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Small-group judgment methods for determining resource-based relative values.

L L Leape1, M A Freshour, D Yntema

  • 1Department of Health Policy and Management, Harvard School of Public Health, Boston, MA 02115.

Medical Care
|November 1, 1992
PubMed
Summary
This summary is machine-generated.

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Single-round mail surveys offer a cost-effective alternative to national telephone surveys for determining relative work values. This method proved more accurate than Delphi or modified Delphi approaches for surgical services.

Area of Science:

  • Health Economics
  • Surgical Workforce Management

Background:

  • National telephone surveys are reliable for the Resource-Based Relative Value Scale Study but are costly and time-consuming.
  • Alternative methods are needed to efficiently gather data on relative work values for surgical services.

Purpose of the Study:

  • To evaluate three small-group processes as alternatives to national telephone surveys for estimating relative work values.
  • To compare the accuracy of single-round mail surveys, Delphi ratings, and modified Delphi with face-to-face discussion against national survey data.

Main Methods:

  • Compared national survey work estimates for 38 surgical services with expert panel ratings.
  • Utilized single-round mail surveys, Delphi multiple-round ratings, and modified Delphi with face-to-face discussion.
  • Assessed accuracy based on average percentage differences from national survey values.

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Main Results:

  • Single-round mail surveys showed the smallest average differences (11.0% and 12.6%) compared to national survey data.
  • Delphi methods resulted in larger differences (14.6% and 15.2%), with face-to-face discussion leading to the greatest divergence (21.0%).
  • Expert panels of 11 and 19 general surgeons participated in the evaluations.

Conclusions:

  • Single-round mail surveys of small expert panels provide relative work values comparable to national surveys.
  • Delphi and modified Delphi methods with expert discussion showed less favorable agreement with national survey data.
  • Mail surveys represent a more efficient and accurate alternative for valuing surgical work.