TY - JOUR
T1 - Prioritizing Outcome Measures for Value-Based Healthcare
T2 - Physicians’ Perspectives in Saudi Arabia
AU - Abdalla, Rawia
AU - Pavlova, Milena
AU - Groot, Wim
N1 - Funding Information:
Funding/Support: The authors received no financial support for this research.
Publisher Copyright:
© 2023 International Society for Health Economics and Outcomes Research
PY - 2023/9
Y1 - 2023/9
N2 - Objectives: To inform the stepwise transformation to value-based healthcare in Saudi Arabia, we assess physicians’ priorities for measuring general patient outcomes. This is done as an initial step toward the implementation of disease-specific outcome sets. Methods: A cross-sectional, electronic self-administered questionnaire-based study among physicians in 6 hospitals in Saudi Arabia was conducted between March 2022 and May 2022. Purposive sampling was used to select hospitals and physicians. The questionnaire included 30 health outcomes taken from about 60 disease-specific outcome sets. These were classified into 6 domains per the Outcome Measures Hierarchy Framework of Michael Porter. The physicians were asked to prioritize outcomes in each domain by their order of importance. The Relative Importance Index (RII) and multivariate binary logistic regression were used to analyze the priorities and to relate them to physicians’ characteristics. Results: A total of 204 physicians completed the questionnaire accounting for 40% response rate. The top priority outcomes per domain were overall survival (RII 89.4%); quality of life (RII 92.4%); time to treatment (RII 90.8%); incidence of adverse effects (RII 72.9%); need for retreatment (RII 80.5%); and incidence of hospital-acquired infections (RII 89.3%). Regression analysis revealed that physician seniority is a characteristic associated with physicians’ perceptions of the importance of measuring health outcomes (highest odds ratio 2.693; 95% CI 1.501-4.833; P = .001). Conclusion: Establishing a general set of the most important outcomes that applies to all patients, including survival and mortality, quality of life, adverse events, and complications, need to be considered in the early stages of hospitals’ transformation to value-based healthcare.
AB - Objectives: To inform the stepwise transformation to value-based healthcare in Saudi Arabia, we assess physicians’ priorities for measuring general patient outcomes. This is done as an initial step toward the implementation of disease-specific outcome sets. Methods: A cross-sectional, electronic self-administered questionnaire-based study among physicians in 6 hospitals in Saudi Arabia was conducted between March 2022 and May 2022. Purposive sampling was used to select hospitals and physicians. The questionnaire included 30 health outcomes taken from about 60 disease-specific outcome sets. These were classified into 6 domains per the Outcome Measures Hierarchy Framework of Michael Porter. The physicians were asked to prioritize outcomes in each domain by their order of importance. The Relative Importance Index (RII) and multivariate binary logistic regression were used to analyze the priorities and to relate them to physicians’ characteristics. Results: A total of 204 physicians completed the questionnaire accounting for 40% response rate. The top priority outcomes per domain were overall survival (RII 89.4%); quality of life (RII 92.4%); time to treatment (RII 90.8%); incidence of adverse effects (RII 72.9%); need for retreatment (RII 80.5%); and incidence of hospital-acquired infections (RII 89.3%). Regression analysis revealed that physician seniority is a characteristic associated with physicians’ perceptions of the importance of measuring health outcomes (highest odds ratio 2.693; 95% CI 1.501-4.833; P = .001). Conclusion: Establishing a general set of the most important outcomes that applies to all patients, including survival and mortality, quality of life, adverse events, and complications, need to be considered in the early stages of hospitals’ transformation to value-based healthcare.
KW - disease-specific outcomes
KW - physician perspectives
KW - prioritizing health outcomes
KW - value-based healthcare
KW - STRATEGY
U2 - 10.1016/j.vhri.2023.05.002
DO - 10.1016/j.vhri.2023.05.002
M3 - Article
C2 - 37327619
AN - SCOPUS:85163771069
SN - 2212-1099
VL - 37
SP - 62
EP - 70
JO - Value in Health Regional Issues
JF - Value in Health Regional Issues
IS - 1
ER -