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Can administrative data replace patient survey data in the monitoring of waiting time for community-based specialist care?
ConclusionsPatient survey data reflected trends in waiting time for community specialists derived from objective administrative data. Routine computation of WT from administrative data can save time and resources invested in patient surveys and provide a continuous, accurate and timely evaluation of trends. Surveys can provide deeper understanding of patient experience. Alternate use of both platforms provides a better understanding of access to care. (Source: Health Services and Outcomes Research Methodology)
Source: Health Services and Outcomes Research Methodology - May 20, 2022 Category: Statistics Source Type: research

Just you wait … and fill out this survey. Discussion of the methodological aspects of waiting room surveys
AbstractA method commonly used in health care research is the waiting room (WR) survey. While patients are waiting for their appointment, they are asked to complete a questionnaire measuring their attitudes, behaviors and other characteristics. In this paper we synthesize practical guidelines for WR surveys by comparing the method with two similar approaches: public intercept (PI) surveys and drop-off-pick-up (DOPU) surveys. In this comparison we use the Total Survey Error approach Groves (Survey Methodology, Wiley, New York, 2004); (Groves in Public Opinion Quarterly 74(5): 849-879, 2010) and apply it to three case exampl...
Source: Health Services and Outcomes Research Methodology - March 26, 2022 Category: Statistics Source Type: research

Imputing race and ethnicity in healthcare claims databases
AbstractOur objective was  to enhance existing methods for indirectly estimating race/ethnicity in health care data by exploring ways to improve imputation accuracy with a total of 9,812,306 hospital visits from the Connecticut statewide hospitalization claims database from 2012 to 2017. Using this data, we developed multi nomial logistic regression models to predict patients’ race and ethnicity when assuming that 50% of race/ethnicity is missing completely at random. Our models included predictors derived from Connecticut birth records, US Census data, and demographic patient-level data, and were compared using per fo...
Source: Health Services and Outcomes Research Methodology - March 8, 2022 Category: Statistics Source Type: research

A comparison of approaches to identify live births using the medicaid analytic extract
The objective of this study is to describe and validate five approaches to identifying births using Medicaid Analytic eXtract (MAX) from 45 states (2006 –2014). We calculated total number of MAX births by state-year using five definitions: (1) any claim within 30 days of birth date listed in personal summary (PS) file, (2) any claim within 7 days of PS birth date, (3) live birth ICD-9 in inpatient or other therapies file, (4) live birth ICD-9 co de in inpatient file, (5) live birth ICD-9 in inpatient file with matching PS birth date. We then compared the number of MAX births by state and year to expected counts using o...
Source: Health Services and Outcomes Research Methodology - February 28, 2022 Category: Statistics Source Type: research

Hospital quality-review spending and patient safety: a longitudinal analysis using instrumental variables
AbstractSince the landmark Institute of Medicine ’s (IOM’s) 2000 report first focused attention to the problem of the safety of inpatient care, it has been a priority of hospital staffs, administrators, and policymakers. Despite remarkable progress in the 20 years since the IOM report, there is still much unknown about how these improvements i n safety have been achieved. Using a 12-year (2004–2015) panel of Florida acute-care general hospitals, we estimate the relationship between hospital expenditure on peer (or quality) review and patient-safety outcomes, using a composite measure of patient safety (PSI-90) from t...
Source: Health Services and Outcomes Research Methodology - February 28, 2022 Category: Statistics Source Type: research

Inferring patient transfer networks between healthcare facilities
AbstractConstructing accurate patient transfer networks between hospitals is critical for understanding the spread of healthcare associated infections through statistical and mathematical modeling, and for determining optimal screening and treatment strategies. The Healthcare Cost& Utilization Project (HCUP) State Inpatient Databases (SID) provide valuable information on patient transfers from publicly obtainable claims databases, yet often give an incomplete picture due to missingness of patient tracking identifiers. We designed a novel imputation algorithm that enabled us to estimate the true number of patient transf...
Source: Health Services and Outcomes Research Methodology - February 28, 2022 Category: Statistics Source Type: research

The answer depends on pragmatic norms, semantic context-sensitivity, and epistemic reflection. A linguistic and epistemological analysis of the Danish Short Form 36 Health Survey (SF-36)
AbstractThe SF-36 is a commonly used tool for measuring health status in a general population. Despite the overall moderate to high validity scores, certain communicative dynamics of the questionnaire deserve attention. Our aim was to examine how pragmatic dynamics, semantic context-sensitivity and epistemic reflection may influence answers to the SF-36. We applied a three-step Gricean analysis, including identification of the items in which pragmatic dynamics are most likely to have a significant effect, examination of how Gricean maxims might affect the answers given to the items identified, and assessment of whether the...
Source: Health Services and Outcomes Research Methodology - February 15, 2022 Category: Statistics Source Type: research

Does balancing site characteristics result in balanced population characteristics in a cluster-randomized controlled trial?
ConclusionsUsing a balancing algorithm to reduce imbalance among site characteristics across time periods did not appear to negatively affect the balance of patient characteristics across sites over time. A site-level balancing algorithm that includes characteristics with a direct relationship to relevant patient-level factors may improve the overall balance across key elements of the study, and aide in the interpretation of results. (Source: Health Services and Outcomes Research Methodology)
Source: Health Services and Outcomes Research Methodology - February 14, 2022 Category: Statistics Source Type: research

Using NVivoTM as a methodological tool for a literature review on nursing innovation: a step-by-step approach
ConclusionQualitative research applications, such as NVivo, support nurses ’ literature review process by improving rigor and reproducibility. The tools within the applications help better organize the literature, enhance transparency to the analytical process, and provide tools to visualize the data to improve the review’s overall quality. Having the steps documented and organized allows better collaboration between various researchers. (Source: Health Services and Outcomes Research Methodology)
Source: Health Services and Outcomes Research Methodology - February 1, 2022 Category: Statistics Source Type: research

The Barkin Index of Maternal Functioning: an evaluation and foundations for a new parental functioning scale
AbstractIn some contexts, including those that involve community healthcare, the functional status of mothers who have infants is of particular interest. This status has been assessed with the Barkin Index of Maternal Functioning (BIMF), proposed by its developers as an improvement over preexisting scales. The present study comprises a description and evaluation of the BIMF, which is revealed to have a number of shortcomings. Solutions proposed to overcome these shortcomings result in a new scale, the Parenting-an-Infant Competence Scale (PICS). This new scale has the prospect of greater psychometric acceptability as well ...
Source: Health Services and Outcomes Research Methodology - February 1, 2022 Category: Statistics Source Type: research