Importance-performance analysis:a management tool on health decision making

Detalhes bibliográficos
Autor(a) principal: São João, Ricardo
Data de Publicação: 2021
Outros Autores: Correia, Filipe, Vieira, Elsa
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10400.15/3534
Resumo: The evaluation of the health services provided and their management, when carried out, is commonly done in an autonomous and non-integrated way. In this process it is fundamental that the experience lived by hospital users may be evaluated under different prisms, thus revealing itself as an additional contribution to the decision-making process in hospital management. The fact that decision-makers are unaware of user satisfaction with the health care provided hinders the desired continuous improvement in health care. Santarém District Hospital was a pioneer in Portugal in the introduction of the Single Act Consultation-SAC. SAC is performed in the hospital's High-Resolution Scheduled Outpatient Clinic where the patient is seen and diagnosed by a physician. If necessary complementary exams will be performed that allow a correct diagnosis after which the patient will return home with a treatment or therapeutic proposal. In this research, the information to be analysed was collected from a designed questionnaire structured for this purpose, addressed to 400 users between July to September 2019, containing an evaluation scale for the health services integrated in the SAC in 26 items related to 5 domains which the Importance-Performance Analysis (IPA) model in the decision-making process in hospital settings will be implemented. The questionnaire also includes questions that allow a sociodemographic characterisation of its users. A key issue in IPA is what values to be set as barriers for the P and I axes. In most cases, the value to be attributed to each of the barriers lacks statistical justification and is left to the subjectivity of the decision-maker. The absence of statistical methodology that supports the establishment of such barriers makes the predictive and discriminating power of IPA unfeasible. The pertinence of adopting robust criteria in the setting of barriers therefore becomes an imperative. This research aims to fill this gap by making IPA a more robust and valuable tool, particularly for hospital decision-makers to maximize user satisfaction in the SAC. To this end, the authors propose the adoption of the logistic regression model to help determine IPA barriers, whose cut-off threshold will be guided by the maximization of the discriminant power assessed either by the area under the Receiver Operating Characteristic (ROC) curve or by the adoption of Cohen's k, Somers' correlation and Matteus coefficients. The logistic regression model will have as response variable a new gold standard that allows for a correct classification of the attributes under analysis and as predictors the attributes referring to the five domains with regard to Performance and Importance. In addition to the sociodemographic characterization of the SAC users, the results of this research point to the maintenance and prioritization of the quality of care provided. This methodology proved to be a valuable tool for decision making in hospital settings, leading to greater efficiency in the SAC, translated by the release of vacancies and reduction of the waiting list with increased levels of user satisfaction.
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spelling Importance-performance analysis:a management tool on health decision makingHealthImportance-Performance AnalysisSatisfactionSingle Act ConsultationUserThe evaluation of the health services provided and their management, when carried out, is commonly done in an autonomous and non-integrated way. In this process it is fundamental that the experience lived by hospital users may be evaluated under different prisms, thus revealing itself as an additional contribution to the decision-making process in hospital management. The fact that decision-makers are unaware of user satisfaction with the health care provided hinders the desired continuous improvement in health care. Santarém District Hospital was a pioneer in Portugal in the introduction of the Single Act Consultation-SAC. SAC is performed in the hospital's High-Resolution Scheduled Outpatient Clinic where the patient is seen and diagnosed by a physician. If necessary complementary exams will be performed that allow a correct diagnosis after which the patient will return home with a treatment or therapeutic proposal. In this research, the information to be analysed was collected from a designed questionnaire structured for this purpose, addressed to 400 users between July to September 2019, containing an evaluation scale for the health services integrated in the SAC in 26 items related to 5 domains which the Importance-Performance Analysis (IPA) model in the decision-making process in hospital settings will be implemented. The questionnaire also includes questions that allow a sociodemographic characterisation of its users. A key issue in IPA is what values to be set as barriers for the P and I axes. In most cases, the value to be attributed to each of the barriers lacks statistical justification and is left to the subjectivity of the decision-maker. The absence of statistical methodology that supports the establishment of such barriers makes the predictive and discriminating power of IPA unfeasible. The pertinence of adopting robust criteria in the setting of barriers therefore becomes an imperative. This research aims to fill this gap by making IPA a more robust and valuable tool, particularly for hospital decision-makers to maximize user satisfaction in the SAC. To this end, the authors propose the adoption of the logistic regression model to help determine IPA barriers, whose cut-off threshold will be guided by the maximization of the discriminant power assessed either by the area under the Receiver Operating Characteristic (ROC) curve or by the adoption of Cohen's k, Somers' correlation and Matteus coefficients. The logistic regression model will have as response variable a new gold standard that allows for a correct classification of the attributes under analysis and as predictors the attributes referring to the five domains with regard to Performance and Importance. In addition to the sociodemographic characterization of the