title: Client and Provider Perspectives on Quality of Care: A Systematic Review.
abstract: BACKGROUND
  A central premise of the literature on healthcare quality is that improving the quality of care will lead to improvements in health outcomes. A systematic review was conducted to better inform quality improvement efforts in the area of family planning. The objective of this systematic review is to update a previous review focused on the quality of family planning services, namely, the impact of quality improvement efforts and client perspectives about what constitutes quality family planning services. In addition, this review includes new literature examining provider perspectives.
  
  
  METHODS
  Multiple databases from January 1985 through January 2015 were searched within the peer-reviewed literature that described the quality of family planning services. The retrieval and inclusion criteria included full-length articles published in English, which described studies occurring in a clinic-based setting to include family planning services.
  
  
  RESULTS
  Search strategies identified 16,145 articles, 16 of which met the inclusion criteria. No new intervention studies addressing the impact of quality improvement efforts on family planning outcomes were identified. Sixteen articles provided information relevant to client or provider perspectives about what constitutes quality family planning services. Clients and providers mostly identified the need for services that were accessible, client-centered, and equitable. Themes related to effectiveness, efficiency, and safety were mentioned less frequently.
  
  
  CONCLUSIONS
  Family planning services that account for both patient and provider perspectives may be more effective. Further research is needed to examine the impact of improved quality on provider practices, client behavior, and health outcomes.
authors.affiliation: University of Miami School of Nursing and Health Studies, Coral Gables, Florida; MANILA Consulting Group, Inc., McLean, Virginia. Electronic address: j.williams17@miami.edu.
authors.forename: Jessica R
authors.initials: JR
authors.lastname: Williams
authors.affiliation: Division of Reproductive Health, CDC, Atlanta, Georgia; Office of Population Affairs, USDHHS, Washington, District of Columbia.
authors.forename: Loretta E
authors.initials: LE
authors.lastname: Gavin
authors.affiliation: Division of Reproductive Health, CDC, Atlanta, Georgia.
authors.forename: Marion W
authors.initials: MW
authors.lastname: Carter
authors.affiliation: Office of Population Affairs, USDHHS, Washington, District of Columbia.
authors.forename: Evelyn
authors.initials: E
authors.lastname: Glass
mesh_terms: D005193:Family Planning Services / Q000592:standards*; D006282:Health Personnel; D006801:Humans; D010361:Patients; D011787:Quality of Health Care / Q000639:trends*