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Using stated-preferences methods to develop a summary metric to determine successful treatment of children with a

Oliver Rivero-Arias1, John Buckell2, Benjamin Allin3,4

  • 1National Perinatal Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, Oxford, UK oliver.rivero@npeu.ox.ac.uk.

BMJ Open
|June 9, 2022
PubMed

Insights

This study aims to develop a new metric to assess successful pediatric surgical care by valuing different treatment outcomes. This will help reduce variation in care and improve outcomes for children undergoing surgery.

Area of Science:

  • Pediatric surgery
  • Health services research
  • Outcome measurement

Background:

  • Significant variation exists in managing pediatric surgical conditions across the UK.
  • This variation may lead to suboptimal outcomes for some children.
  • Detecting and addressing this variation is hindered by difficulties in comparing hospital outcomes adjusted for patient complexity (casemix).

Purpose of the Study:

  • To develop a novel summary metric for evaluating successful treatment of pediatric surgical conditions.
  • To estimate the value stakeholders place on different aspects of treatment outcomes for children undergoing surgery.
  • To reduce unwarranted variation in pediatric surgical care.

Main Methods:

  • A stated-preference study involving parents, former child patients, healthcare professionals, and the public.
  • Utilizing paired comparisons and kaizen tasks to elicit preferences on seven attributes (operations, infections, quality of life, survival).
  • Employing a D-efficient experimental design with an online survey, analyzed using a mixed multinomial logit model and a traffic light system.

Main Results:

  • Analysis will estimate a mixed multinomial logit model to understand stakeholder preferences.
  • A traffic light system will be developed to define successful treatment based on attribute combinations.
  • The study will provide a quantitative method to assess treatment success.

Conclusions:

  • The developed metric will enable better detection of variation in pediatric surgical care quality.
  • This tool can guide efforts to reduce unwarranted variation and improve patient outcomes.
  • The findings will contribute to standardizing and enhancing the quality of pediatric surgical services.
Abstract

Keywords:
HEALTH ECONOMICSHEALTH SERVICES ADMINISTRATION & MANAGEMENTPAEDIATRIC SURGERY

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