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Comparing healthcare quality: A common framework for both ordinal and cardinal data with an application to primary care variation in England.


ABSTRACT: The paper proposes a framework for comparing the quality of healthcare providers and assessing the variation in quality between them, which is directly applicable to both ordinal and cardinal quality data on a comparable basis. The resultant measures are sensitive to the full distribution of quality scores for each provider, not just the mean or the proportion meeting some binary quality threshold, thereby making full use of the multicategory response data increasingly available from patient experience surveys. The measures can also be standardized for factors such as age, sex, ethnicity, health and deprivation using a distribution regression model. We illustrate by measuring the quality of primary care services in England in 2019 using three different sources of publicly available, genera

SUBMITTER: Allanson P 

PROVIDER: S-EPMC9804671 | biostudies-literature | 2022 Dec

REPOSITORIES: biostudies-literature