Using patient-reported outcome measures (PROMs) in the comparison of hospital quality performance

Bojke, Chris and Godoy Caballero, Ana Luisa and Gutacker, Nils (2013) Using patient-reported outcome measures (PROMs) in the comparison of hospital quality performance. In: 33rd Health Economics Conference, 18-21 Jun 2013, Santander.

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Item Type:Conference or Workshop contribution (Presentation)
Item Status:Live Archive

Abstract

OBJECTIVES: Generic as well as disease-specific PROMs have been collected by hospital providers in the English National Health Service (NHS) since April 2009 for four elective procedures: hip and knee replacement, varicose vein surgery and hernia repair. These measures provide information about the self-assessment of patients’ health status. The aim of this study is to compare the provision of health services in the NHS according to the different patient-reported outcome (PRO) measures and to analyse whether our judgement about hospital performance depends on the choice of PRO instrument.
MATERIAL AND METHODS: We carry out a literature review searching for papers that make direct comparisons between the generic, EQ-5D or EQ-VAS, and the specific measures OHS, OKS or AVVQ. In addition, we estimate fixed effects models for 20,509 patients treated in 153 hospitals who have completed the questionnaires before and after hip replacement. This methodology will allow for the analysis of hospital effects, i.e. the variation in the measures at provider level.
RESULTS AND CONCLUSIONS: We find a high positive correlation (over 0.70) between the measures indicating that in general high/low scores in one of the measures are associated to high/low scores in the other measure used for comparisons. However, there are some hospitals judged outliers according to one measure but not to the other one.

Keywords:PROMs, hip replacement, EQ-5D, OHS
Subjects:L Social studies > L431 Health Policy
Divisions:College of Social Science > School of Health & Social Care
ID Code:12949
Deposited On:16 Jan 2014 11:02

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