Evidence map›Paper›PMID 32052455›Full record

ArticleHealth services research2020

A comparison of methods for health policy evaluation with controlled pre-post designs.

Stephen O'Neill, Noemi Kreif, Matt Sutton, Richard Grieve

Abstract readComparative Study
In one paragraph

Article in Health services research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

19 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  15. Effectiveness Evaluation of a Primary School-Based Intervention against Heatwaves in China.International journal of environmental research and public health · 2022
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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

4 authors.

Stephen O'NeillJ.E. Cairnes School of Business and Economics, National University of Ireland Galway, Galway, Ireland.ORCID 0000-0002-0022-0500
Noemi KreifDepartment of Health Services Research and Policy, London School of Hygiene and Tropical Medicine, London, UK.ORCID 0000-0001-9008-5690
Matt SuttonHealth Organisation, Policy and Economics, School of Health Sciences, University of Manchester, Manchester, UK.ORCID 0000-0002-6635-2127
Richard GrieveDepartment of Health Services Research and Policy, London School of Hygiene and Tropical Medicine, London, UK.ORCID 0000-0001-8899-1301

Funding

Department of Health SRF-2013-06-016Medical Research Council MR/L012332/1
6 · The paper itself

Abstract

objectiveTo compare interactive fixed effects (IFE) and generalized synthetic control (GSC) methods to methods prevalent in health policy evaluation and re-evaluate the impact of the hip fracture best practice tariffs introduced for hospitals in England in 2010. DATA SOURCES: Simulations and Hospital Episode Statistics. STUDY

designBest practice tariffs aimed to incentivize providers to deliver care in line with guidelines. Under the scheme, 62 providers received an additional payment for each hip fracture admission, while 49 providers did not. We estimate the impact using difference-in-differences (DiD), synthetic control (SC), IFE, and GSC methods. We contrast the estimation methods' performance in a Monte Carlo simulation study. PRINCIPAL

findingsUnlike DiD, SC, and IFE methods, the GSC method provided reliable estimates across a range of simulation scenarios and was preferred for this case study. The introduction of best practice tariffs led to a 5.9 (confidence interval: 2.0 to 9.9) percentage point increase in the proportion of patients having surgery within 48 hours and a statistically insignificant 0.6 (confidence interval: -1.4 to 0.4) percentage point reduction in 30-day mortality.

conclusionsThe GSC approach is an attractive method for health policy evaluation. We cannot be confident that best practice tariffs were effective.

Indexed as

Health PolicyPractice Guidelines as TopicAdultAgedAged, 80 and overEnglandFemaleHealth ServicesHip FracturesHumansMaleMiddle AgedModels, StatisticalQuality of Health Caredifference-in-differencesinteractive fixed effectspay-for-performancepolicy evaluationsynthetic control

Identifiers

PMID32052455
PMCPMC7080394

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.