Different Approaches for Case-Mix Adjustment of Patient-Reported Outcomes to Compare Healthcare Providers—Methodological Results of a Systematic Review
Patient-reported outcomes (PROs) are increasingly being used to compare the quality of outcomes between different healthcare providers (medical practices, hospitals, rehabilitation facilities). However, such comparisons can only be fair if differences in the case-mix between different types of provi...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2021-08-01
|
| Series: | Cancers |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2072-6694/13/16/3964 |
| _version_ | 1797524455926267904 |
|---|---|
| author | Nora Tabea Sibert Holger Pfaff Clara Breidenbach Simone Wesselmann Christoph Kowalski |
| author_facet | Nora Tabea Sibert Holger Pfaff Clara Breidenbach Simone Wesselmann Christoph Kowalski |
| author_sort | Nora Tabea Sibert |
| collection | DOAJ |
| description | Patient-reported outcomes (PROs) are increasingly being used to compare the quality of outcomes between different healthcare providers (medical practices, hospitals, rehabilitation facilities). However, such comparisons can only be fair if differences in the case-mix between different types of provider are taken into account. This can be achieved with adequate statistical case-mix adjustment (CMA). To date, there is a lack of overview studies on current CMA methods for PROs. The aim of this study was to investigate which approaches are currently used to report and examine PROs for case-mix-adjusted comparison between providers. A systematic MEDLINE literature search was conducted (February 2021). The results were examined by two reviewers. Articles were included if they compared (a) different healthcare providers using (b) case-mix-adjusted (c) patient-reported outcomes (all AND conditions). From 640 hits obtained, 11 articles were included in the analysis. A wide variety of patient characteristics were used as adjustors, and baseline PRO scores and basic sociodemographic and clinical information were included in all models. Overall, the adjustment models used vary considerably. This evaluation is an initial attempt to systematically investigate different CMA approaches for PROs. As a standardized approach has not yet been established, we suggest creating a consensus-based methodological guideline for case-mix adjustment of PROs. |
| first_indexed | 2024-03-10T08:57:39Z |
| format | Article |
| id | doaj.art-8fdf2d88781a49f88f45002172b82a00 |
| institution | Directory Open Access Journal |
| issn | 2072-6694 |
| language | English |
| last_indexed | 2024-03-10T08:57:39Z |
| publishDate | 2021-08-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Cancers |
| spelling | doaj.art-8fdf2d88781a49f88f45002172b82a002023-11-22T07:01:44ZengMDPI AGCancers2072-66942021-08-011316396410.3390/cancers13163964Different Approaches for Case-Mix Adjustment of Patient-Reported Outcomes to Compare Healthcare Providers—Methodological Results of a Systematic ReviewNora Tabea Sibert0Holger Pfaff1Clara Breidenbach2Simone Wesselmann3Christoph Kowalski4German Cancer Society, Kuno-Fischer-Str. 8, 14507 Berlin, GermanyInstitute of Medical Sociology, Health Services Research, and Rehabilitation Science, Faculty of Medicine and University Hospital Cologne, Faculty of Human Sciences, University of Cologne, 50933 Cologne, GermanyGerman Cancer Society, Kuno-Fischer-Str. 8, 14507 Berlin, GermanyGerman Cancer Society, Kuno-Fischer-Str. 8, 14507 Berlin, GermanyGerman Cancer Society, Kuno-Fischer-Str. 8, 14507 Berlin, GermanyPatient-reported outcomes (PROs) are increasingly being used to compare the quality of outcomes between different healthcare providers (medical practices, hospitals, rehabilitation facilities). However, such comparisons can only be fair if differences in the case-mix between different types of provider are taken into account. This can be achieved with adequate statistical case-mix adjustment (CMA). To date, there is a lack of overview studies on current CMA methods for PROs. The aim of this study was to investigate which approaches are currently used to report and examine PROs for case-mix-adjusted comparison between providers. A systematic MEDLINE literature search was conducted (February 2021). The results were examined by two reviewers. Articles were included if they compared (a) different healthcare providers using (b) case-mix-adjusted (c) patient-reported outcomes (all AND conditions). From 640 hits obtained, 11 articles were included in the analysis. A wide variety of patient characteristics were used as adjustors, and baseline PRO scores and basic sociodemographic and clinical information were included in all models. Overall, the adjustment models used vary considerably. This evaluation is an initial attempt to systematically investigate different CMA approaches for PROs. As a standardized approach has not yet been established, we suggest creating a consensus-based methodological guideline for case-mix adjustment of PROs.https://www.mdpi.com/2072-6694/13/16/3964patient-reported outcomescase-mix adjustmenthealthcare provider comparisonquality improvement |
| spellingShingle | Nora Tabea Sibert Holger Pfaff Clara Breidenbach Simone Wesselmann Christoph Kowalski Different Approaches for Case-Mix Adjustment of Patient-Reported Outcomes to Compare Healthcare Providers—Methodological Results of a Systematic Review Cancers patient-reported outcomes case-mix adjustment healthcare provider comparison quality improvement |
| title | Different Approaches for Case-Mix Adjustment of Patient-Reported Outcomes to Compare Healthcare Providers—Methodological Results of a Systematic Review |
| title_full | Different Approaches for Case-Mix Adjustment of Patient-Reported Outcomes to Compare Healthcare Providers—Methodological Results of a Systematic Review |
| title_fullStr | Different Approaches for Case-Mix Adjustment of Patient-Reported Outcomes to Compare Healthcare Providers—Methodological Results of a Systematic Review |
| title_full_unstemmed | Different Approaches for Case-Mix Adjustment of Patient-Reported Outcomes to Compare Healthcare Providers—Methodological Results of a Systematic Review |
| title_short | Different Approaches for Case-Mix Adjustment of Patient-Reported Outcomes to Compare Healthcare Providers—Methodological Results of a Systematic Review |
| title_sort | different approaches for case mix adjustment of patient reported outcomes to compare healthcare providers methodological results of a systematic review |
| topic | patient-reported outcomes case-mix adjustment healthcare provider comparison quality improvement |
| url | https://www.mdpi.com/2072-6694/13/16/3964 |
| work_keys_str_mv | AT noratabeasibert differentapproachesforcasemixadjustmentofpatientreportedoutcomestocomparehealthcareprovidersmethodologicalresultsofasystematicreview AT holgerpfaff differentapproachesforcasemixadjustmentofpatientreportedoutcomestocomparehealthcareprovidersmethodologicalresultsofasystematicreview AT clarabreidenbach differentapproachesforcasemixadjustmentofpatientreportedoutcomestocomparehealthcareprovidersmethodologicalresultsofasystematicreview AT simonewesselmann differentapproachesforcasemixadjustmentofpatientreportedoutcomestocomparehealthcareprovidersmethodologicalresultsofasystematicreview AT christophkowalski differentapproachesforcasemixadjustmentofpatientreportedoutcomestocomparehealthcareprovidersmethodologicalresultsofasystematicreview |