Taking an Equity Lens to Patient-Reported Outcomes and Experiences in Wales Using PROGRESS PLUS: A Population-Based Cross-Sectional Study
Author(s)
Katherine Woolley, PhD1, Jasmine Rollings, PhD1, Nichola Thuvesholmen, PhD2, Sarah Puntoni, BA3, Alexander Shaw, MBChB2, Sally Cox, PgDip2, Christian Newman, MSc3, Kathleen Withers, MSc1.
1CEDAR, NHS Wales, Cardiff, United Kingdom, 2DHCW, Cardiff, United Kingdom, 3NHS Wales Performance and Improvement, Cardiff, United Kingdom.
1CEDAR, NHS Wales, Cardiff, United Kingdom, 2DHCW, Cardiff, United Kingdom, 3NHS Wales Performance and Improvement, Cardiff, United Kingdom.
OBJECTIVES: Patient-reported outcomes and experiences are central to Value-Based Healthcare. While inequities in activity-based health outcomes are well documented, there is a paucity of evidence on the use of patient-reported outcomes and experiences to assess inequities within healthcare. This study aims to map individual and situational characteristics that influence patient-reported outcomes and experiences in Wales.
METHODS: Using data from the “Welsh Population Health Survey,” which collected responses from over 25,000 individuals aged 46 and over between July and October 2023, regression analyses were conducted on patient-reported outcomes, including quality of life, mental health, and physical health. Each regression model included the same set of individual and situational confounding factors, as determined by the PROGRESS PLUS criteria (O’Neill et al., 2014).
RESULTS: Differences in all tested outcomes were observed across the PROGRESS PLUS domains of “personal characteristics associated with discrimination”, “social capital”, “occupation”, “education” and “gender/sex”. Additionally, the domains of “religion” and “race/ethnicity/culture/language” were associated with some, but not all, outcomes.
CONCLUSIONS: There are inequities present for patient reported outcomes within Wales, in individuals aged over 46 years. Although this analysis cannot conclude if certain groups are underserved (i.e., have poorer outcomes), or have responded differently to the same experience, it highlights the need for health services to actively address inequities in outcomes and experiences. Further work is required to develop and evaluate innovative solutions.
METHODS: Using data from the “Welsh Population Health Survey,” which collected responses from over 25,000 individuals aged 46 and over between July and October 2023, regression analyses were conducted on patient-reported outcomes, including quality of life, mental health, and physical health. Each regression model included the same set of individual and situational confounding factors, as determined by the PROGRESS PLUS criteria (O’Neill et al., 2014).
RESULTS: Differences in all tested outcomes were observed across the PROGRESS PLUS domains of “personal characteristics associated with discrimination”, “social capital”, “occupation”, “education” and “gender/sex”. Additionally, the domains of “religion” and “race/ethnicity/culture/language” were associated with some, but not all, outcomes.
CONCLUSIONS: There are inequities present for patient reported outcomes within Wales, in individuals aged over 46 years. Although this analysis cannot conclude if certain groups are underserved (i.e., have poorer outcomes), or have responded differently to the same experience, it highlights the need for health services to actively address inequities in outcomes and experiences. Further work is required to develop and evaluate innovative solutions.
Conference/Value in Health Info
2025-11, ISPOR Europe 2025, Glasgow, Scotland
Value in Health, Volume 28, Issue S2
Code
PCR223
Topic
Epidemiology & Public Health, Patient-Centered Research, Real World Data & Information Systems
Topic Subcategory
Patient-reported Outcomes & Quality of Life Outcomes
Disease
No Additional Disease & Conditions/Specialized Treatment Areas