1 / 27

International Comparative Research in Health Care

International Comparative Research in Health Care. A straightforward exercise ?. Koen Putman. How are we doing ?. ( Inter ) national research. EU- Funding (CORDIS). Challenges. Securing comparability Accounting for national variations Finding the data.

azana
Télécharger la présentation

International Comparative Research in Health Care

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. International Comparative Research in Health Care A straightforwardexercise? Koen Putman

  2. How are we doing?

  3. (Inter)national research

  4. EU-Funding (CORDIS)

  5. Challenges • Securingcomparability • Accounting fornationalvariations • Finding the data In: Burau, CurrSocio, 2012

  6. Health systems dynamics In: van Olmen et al., Health Cult & Society, 2012

  7. Garrido et al., in:HSREPP, 2011

  8. Queen’sMedical Centre City Hospital UZ Pellenberg FachklinikHerzogenaurach RehaClinic Zurzach

  9. Admissionpolicies in SRU In: Putman K et al., J RehabilMed, 2006

  10. Process of care * * * Absolute time in therapeuticactivitiesbetween 7.00am and 5.00 pm * significant differenceaftercorrectionfor case-mix De Wit et al., Stroke, 2005

  11. Time available per patient per week /professional group De Wit et al., Stroke, 2005

  12. use of care afterdischarge (6m) Putman et al., J RehabMed, 2007

  13. Challenges • Securingcomparability • Accounting fornationalvariations • Finding the data In: Burau, CurrSocio, 2012

  14. Selection of patients Kennedy et al., ArchPhysMedRehabil, 2012

  15. Incentives Peltola et al., Cerebrovasc Dis, 2013

  16. Challenges • Securingcomparability • Accounting fornationalvariations • Finding the data In: Burau, CurrSocio, 2012

  17. Finding the data • Assessment traditions and ‘culture’ Systematiccollectionusefulfor research practice(Freeman et al., JNNP, 2005) However: Heterogenity of outcomemeasurement in Europe (Haigh et al., J RehabMed, 2001) example: FIM vsBarthel in strokerehabilitation(Sangha et al. Int J RehabRes, 2005)

  18. “translations” Barthel Index Score Motor FIM Nyein K et al., Clin Rehab 1999

  19. Uniform datasets

  20. Finding the data • Questionnaires • Conceptualequivalenceacross cultures • e.g.: socio-economic status • Pre-study on possibleansweringcategories • e.g.: discharge destination, post-discharge services • Translations of questionnaires

  21. Ethics Chaudhry et al., Clin Trials, 2013

  22. Methodologicalchallenges In: Horn S et al. , ArchPhysMedRehab, 2012

  23. Prioritiesfuture research

  24. Recommendations • Inclusion of evidence in reimbursement regulations on provision of services (Weinrich et al., 2011) • “Chain of care” (Ringelstein et al, 2013) • Quality indicators/national audits (Ringelstein et al, 2013) • Comparativeeffectiveness research

  25. No stereotyping • In Heaven: • the cooks are French, • the policemen are English, • the mechanics are German, • the lovers are Italian • and • the bankers are Swiss. • In Hell: • the cooks are English, • the policemen are German, • the mechanics are French, • the lovers are Swiss • and • the bankers are Italian. • And whatabout the Belgians?

  26. International Comparative Research in Health Care A straightforwardexercise? Koen Putman kputman@vub.ac.be kputman@uclan.ac.uk

More Related