A bite size poster about our CCSNHS Trust EQ5D work first presented at the Community Therapists Network in 2013
Andrew Bateman's insight:
this poster from last year presented in Birmingham at the Community Therapists Network, is my attempt to try to share a bite size piece of information in a digestible form. do let me know what you think!
Poster presented by Yan Feng at ISPOR Washington - May 2016
Andrew Bateman's insight:
So following on from previous presentations, last year I had the chance to work with the experts at Office of Health Economics. This is a very amazing thing for me, a super learning opportunity, to experience their forensic approach to data analysis, and their skills at developing new techniques for data analysis. Sadly, (much as I'd like to) I can't pretend to understand all of this- well especially the delicious sounding "Calinski–Harabasz pseudo-F index stopping rule" (something to do with cluster analysis, is all I know). I do have a sense of privilege to be involved in this.
There is an important message here about the way we use index values and risks of not always being clear what assumptions these are based on. There's also lots more to follow with a full manuscript in preparation and more ideas for analysis too. Meanwhile here's a poster that Yan Feng presented in Sheffield.
Here is my presentation for an exciting event at King's Fund 26 MARCH 2015 This is the published programme for the day Session one: Opening plenary 9.45am: We…
Andrew Bateman's insight:
A busy week in rehab service improvement efforts. Thur 26 March saw an interesting gathering at King's fund discussing Community Services. Data and outcomes was an important strand of this and I was really pleased to have chance to share some of our work. I heard about EQ5D work in Gloucestershire (where they are using 3L). I was interested to hear about the work of Bridgewater & the TDA on outcome datasets. More about those in a separate blog. This presentation went down well. Questions included seeking information about cost of using EQ5D (answer re NHS services TBC)
Another question was about how the data are used to drive service improvement. I have a few points to make about this issue. First by knowing about our service users' needs we should be better able to focus our efforts: lets look carefully at the rates of self-reported severe problems and decide if we are allocating time to them. Second I wish to emphasise that feedback of results to the staff who have collected them is vital. This can help staff know how their work is contributing to the overall mission of the organisation and encourage self-reflection on their own atention to their patient's needs. Thirdly where we have repeated measures data we are edging closer to being e to report cost per qaly, I hope, and this could help us in our conversations with commissioners. Finally looking at the rates of 'severe problems' at second assessment might help us focus on our serviceusers' needs and again help us to reflect on what more we can do as a service or through onward referral. Other suggestions gratefully received....
https://www.ohe.org/news/ohe’s-devlin-co-author-prize-winning-eq-5d-paper a prize winning paper, deservedly so, i especially enjoyed the discussion that recognsies the range of people who are consumers of this type of research
Xcenda, the strategic consulting arm of AmerisourceBergen, one of the largest global pharmaceutical sourcing and distribution service companies, recently conducted the first-ever health economic analysis on coffee consumption.
Estimation of minimally important differences in the EQ-5D and SF-6D indices and their utility in stroke - up-to-the-minute news and headlines. 7thSpace is a online portal covering topics such as Family, Business, Entertainment, Headlines, Recipes and more. A place for the whole family featuring many different sections to chose from.
I have cited this paper before, but it came to mind again today as I was thinking about outcomes based commissioning, and I appreciate the critical stance that these authors have taken, I think many of their concerns can be addressed
I've just come from an exciting workshop with our community rehabilitation staff. Our initiative to use outcomes (at this point without being commissioned to) has unveiled a great range of views. The issue of 'this measure not capturing our work' I think is really interesting.
I think this article lacks a recognition of the point of a _service_ is just that, something we do for our service users/patients/clients/
Patient's outcomes concern their problem... "I just want my shoulder to be better"; the process by which that is achieved involves so many factors. However it is critical that staff don't have outcomes imposed on them without chance to reflect on what the data the measures yield. A structured approach offers opportunities to ensure that a team is providing an holistic and thorough approach the service they provide.
I have posted this here to remind myself why I am interested in EQ5D - I am interested to discover if it can tell us anything about success, if it can behave like a 'measure' and how to use the findings to drive service improvements.
here is a good critical paper, pointing out some users' perspectives on the EQ5D - none too favourable. NB this is about the 3L version. It will be interesting to know if a similar expt has been done with the 5l which being reworded does deal with some of the issues raised.
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