Evidence map›Paper›PMID 28833902›Full record

ArticleHealth economics2018

Multidimensional performance assessment of public sector organisations using dominance criteria.

Nils Gutacker, Andrew Street

Open access · hybridAbstract read
In one paragraph

Article in Health economics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
6.6field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. What makes a good quality indicator set? A systematic review of criteria.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2021
    Pooled it
  2. Article
  3. An econometric approach to aggregating multiple cardiovascular outcomes in German hospitals.The European journal of health economics : HEPAC : health economics in prevention and care · 2023
    Article
  4. Observational
  5. Article
  6. Article
  7. Investigating the geographic disparity in quality of care: the case of hospital readmission after acute myocardial infarction in Italy.The European journal of health economics : HEPAC : health economics in prevention and care · 2020
    Article
  8. Article
  9. Article
  10. The problem with composite indicators.BMJ quality & safety · 2019
    Article
  11. Article
  12. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors at 1 institution in 1 country.

Nils GutackerCentre for Health Economics, University of York, York, UK.ORCID 0000-0002-2833-0621
Andrew StreetCentre for Health Economics, University of York, York, UK.ORCID 0000-0002-2540-0364
University of York · GB

Funding

Department of Health 103/0001
6 · The paper itself

Abstract

Public sector organisations pursue multiple objectives and serve a number of stakeholders. But stakeholders are rarely explicit about the valuations they attach to different objectives, nor are these valuations likely to be identical. This complicates the assessment of their performance because no single set of weights can be chosen legitimately to aggregate outputs into unidimensional composite scores. We propose the use of dominance criteria in a multidimensional performance assessment framework to identify best practice and poor performance under relatively weak assumptions about stakeholders' preferences. We use as an example providers of hip replacement surgery in the English National Health Service and estimate multivariate multilevel models to study their performance in terms of length of stay, readmission rates, post-operative patient-reported health status and waiting time. We find substantial correlation between objectives and demonstrate that ignoring the correlation can lead to incorrect assessments of performance.

Indexed as

Health PolicyModels, EconomicNational Health ProgramsEnglandHumansOrganizational ObjectivesPublic Sectormultidimensionalmultilevel modellingperformance assessmentprovider classification

Identifiers

PMID28833902
PMCPMC5900921
OpenAlexW2749408004

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.