One for all? Assessing the quality of Italian hospital care with the "benefit of the doubt" composite indicator methods.

IF 2.7 3区 经济学 Q1 ECONOMICS
Francesco Vidoli, Giacomo Pignataro, Sebastiano Battiato, Francesco Guarnera, Calogero Guccio
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引用次数: 0

Abstract

Quality assessment in healthcare systems is challenging due to the multidimensional nature of healthcare services. This study evaluates the overall quality provided by hospitals using composite indicators under the Benefit of the Doubt (BoD) approach, which determines the weights of the indicators with minimal assumptions. We used data from 2015-2020 for Italian Local Health Authorities (LHAs) for 21 outcome measures, applying various non-parametric methods to address aggregation and weighting challenges. Our results show that the BoD measures are robust and effectively capture the dynamics of the quality of LHA, even during external shocks such as the COVID-19 pandemic. This research highlights the importance of methodological choices in the construction of composite indicators and demonstrates the effectiveness of the BoD approach in providing a comprehensive measure of healthcare quality.

一视同仁?用 "疑点利益 "综合指标法评估意大利医院护理质量。
由于医疗服务的多维性,医疗系统的质量评估具有挑战性。本研究在 "疑点利益"(BoD)方法下使用综合指标对医院提供的整体质量进行评估,该方法以最小的假设确定指标权重。我们使用了意大利地方卫生局(LHA)2015-2020 年的数据来衡量 21 项结果,并采用了各种非参数方法来解决汇总和加权难题。我们的研究结果表明,即使在 COVID-19 大流行等外部冲击期间,BoD 测量也是稳健的,并能有效捕捉 LHA 质量的动态变化。这项研究强调了在构建综合指标时方法选择的重要性,并证明了 BoD 方法在全面衡量医疗质量方面的有效性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
3.90
自引率
4.20%
发文量
59
审稿时长
13 weeks
期刊介绍: Health Economics Review is an international high-quality journal covering all fields of Health Economics. A broad range of theoretical contributions, empirical studies and analyses of health policy with a health economic focus will be considered for publication. Its scope includes macro- and microeconomics of health care financing, health insurance and reimbursement as well as health economic evaluation, health services research and health policy analysis. Further research topics are the individual and institutional aspects of health care management and the growing importance of health care in developing countries.
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