SAC users, the results of this research point to the maintenance and prioritization of the quality of care provided. This methodology proved to be a valuable tool for decision making in hospital settings, leading to greater efficiency in the SAC, translated by the release of vacancies and reduction of the waiting list with increased levels of user satisfaction.University of Aveiro (UA) and Hospital Center of Baixo Vouga (CHBV)Repositório Científico do Instituto Politécnico de SantarémSão João, RicardoCorreia, FilipeVieira, Elsa2021-07-22T08:39:52Z20212021-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.15/3534engSão João, R., Correia, F. & Vieira, E. (2021). Importance-Performance Analysis: a management tool on health decision making. Journal of Statistics on Health Decision, 3(1), 1-5. https://doi.org/10.34624/jshd.v3i1.2467310.34624/jshd.v3i1.24673info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-01-21T07:35:32Zoai:repositorio.ipsantarem.pt:10400.15/3534Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T01:55:20.608677Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Importance-performance analysis:a management tool on health decision making
title Importance-performance analysis:a management tool on health decision making
spellingShingle Importance-performance analysis:a management tool on health decision making
São João, Ricardo
Health
Importance-Performance Analysis
Satisfaction
Single Act Consultation
User
title_short Importance-performance analysis:a management tool on health decision making
title_full Importance-performance analysis:a management tool on health decision making
title_fullStr Importance-performance analysis:a management tool on health decision making
title_full_unstemmed Importance-performance analysis:a management tool on health decision making
title_sort Importance-performance analysis:a management tool on health decision making
author São João, Ricardo
author_facet São João, Ricardo
Correia, Filipe
Vieira, Elsa
author_role author
author2 Correia, Filipe
Vieira, Elsa
author2_role author
author
dc.contributor.none.fl_str_mv Repositório Científico do Instituto Politécnico de Santarém
dc.contributor.author.fl_str_mv São João, Ricardo
Correia, Filipe
Vieira, Elsa
dc.subject.por.fl_str_mv Health
Importance-Performance Analysis
Satisfaction
Single Act Consultation
User
topic Health
Importance-Performance Analysis
Satisfaction
Single Act Consultation
User
description The evaluation of the health services provided and their management, when carried out, is commonly done in an autonomous and non-integrated way. In this process it is fundamental that the experience lived by hospital users may be evaluated under different prisms, thus revealing itself as an additional contribution to the decision-making process in hospital management. The fact that decision-makers are unaware of user satisfaction with the health care provided hinders the desired continuous improvement in health care. Santarém District Hospital was a pioneer in Portugal in the introduction of the Single Act Consultation-SAC. SAC is performed in the hospital's High-Resolution Scheduled Outpatient Clinic where the patient is seen and diagnosed by a physician. If necessary complementary exams will be performed that allow a correct diagnosis after which the patient will return home with a treatment or therapeutic proposal. In this research, the information to be analysed was collected from a designed questionnaire structured for this purpose, addressed to 400 users between July to September 2019, containing an evaluation scale for the health services integrated in the SAC in 26 items related to 5 domains which the Importance-Performance Analysis (IPA) model in the decision-making process in hospital settings will be implemented. The questionnaire also includes questions that allow a sociodemographic characterisation of its users. A key issue in IPA is what values to be set as barriers for the P and I axes. In most cases, the value to be attributed to each of the barriers lacks statistical justification and is left to the subjectivity of the decision-maker. The absence of statistical methodology that supports the establishment of such barriers makes the predictive and discriminating power of IPA unfeasible. The pertinence of adopting robust criteria in the setting of barriers therefore becomes an imperative. This research aims to fill this gap by making IPA a more robust and valuable tool, particularly for hospital decision-makers to maximize user satisfaction in the SAC. To this end, the authors propose the adoption of the logistic regression model to help determine IPA barriers, whose cut-off threshold will be guided by the maximization of the discriminant power assessed either by the area under the Receiver Operating Characteristic (ROC) curve or by the adoption of Cohen's k, Somers' correlation and Matteus coefficients. The logistic regression model will have as response variable a new gold standard that allows for a correct classification of the attributes under analysis and as predictors the attributes referring to the five domains with regard to Performance and Importance. In addition to the sociodemographic characterization of the SAC users, the results of this research point to the maintenance and prioritization of the quality of care provided. This methodology proved to be a valuable tool for decision making in hospital settings, leading to greater efficiency in the SAC, translated by the release of vacancies and reduction of the waiting list with increased levels of user satisfaction.
publishDate 2021
dc.date.none.fl_str_mv 2021-07-22T08:39:52Z
2021
2021-01-01T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10400.15/3534
url http://hdl.handle.net/10400.15/3534
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv São João, R., Correia, F. & Vieira, E. (2021). Importance-Performance Analysis: a management tool on health decision making. Journal of Statistics on Health Decision, 3(1), 1-5. https://doi.org/10.34624/jshd.v3i1.24673
10.34624/jshd.v3i1.24673
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv University of Aveiro (UA) and Hospital Center of Baixo Vouga (CHBV)
publisher.none.fl_str_mv University of Aveiro (UA) and Hospital Center of Baixo Vouga (CHBV)
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
repository.mail.fl_str_mv
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