利用共同创造方法来开发基于索赔的指标,以反对将比较有效性研究结果实施到实践中的反
Vera de Weerdt1,2, Hanna Willems3, Geeske Hofstra4
1Health Economics, School of Business & Economics, Vrije Universiteit, Amsterdam, the Netherlands v.de.weerdt@vu.nl.
BMJ open quality
|March 6, 2025
概括
使用共同创建方法开发基于索赔的指标可以促进对比有效性研究 (CER) 结果的实施. 虽然不完美,但这些指标被医学专家认为是可接受的审计和反,提供资源高效的数据源.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 临床信息学 临床信息学
- 卫生政策 卫生政策
背景情况:
- 在临床实践中进行比较疗效研究 (CER) 的实施往往有限.
- 基于索赔的审计和反 (A&F) 是一种资源高效的方法,以促进CER的实施.
- 医疗专业人员对CER接受基于索赔的A&F并未得到充分理解.
研究的目的:
- 开发基于索赔的指标,使用共同创建方法来实现CER结果.
- 评估这些指标在医疗专业人员中的有效性和可接受性.
主要方法:
- 与医学专家共同创建的方法被用来开发2019年7月至2021年11月期间6项CER试验的指标.
- 来自2017年的荷兰国家医疗保健索赔数据被用于构建指标.
- 共创过程涉及定义目标指标,选择索赔代码,测试可行性,并完善反指标.
主要成果:
- 基于索赔的指标无法完美地代表任何试验中的CER群体.
- 医学专家发现,在六个病例中的四个中,最终的指标是可以接受的.
- 改善的建议包括完善患者选择,使用代理,专注于慢性疾病的发病率和数据链接.
结论:
- 一种共同创建方法成功地开发了基于索赔的CER实施指标,这些指标不完美,但在某些情况下是可以接受的.
- 索赔数据可以作为A&F干预措施的资源高效来源,以实施针对特定主题的CER调查结果.
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