Titre : | Analysing Hospital Variation in Health Outcome at the Level of EQ-5D Dimensions. |
Titre original: | Analyse de la variabilité des résultats en santé à l'hôpital en prenant en compte les dimensions du questionnaire EQ-5D |
Titre de série : | CHE Research Paper, 74 |
Auteurs : | N. GUTACKER ; C. BOJKE ; S. DAIDONE ; et al. ; University of York. Centre for Health Economics. (C.H.E.). York. GBR |
Type de document : | Document de travail |
Editeur : | York : University of York, 2012 |
Format : | 21p., tabl., fig. |
Note générale : | Référence : réf. bibl. |
Langues: | Anglais |
Catégories : |
[BDSP5] Etablissement sanitaire > Structure curative > Hôpital [BDSP5] Etudes méthodes et statistiques [NI] > Méthodologie > Evaluation > Performance [BDSP5] Etudes méthodes et statistiques [NI] > Méthodologie > Statistique > Technique mesure > Questionnaire [BDSP5] Géographie politique > Monde > Europe > Iles Britanniques > Royaume Uni [BDSP5] Information sanitaire > Etat santé [BDSP5] Sciences éducation > Pédagogie > Evaluation des connaissances > Autoévaluation [BDSP5] Système soins > Filière soins > Soins hospitaliers [BDSP5] Thérapeutique > Thérapeutique chirurgicale > Intervention chirurgicale |
Résumé : | This paper sets out to measure variation in hospital quality using a new, routinely collected dataset on patient-reported outcome measures (PROMs). Since April 2009, all providers of publicly funded inpatient care in the English National Health Service (NHS) have been required to collect such measures for four elective procedures: unilateral hip and knee replacements, varicose vein surgery, and groin hernia repairs (Department of Health, 2008). Eligible patients are invited to report their health status before and 3 or 6 months after surgery using a generic measure of health related quality of life, the EQ-5D, and condition-specific instruments. The EQ-5D consists of five questions that address impairments in overall health through self-assessed limitations on mobility, self care and usual activities as well as pain and discomfort, and anxiety and depression (Brooks, 1996). The answers to each question are given on a three-point item scale (no/some/extreme problems) and can be aggregated to a (quasi-) continuous measures of patient health using utility weights obtained from members of the general public (Dolan, 1997). The condition-specific instruments follow the same logic but generally comprise more questions and response items, use somewhat arbitrary sets of weights and do not allow for comparisons across conditions. |
En ligne : | http://www.york.ac.uk/media/che/documents/papers/researchpapers/CHERP74_analysing_hospital_variation_health_outcome_EQ-5D.pdf |
Exemplaires (1)
Code-barres | Cote | Support | Localisation | Section | Disponibilité |
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0063873 | c,P149/6 | Document de travail | Documentation IRDES | P : périodiques | Disponible |