools to measure health care quality, efficiency, and effectiveness and to facilitate data use and translation into usable information by external and internal stakeholders to inform decision-making and quality improvement processes.
4.	Health Information Technology Mission	To increase the development, diffusion, and adoption of health IT to improve the quality, safety, efficiency, and effectiveness of health care for all Americans.
5.	Long-term Care (LTC) Mission	To improve outcomes, quality, and evidence-based info focused on care provided in all LTC settings, transitions across settings, special service accommodation for the LTC population (e.g., assistance with mobility, basic activities of daily living, homemaker services and other role activities across all ages): a primary focus is on improving and maintaining functioning, community participation, and health-related quality of life.
6.	Patient Safety Mission	To decrease errors, risks, and/or hazards in health care and their harmful impact on patients.
7.	Pharmaceutical Outcomes Mission	To improve health outcomes through the safe and effective use of pharmaceuticals.
8.	Prevention Mission	To increase the adoption and the delivery (and use) of evidence-based clinical preventive services in the United States.
9.	System Capacity and Emergency Preparedness Mission	To empower communities and health care systems to support all people by enhancing system capacity and preparing for urgent and emergent demands and needs.
10.	Training Mission	To continue to foster the growth, dissemination, and translation of the field and science of health services research to achieve AHRQ's mission and address Department priorities in the transfer of health care research.

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Table 15.  Number and Percent of External Child Health Activities by AHRQ Portfolios of Research, Overall and Over Time

AHRQ Portfolios of Research	Number of External Activities	Percent of External Activities	Categories by Years
			1990-1995 (n=86)	1996-1998 (n=54)	1999-2002 (n=236)	2003-2005 (n=118)
1. Care Management Mission	191	37%	50%	33%	39%	26%
2. Cost, Organization, and Socio-Economics Mission	134	26%	38%	46%	24%	13%
3. Data Development Mission	2	<1%	--	--	1%	--
4. Health Information Technology Mission	51	10%	--	--	5%	33%
5. Long-term Care (LTC) Mission	--	--	--	--	--	--
6. Patient Safety Mission	55	11%	--	4%	13%	16%
7. Pharmaceutical Outcomes Mission	11	2%	--	2%	3%	2%
8. Prevention Mission	31	6%	5%	9%	7%	3%
9. System Capacity and Emergency Preparedness Mission	4	1%	--	--	<1%	3%
10. Training Mission	35	7%	7%	6%	8%	5%
Total	514	100%	100%	100%	100%	100%

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Table 16.  Total and Percent of Funding for External Child Health Activities by AHRQ Portfolios of Research

AHRQ Portfolios of Research	Total Funding	Percent of Total Funding
1. Care Management Mission	$81,605,000	23%
2. Cost, Organization, and Socio-Economics Mission	$76,596,000	22%
3. Data Development Mission	$766,000	<1%
4. Health Information Technology Mission	$48,303,000	14%
5. Long-term Care (LTC) Mission	---	---
6. Patient Safety Mission	$64,679,000	18%
7. Pharmaceutical Outcomes Mission	$21,546,000	6%
8. Prevention Mission	$25,267,000	7%
9. System Capacity and Emergency Preparedness Mission	$1,423,000	<1%
10. Training Mission	$32,455,000	9%
Total	$352,639,000	100%

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Table 17.  Number and Percent of Publications by AHRQ Portfolios of Research

AHRQ Portfolios of Research	Number of Publications	Percent of Publications
1. Care Management Mission	304	41%
2. Cost, Organization, and Socio-Economics Mission	230	31%
3. Data Development Mission	---	---
4. Health Information Technology Mission	25	3%
5. Long-term Care (LTC) Mission	---	---
6. Patient Safety Mission	66	9%
7. Pharmaceutical Outcomes Mission	31	4%
8. Prevention Mission	64	9%
9. System Capacity and Emergency Preparedness Mission	---	---
10. Training Mission	21	3%
Total	741	100%

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Table 18.  Child Health Publications by Stryer Category

Stryer Category	Number of Publications	Percent of Publications
1. Research findings	470	70%
2. Policy impact	95	14%
3. Clinical impact	99	15%
4. Outcomes impact	8	1%
Total	672	100%

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Table 19.  Mean (standard deviation) Stryer Score, Citations, and Impact Factors for Children's Health Research Publications, Overall and by Categorization (Excludes Internal Publications)

AHRQ Strategic Goals	Mean (Standard Deviation)
	Stryer Score	Citations	Impact Factor
1. Improve health outcomes	1.51 (.80)	7.38 (11.14)	3.92 (4.51)
2. Improve access, appropriate use and efficiency and reduce costs	1.46 (.83)	4.236 (6.41)	3.06 (2.63)
3. Use data to make informed decisions	2.04c (1.07)	9.93 (11.78)	3.92 (4.75)
4. Strengthen quality measurement and improvement	NA	NA	NA
5. Promote safety	1.26 (.58)	11.372 (32.31)	3.47 (3.56)
Children's Health Plan Strategic Goals
1. Contribute to new knowledge about child health services	1.51 (.89)	7.34 (10.81)	3.60 (4.03)
2. Create tools and nourish talent to strengthen the knowledge base in child health services	1.55 (.74)	7.00 (10.06)	3.63 (3.95)
3. Translate new knowledge into practice	2.21c (.97)	1.36 (1.86)	2.97 (1.71)
4. Improve communication with stakeholders in child health	NA	NA	NA
5. Include children and child health care in all AHRQ-supported research.	1.27 (.65)	9.14 (5.27)	3.73 (3.42)
6. Balance the AHRQ research portfolio to represent a broader range of children and child health care	1.27 (.69)	11.72 (37.7)	5.31 (6.23)
AHRQ Portfolios of Research
1. Care Management Mission	1.404,8 (.81)	6.53 (9.13)	3.54 (4.07)
2. Cost, Organization, and Socio-Economics Mission	1.554 (.73)	6.95 (10.07)	3.61 (3.93)
3. Data Development Mission	NA	NA	NA
4. Health Information Technology Mission	2.211,2,6,10 (.97)	1.36 (1.86)	2.97 (1.71)
5. Long-term Care (LTC) Mission	NA	NA	NA
6. Patient Safety Mission	1.184,8 (.58)	11.86 (40.25)	4.99 (5.86)
7. Pharmaceutical Outcomes Mission	1.75 (1.00)	13.63 (19.88)	4.96 (5.27)
8. Prevention Mission	2.041,6,10 (1.07)	9.93 (11.78)	3.92 (4.75)
9. System Capacity and Emergency Preparedness Mission	NA	NA	NA
10. Training Mission	1.278,4 (.59)	5.64 (6.09)	3.72 (1.43)
Overall	1.47 (.78)	7.44 (14.53)	3.79 (4.52)

^c. = different from all other categories at p < 0.05.
^{1, 2, 3, etc.} = different from specific category represented in superscript at p < 0.05

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Table 20.  Average Impact Score of Child Health Publications by Stryer Category

Stryer Category	Average Impact Score
1. Research findings	3.16
2. Policy impact	3.65
3. Clinical impact	4.56
4. Outcomes impact	7.84

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