Core Items for a Standardized Resource Use Measure- Expert Delphi Consensus Survey

Jun 1, 2018, 00:00
10.1016/j.jval.2017.06.011
https://www.valueinhealthjournal.com/article/S1098-3015(17)30314-5/fulltext
Title : Core Items for a Standardized Resource Use Measure- Expert Delphi Consensus Survey
Citation : https://www.valueinhealthjournal.com/action/showCitFormats?pii=S1098-3015(17)30314-5&doi=10.1016/j.jval.2017.06.011
First page : 640
Section Title : COMPARITIVE-EFFECTIVENESS RESEARCH/HTA
Open access? : Yes
Section Order : 2

Background

Resource use measurement by patient recall is characterized by inconsistent methods and a lack of validation. A validated standardized resource use measure could increase data quality, improve comparability between studies, and reduce research burden.

Objectives

To identify a minimum set of core resource use items that should be included in a standardized adult instrument for UK health economic evaluation from a provider perspective.

Methods

Health economists with experience of UK-based economic evaluations were recruited to participate in an electronic Delphi survey. Respondents were asked to rate 60 resource use items (e.g., medication names) on a scale of 1 to 9 according to the importance of the item in a generic context. Items considered less important according to predefined consensus criteria were dropped and a second survey was developed. In the second round, respondents received the median score and their own score from round 1 for each item alongside summarized comments and were asked to rerate items. A final project team meeting was held to determine the recommended core set.

Results

Forty-five participants completed round 1. Twenty-six items were considered less important and were dropped, 34 items were retained for the second round, and no new items were added. Forty-two respondents (93.3%) completed round 2, and greater consensus was observed. After the final meeting, 10 core items were selected, with further items identified as suitable for “bolt-on” questionnaire modules.

Conclusions

The consensus on 10 items considered important in a generic context suggests that a standardized instrument for core resource use items is feasible.

Categories :
Tags :
  • cost measurement
  • patient-reported
  • randomized clinical trial
  • resource use
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