Pub Date : 2024-06-01Epub Date: 2023-06-28DOI: 10.1007/s10742-023-00307-0
Nicholas Hartman, Vahakn B Shahinian, Valarie B Ashby, Katrina J Price, Kevin He
Healthcare quality measures are statistics that serve to evaluate healthcare providers and identify those that need to improve their care. Before using these measures in clinical practice, developers and reviewers assess measure reliability, which describes the degree to which differences in the measure values reflect actual variation in healthcare quality, as opposed to random noise. The Inter-Unit Reliability (IUR) is a popular statistic for assessing reliability, and it describes the proportion of total variation in a measure that is attributable to between-provider variation. However, Kalbfleisch, He, Xia, and Li (2018) [Health Services and Outcomes Research Methodology, 18, 215-225] have argued that the IUR has a severe limitation in that some of the between-provider variation may be unrelated to quality of care. In this paper, we illustrate the practical implications of this limitation through several concrete examples. We show that certain best-practices in measure development, such as careful risk adjustment and exclusion of unstable measure values, can decrease the sample IUR value. These findings uncover potential negative consequences of discarding measures with IUR values below some arbitrary threshold.
{"title":"Limitations of the Inter-Unit Reliability: A Set of Practical Examples.","authors":"Nicholas Hartman, Vahakn B Shahinian, Valarie B Ashby, Katrina J Price, Kevin He","doi":"10.1007/s10742-023-00307-0","DOIUrl":"10.1007/s10742-023-00307-0","url":null,"abstract":"<p><p>Healthcare quality measures are statistics that serve to evaluate healthcare providers and identify those that need to improve their care. Before using these measures in clinical practice, developers and reviewers assess measure reliability, which describes the degree to which differences in the measure values reflect actual variation in healthcare quality, as opposed to random noise. The Inter-Unit Reliability (IUR) is a popular statistic for assessing reliability, and it describes the proportion of total variation in a measure that is attributable to between-provider variation. However, Kalbfleisch, He, Xia, and Li (2018) [<i>Health Services and Outcomes Research Methodology</i>, 18, 215-225] have argued that the IUR has a severe limitation in that some of the between-provider variation may be unrelated to quality of care. In this paper, we illustrate the practical implications of this limitation through several concrete examples. We show that certain best-practices in measure development, such as careful risk adjustment and exclusion of unstable measure values, can decrease the sample IUR value. These findings uncover potential negative consequences of discarding measures with IUR values below some arbitrary threshold.</p>","PeriodicalId":45600,"journal":{"name":"Health Services and Outcomes Research Methodology","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11323040/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90427142","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-05-23DOI: 10.1007/s10742-024-00325-6
Sijiu Wang, Mingyu Qi, R. Tamara Konetzka
{"title":"Home- and community-based care in the new generation of Medicaid administrative data","authors":"Sijiu Wang, Mingyu Qi, R. Tamara Konetzka","doi":"10.1007/s10742-024-00325-6","DOIUrl":"https://doi.org/10.1007/s10742-024-00325-6","url":null,"abstract":"","PeriodicalId":45600,"journal":{"name":"Health Services and Outcomes Research Methodology","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141105057","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-05-16DOI: 10.1007/s10742-024-00331-8
Y. Feyman, Jessica Lum, Daniel Asfaw, Steven Pizer, Melissa Garrido
{"title":"Entropy balancing versus vector-based kernel weighting for causal inference in categorical treatment settings","authors":"Y. Feyman, Jessica Lum, Daniel Asfaw, Steven Pizer, Melissa Garrido","doi":"10.1007/s10742-024-00331-8","DOIUrl":"https://doi.org/10.1007/s10742-024-00331-8","url":null,"abstract":"","PeriodicalId":45600,"journal":{"name":"Health Services and Outcomes Research Methodology","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140971570","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-04-18DOI: 10.1007/s10742-024-00326-5
Qian Yang, Tor D. Tosteson, Anna N. A. Tosteson, Jeffrey C. Munson
{"title":"A terminal trend model for longitudinal medical cost data and survival","authors":"Qian Yang, Tor D. Tosteson, Anna N. A. Tosteson, Jeffrey C. Munson","doi":"10.1007/s10742-024-00326-5","DOIUrl":"https://doi.org/10.1007/s10742-024-00326-5","url":null,"abstract":"","PeriodicalId":45600,"journal":{"name":"Health Services and Outcomes Research Methodology","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140688224","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-04-04DOI: 10.1007/s10742-024-00328-3
Esben Nedenskov Petersen, Birgitte Nørgaard
{"title":"Correction to: Disjunctive answer options complicate communication – a linguistic analysis of the danish EQ-5D (5 L) version","authors":"Esben Nedenskov Petersen, Birgitte Nørgaard","doi":"10.1007/s10742-024-00328-3","DOIUrl":"https://doi.org/10.1007/s10742-024-00328-3","url":null,"abstract":"","PeriodicalId":45600,"journal":{"name":"Health Services and Outcomes Research Methodology","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140744805","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-03-18DOI: 10.1007/s10742-024-00324-7
Murtaza Nasir, Nichalin S. Summerfield, Stephanie Carreiro, Dan Berlowitz, Asil Oztekin
{"title":"A machine learning approach for diagnostic and prognostic predictions, key risk factors and interactions","authors":"Murtaza Nasir, Nichalin S. Summerfield, Stephanie Carreiro, Dan Berlowitz, Asil Oztekin","doi":"10.1007/s10742-024-00324-7","DOIUrl":"https://doi.org/10.1007/s10742-024-00324-7","url":null,"abstract":"","PeriodicalId":45600,"journal":{"name":"Health Services and Outcomes Research Methodology","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140233072","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-15DOI: 10.1007/s10742-024-00323-8
Nicholas Hartman, Claudia Dahlerus
{"title":"Evaluating medical providers in terms of patient health disparities: a statistical framework","authors":"Nicholas Hartman, Claudia Dahlerus","doi":"10.1007/s10742-024-00323-8","DOIUrl":"https://doi.org/10.1007/s10742-024-00323-8","url":null,"abstract":"","PeriodicalId":45600,"journal":{"name":"Health Services and Outcomes Research Methodology","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139835335","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-15DOI: 10.1007/s10742-024-00323-8
Nicholas Hartman, Claudia Dahlerus
{"title":"Evaluating medical providers in terms of patient health disparities: a statistical framework","authors":"Nicholas Hartman, Claudia Dahlerus","doi":"10.1007/s10742-024-00323-8","DOIUrl":"https://doi.org/10.1007/s10742-024-00323-8","url":null,"abstract":"","PeriodicalId":45600,"journal":{"name":"Health Services and Outcomes Research Methodology","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139775630","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-02DOI: 10.1007/s10742-024-00322-9
Y. Nishioka, Emiri Morita, Saki Takeshita, Sakura Tamamoto, Tomoya Myojin, T. Noda, T. Imamura
{"title":"Exact-matching algorithms using administrative health claims database equivalence factors for real-world data analysis based on the target trial emulation framework","authors":"Y. Nishioka, Emiri Morita, Saki Takeshita, Sakura Tamamoto, Tomoya Myojin, T. Noda, T. Imamura","doi":"10.1007/s10742-024-00322-9","DOIUrl":"https://doi.org/10.1007/s10742-024-00322-9","url":null,"abstract":"","PeriodicalId":45600,"journal":{"name":"Health Services and Outcomes Research Methodology","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139811301","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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