Developing an index to measure the value of health care provided to stroke patients

dc.contributor.authorŞengül, Halil
dc.contributor.authorAydın, Sabahattin
dc.contributor.authorÖnder, Emrah
dc.contributor.authorBulut, Arzu
dc.date.accessioned2025-11-12T10:58:32Z
dc.date.available2025-11-12T10:58:32Z
dc.date.issued2024
dc.departmentİstanbul Medipol Üniversitesi, Sağlık Bilimleri Fakültesi, Sağlık Yönetimi Bölümü
dc.description.abstractBackground and Objectives: It is possible to evaluate health services for stroke patients based on clinical benefits. However, in recent years, questions about responsiveness and outcomes have also emerged. Currently, there is no index that can assess health‑care services for stroke patients along these three dimensions. This study introduces the first index designed to measure the value generated by health‑care services for stroke patients. Methods: The Case‑Mix Variables Data Collection Reference Guide, developed through a review of national and international stroke guidelines, underwent content validation by 10 neurologists and 10 interventional radiologists. Questions with a content validity index exceeding 0.80, along with the World Health Organization responsiveness questionnaire and the Patient‑Reported Outcomes Measurement Information System Global‑10 short form, were subjected to pairwise comparison by two neurologists, two interventional radiologists, and two public health physicians using the analytic hierarchy process (AHP) method. Results: In the comprehensive ranking of questions formulated using the AHP method and assessed by experts for importance and global weights, new stroke follow‑up emerged as the most crucial, garnering an index score of 0.09. Conversely, questioning patients about their alcohol use status was deemed the least significant by experts, registering an index score of 0.00021. Conclusions: Our AHP analyses have furnished an index for gauging the factors that contribute to the value of health‑care services rendered to stroke patients.
dc.identifier.citationŞengül, H., Aydın, S., Önder, E. ve Bulut, A. (2024). Developing an index to measure the value of health care provided to stroke patients. Annals of Indian Academy of Neurology, 27(6), 695-705. http://dx.doi.org/10.4103/aian.aian_1084_23
dc.identifier.doi10.4103/aian.aian_1084_23
dc.identifier.endpage705
dc.identifier.issn0972-2327
dc.identifier.issn1998-3549
dc.identifier.issue6
dc.identifier.pmid39560052
dc.identifier.scopus2-s2.0-85213042725
dc.identifier.scopusqualityQ3
dc.identifier.startpage695
dc.identifier.urihttp://dx.doi.org/10.4103/aian.aian_1084_23
dc.identifier.urihttps://hdl.handle.net/20.500.12511/13194
dc.identifier.volume27
dc.identifier.wosWOS:001381581800031
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorAydın, Sabahattin
dc.institutionauthorid0000-0001-6374-817X
dc.language.isoen
dc.relation.ispartofAnnals of Indian Academy of Neurology
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.rightsAttribution‑NonCommercial‑ShareAlike 4.0
dc.subjectPROMIS 10
dc.subjectResponsiveness
dc.subjectStroke
dc.subjectValue Based Medicine
dc.titleDeveloping an index to measure the value of health care provided to stroke patients
dc.typeArticle

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