Identifying Leading NHS Trusts in Inpatient Cancer Nursing: Ranking Methods and Utilisation of the National Cancer Patient Experience Survey in the UK

2.50
Hdl Handle:
http://hdl.handle.net/10755/304287
Category:
Abstract
Type:
Presentation
Title:
Identifying Leading NHS Trusts in Inpatient Cancer Nursing: Ranking Methods and Utilisation of the National Cancer Patient Experience Survey in the UK
Author(s):
Simon, Michael; Griffiths, Peter
Lead Author STTI Affiliation:
Non-member
Author Details:
Michael Simon, PhD, RN, m.simon@soton.ac.uk; Peter Griffiths, PhD;
Abstract:

Session presented on: Thursday, July 25, 2013

Purpose: League tables and rankings are increasingly used in health care systems worldwide to summarize the quality of services. While it seems straightforward to rank organisations, different approaches to risk adjustment and variations in sample sizes influence ranking results. The aim of this study was to compare different ranking approaches for patient experiences of inpatient cancer care and to investigate the association of rankings in consecutive years.  

Methods: Seven items relevant to inpatient nursing cancer care from the National Cancer Patient Experience Survey of 158 acute care trusts in England  for 2010 (n=24,687) and 2011 (n=23,857) were considered. Items were assessed with regard to their ability to differentiate between providers by intraclass correlations (ICCs) and rankability estimates. Acute care trusts were ranked by their mean, the risk adjusted standardised rate, expected ranks and empiricial bayes estimates. The association between rankings using different methods and between years were assessed by Kendall’s Tau correlation coefficients.

Results: For 2010 ICCs ranged from .007 to 0.030 indicating weak levels of clustering in the data. Rankability ranged from 39% to 69% confirming this picture. Kendall’s Tau coefficients for associations between ranking methods ranged between .79 and .98, indicating strong associations between all ranking mechanisms. The risk and sample size adjusted empirical bayes and expected rank mechanisms correlated highest (Tau= .98) while standardized rates (.88 and .89) and mean-based rankings (.78 and .79) were less strongly correlated. Rankings from 2010 and 2011 correlated only modestly (.30 to 0.34).

Conclusion: Results show strong association between all ranking methods but far from complete agreement. Modest agreement between years raises questions about the extent to which the measures are evaluating a stable characteristic of the trusts.

Keywords:
Quality of health care; ranking; Patient Experience
Repository Posting Date:
22-Oct-2013
Date of Publication:
22-Oct-2013
Conference Date:
2013
Conference Name:
24th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Prague, Czech Republic
Description:
24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleIdentifying Leading NHS Trusts in Inpatient Cancer Nursing: Ranking Methods and Utilisation of the National Cancer Patient Experience Survey in the UKen_GB
dc.contributor.authorSimon, Michaelen_GB
dc.contributor.authorGriffiths, Peteren_GB
dc.contributor.departmentNon-memberen_GB
dc.author.detailsMichael Simon, PhD, RN, m.simon@soton.ac.uk; Peter Griffiths, PhD;en_GB
dc.identifier.urihttp://hdl.handle.net/10755/304287-
dc.description.abstract<p>Session presented on: Thursday, July 25, 2013</p><strong><b>Purpose: </b></strong>League tables and rankings are increasingly used in health care systems worldwide to summarize the quality of services. While it seems straightforward to rank organisations, different approaches to risk adjustment and variations in sample sizes influence ranking results. The aim of this study was to compare different ranking approaches for patient experiences of inpatient cancer care and to investigate the association of rankings in consecutive years.   <p><strong><b>Methods: </b></strong>Seven items relevant to inpatient nursing cancer care from the National Cancer Patient Experience Survey of 158 acute care trusts in England  for 2010 (n=24,687) and 2011 (n=23,857) were considered. Items were assessed with regard to their ability to differentiate between providers by intraclass correlations (ICCs) and rankability estimates. Acute care trusts were ranked by their mean, the risk adjusted standardised rate, expected ranks and empiricial bayes estimates. The association between rankings using different methods and between years were assessed by Kendall’s Tau correlation coefficients. <p><strong><b>Results: </b></strong>For 2010 ICCs ranged from .007 to 0.030 indicating weak levels of clustering in the data. Rankability ranged from 39% to 69% confirming this picture. Kendall’s Tau coefficients for associations between ranking methods ranged between .79 and .98, indicating strong associations between all ranking mechanisms. The risk and sample size adjusted empirical bayes and expected rank mechanisms correlated highest (Tau= .98) while standardized rates (.88 and .89) and mean-based rankings (.78 and .79) were less strongly correlated. Rankings from 2010 and 2011 correlated only modestly (.30 to 0.34). <p><strong><b>Conclusion: </b></strong> Results show strong association between all ranking methods but far from complete agreement. Modest agreement between years raises questions about the extent to which the measures are evaluating a stable characteristic of the trusts.en_GB
dc.subjectQuality of health careen_GB
dc.subjectrankingen_GB
dc.subjectPatient Experienceen_GB
dc.date.available2013-10-22T20:32:50Z-
dc.date.issued2013-10-22-
dc.date.accessioned2013-10-22T20:32:50Z-
dc.conference.date2013en_GB
dc.conference.name24th International Nursing Research Congressen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationPrague, Czech Republicen_GB
dc.description24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.en_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.en_GB
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