Developing an Index to Measure the Value of Health Care Provided to Stroke Patients

Background and Objectives: It is possible to evaluate health services for stroke patients based on clinical benefits. However, in recent years, questions about responsiveness and outcomes have also emerged. Currently, there is no index that can assess health-care services for stroke patients along t...

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Main Authors: Halil Şengül, Sabahattin Aydın, Emrah Önder, Arzu Bulut
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-12-01
Series:Annals of Indian Academy of Neurology
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Online Access:https://journals.lww.com/10.4103/aian.aian_1084_23
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author Halil Şengül
Sabahattin Aydın
Emrah Önder
Arzu Bulut
author_facet Halil Şengül
Sabahattin Aydın
Emrah Önder
Arzu Bulut
author_sort Halil Şengül
collection DOAJ
description Background and Objectives: It is possible to evaluate health services for stroke patients based on clinical benefits. However, in recent years, questions about responsiveness and outcomes have also emerged. Currently, there is no index that can assess health-care services for stroke patients along these three dimensions. This study introduces the first index designed to measure the value generated by health-care services for stroke patients. Methods: The Case-Mix Variables Data Collection Reference Guide, developed through a review of national and international stroke guidelines, underwent content validation by 10 neurologists and 10 interventional radiologists. Questions with a content validity index exceeding 0.80, along with the World Health Organization responsiveness questionnaire and the Patient-Reported Outcomes Measurement Information System Global-10 short form, were subjected to pairwise comparison by two neurologists, two interventional radiologists, and two public health physicians using the analytic hierarchy process (AHP) method. Results: In the comprehensive ranking of questions formulated using the AHP method and assessed by experts for importance and global weights, new stroke follow-up emerged as the most crucial, garnering an index score of 0.09. Conversely, questioning patients about their alcohol use status was deemed the least significant by experts, registering an index score of 0.00021. Conclusions: Our AHP analyses have furnished an index for gauging the factors that contribute to the value of health-care services rendered to stroke patients.
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institution Kabale University
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1998-3549
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publisher Wolters Kluwer Medknow Publications
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series Annals of Indian Academy of Neurology
spelling doaj-art-aa4affb566d349ad808ad7d0102f40ff2025-01-06T14:22:14ZengWolters Kluwer Medknow PublicationsAnnals of Indian Academy of Neurology0972-23271998-35492024-12-0127669570510.4103/aian.aian_1084_23Developing an Index to Measure the Value of Health Care Provided to Stroke PatientsHalil ŞengülSabahattin AydınEmrah ÖnderArzu BulutBackground and Objectives: It is possible to evaluate health services for stroke patients based on clinical benefits. However, in recent years, questions about responsiveness and outcomes have also emerged. Currently, there is no index that can assess health-care services for stroke patients along these three dimensions. This study introduces the first index designed to measure the value generated by health-care services for stroke patients. Methods: The Case-Mix Variables Data Collection Reference Guide, developed through a review of national and international stroke guidelines, underwent content validation by 10 neurologists and 10 interventional radiologists. Questions with a content validity index exceeding 0.80, along with the World Health Organization responsiveness questionnaire and the Patient-Reported Outcomes Measurement Information System Global-10 short form, were subjected to pairwise comparison by two neurologists, two interventional radiologists, and two public health physicians using the analytic hierarchy process (AHP) method. Results: In the comprehensive ranking of questions formulated using the AHP method and assessed by experts for importance and global weights, new stroke follow-up emerged as the most crucial, garnering an index score of 0.09. Conversely, questioning patients about their alcohol use status was deemed the least significant by experts, registering an index score of 0.00021. Conclusions: Our AHP analyses have furnished an index for gauging the factors that contribute to the value of health-care services rendered to stroke patients.https://journals.lww.com/10.4103/aian.aian_1084_23strokeresponsivenesspromi̇s-10value-based medicine
spellingShingle Halil Şengül
Sabahattin Aydın
Emrah Önder
Arzu Bulut
Developing an Index to Measure the Value of Health Care Provided to Stroke Patients
Annals of Indian Academy of Neurology
stroke
responsiveness
promi̇s-10
value-based medicine
title Developing an Index to Measure the Value of Health Care Provided to Stroke Patients
title_full Developing an Index to Measure the Value of Health Care Provided to Stroke Patients
title_fullStr Developing an Index to Measure the Value of Health Care Provided to Stroke Patients
title_full_unstemmed Developing an Index to Measure the Value of Health Care Provided to Stroke Patients
title_short Developing an Index to Measure the Value of Health Care Provided to Stroke Patients
title_sort developing an index to measure the value of health care provided to stroke patients
topic stroke
responsiveness
promi̇s-10
value-based medicine
url https://journals.lww.com/10.4103/aian.aian_1084_23
work_keys_str_mv AT halilsengul developinganindextomeasurethevalueofhealthcareprovidedtostrokepatients
AT sabahattinaydın developinganindextomeasurethevalueofhealthcareprovidedtostrokepatients
AT emrahonder developinganindextomeasurethevalueofhealthcareprovidedtostrokepatients
AT arzubulut developinganindextomeasurethevalueofhealthcareprovidedtostrokepatients