Measuring the overall performance of mental healthcare providers

Datos Bibliográficos

ID4593379
AutoresMaría José Aragón (0000-0002-3787-6220), H Gravelle (0000-0002-7753-4233, University of York), Adriana Castelli (0000-0002-2546-419X, University of York), Maria Goddard (0000-0002-1517-7461, University of York), Nils Gutacker (0000-0002-2833-0621, University of York), Anne Mason (0000-0002-5823-3064, University of York), Donna Rowen (0000-0003-3018-5109, University of Sheffield), Russell Mannion (0000-0002-0680-8049, University of Birmingham), Rowena Jacobs (0000-0001-5225-6321, University of York, autor de correspondencia)
Año2024
Volumen344
Páginas116582
Fecha de publicación2024-03-01
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaSocial Science & Medicine (JOURNAL)
Identificadores de la revistaISSN: 0277-9536 • E-ISSN: 1873-5347
EditorialElsevier BV (PUBLISHER)
DOI10.1016/j.socscimed.2024.116582
PMID38394864
OpenAlexW4390817165
IdiomaEN
Referencias citadas32

To date there have been no attempts to construct composite measures of healthcare provider performance which reflect preferences for health and non-health benefits, as well as costs. Health and non-health benefits matter to patients, healthcare providers and the general public. We develop a novel provider performance measurement framework that combines health gain, non-health benefit, and cost and illustrate it with an application to 54 English mental health providers. We apply estimates from a discrete choice experiment eliciting the UK general population's valuation of non-health benefits relative to health gains, to administrative and patient survey data for years 2013-2015 to calculate equivalent health benefit (eHB) for providers. We measure costs as forgone health and quantify the relative performance of providers in terms of equivalent net health benefit (eNHB): the value of the health and non-health benefits minus the forgone benefit equivalent of cost. We compare rankings of providers by eHB, eNHB, and by the rankings produced by the hospital sector regulator. We find that taking account of the non-health benefits in the eNHB measure makes a substantial difference to the evaluation of provider performance. Our study demonstrates that the provider performance evaluation space can be extended beyond measures of health gain and cost, and that this matters for comparison of providers

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