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":8667,"journal":{"name":"Avian Diseases","volume":"26 1 1","pages":"156-169"},"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":4,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-20DOI: 10.1637/aviandiseases-d-23-00035
N. Sobhy, Angie Quiñonez Muñoz, Christiana R.B. Youssef, Sagar M. Goyal
{"title":"Inactivation of Three Subtypes of Influenza A Virus by a Commercial Device Using Ultraviolet Light and Ozone","authors":"N. Sobhy, Angie Quiñonez Muñoz, Christiana R.B. Youssef, Sagar M. Goyal","doi":"10.1637/aviandiseases-d-23-00035","DOIUrl":"https://doi.org/10.1637/aviandiseases-d-23-00035","url":null,"abstract":"","PeriodicalId":8667,"journal":{"name":"Avian Diseases","volume":"556 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2023-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139170009","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-20DOI: 10.1637/aviandiseases-d-23-99988
Roy Curtiss
{"title":"Vaccines to Control Salmonella in Poultry","authors":"Roy Curtiss","doi":"10.1637/aviandiseases-d-23-99988","DOIUrl":"https://doi.org/10.1637/aviandiseases-d-23-99988","url":null,"abstract":"","PeriodicalId":8667,"journal":{"name":"Avian Diseases","volume":"419 ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2023-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139170724","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-20DOI: 10.1637/aviandiseases-d-23-99993
Joan S. Schrader, Helen E. Smith
{"title":"Licensing Requirements for Poultry Veterinary Biologics in the United States","authors":"Joan S. Schrader, Helen E. Smith","doi":"10.1637/aviandiseases-d-23-99993","DOIUrl":"https://doi.org/10.1637/aviandiseases-d-23-99993","url":null,"abstract":"","PeriodicalId":8667,"journal":{"name":"Avian Diseases","volume":"437 ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2023-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139170537","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-15DOI: 10.1637/aviandiseases-d-23-00034
M. Abdelhamid, Omid Nekouei, Michael Hess, Surya Paudel
{"title":"Association Between Escherichia coli Load in the Gut and Body Weight Gain in Broiler Chickens: A Systematic Review and Meta-Analysis","authors":"M. Abdelhamid, Omid Nekouei, Michael Hess, Surya Paudel","doi":"10.1637/aviandiseases-d-23-00034","DOIUrl":"https://doi.org/10.1637/aviandiseases-d-23-00034","url":null,"abstract":"","PeriodicalId":8667,"journal":{"name":"Avian Diseases","volume":"287 3","pages":""},"PeriodicalIF":1.4,"publicationDate":"2023-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138996541","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-15DOI: 10.1637/aviandiseases-d-23-99990
Marshall Putnam, James Mills, M. Markis, J. El-Attrache
{"title":"Advancement of Autogenous Vaccines in the Poultry Industry","authors":"Marshall Putnam, James Mills, M. Markis, J. El-Attrache","doi":"10.1637/aviandiseases-d-23-99990","DOIUrl":"https://doi.org/10.1637/aviandiseases-d-23-99990","url":null,"abstract":"","PeriodicalId":8667,"journal":{"name":"Avian Diseases","volume":"10 7","pages":""},"PeriodicalIF":1.4,"publicationDate":"2023-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139000181","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-15DOI: 10.1637/aviandiseases-d-23-99995
Marissa Studniski, Katie Stumvoll, M. Kromm, A. Ssematimba, Rosemary Marusak, Zheng Xing, Dave Halvorson, Marie R. Culhane, Carol J. Cardona
{"title":"Vaccination of Poultry Against Influenza","authors":"Marissa Studniski, Katie Stumvoll, M. Kromm, A. Ssematimba, Rosemary Marusak, Zheng Xing, Dave Halvorson, Marie R. Culhane, Carol J. Cardona","doi":"10.1637/aviandiseases-d-23-99995","DOIUrl":"https://doi.org/10.1637/aviandiseases-d-23-99995","url":null,"abstract":"","PeriodicalId":8667,"journal":{"name":"Avian Diseases","volume":"7 13","pages":""},"PeriodicalIF":1.4,"publicationDate":"2023-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139000252","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-15DOI: 10.1637/aviandiseases-d-23-00052
Matthew K. Jones, C. Hofacre, F. J. Hoerr, V. Baxter, ROY D. Berghaus, Holly S. Sellers, N. Ferguson-Noel, John A. Smith
{"title":"Investigations into Increased Incidence of Severe Gizzard Erosions and Ulcerations in U.S. Commercial Broilers","authors":"Matthew K. Jones, C. Hofacre, F. J. Hoerr, V. Baxter, ROY D. Berghaus, Holly S. Sellers, N. Ferguson-Noel, John A. Smith","doi":"10.1637/aviandiseases-d-23-00052","DOIUrl":"https://doi.org/10.1637/aviandiseases-d-23-00052","url":null,"abstract":"","PeriodicalId":8667,"journal":{"name":"Avian Diseases","volume":"25 3","pages":""},"PeriodicalIF":1.4,"publicationDate":"2023-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139000757","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
扫码关注我们
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号