* Inter-provider comparison of patient-reported outcomes: developing an adjustment to account for differences in patient case mix.
- This paper describes the development of a methodology for the case-mix adjustment of patient-reported outcome measures (PROMs) data permitting the comparison of outcomes between providers on a like-for-like basis. Statistical models that take account of provider-specific effects form the basis of the proposed case-mix adjustment methodology. Indirect standardisation provides a transparent means of case mix adjusting the PROMs data, which are updated on a monthly basis. Recently published PROMs data for patients undergoing unilateral knee replacement are used to estimate empirical models and to demonstrate the application of the proposed case-mix adjustment methodology in practice. The results are illustrative and are used to highlight a number of theoretical and empirical issues that warrant further exploration. For example, because of differences between PROMs instruments, case-mix adjustment methodologies may require instrument-specific approaches. A number of key assumptions are made in estimating the empirical models, which could be open to challenge. The covariates of post-operative health status could be expanded, and alternative econometric methods could be employed.
=>特有の, 特効薬, 明確な, 特定の, 種の, はっきりした
Overview of noun specific
The noun specific has 2 senses (no senses from tagged texts)
1. particular, specific -- (a fact about some part (as opposed to general); "he always reasons from
the particular to the general")
2. specific -- (a medicine that has a mitigating effect on a specific disease; "quinine is a
specific for malaria")
Overview of adj specific
The adj specific has 4 senses (first 2 from tagged texts)
1. (39) specific -- ((sometimes followed by `to') applying to or characterized by or distinguishing
something particular or special or unique; "rules with specific application"; "demands specific to
the job"; "a specific and detailed account of the accident")
2. (5) specific -- (stated explicitly or in detail; "needed a specific amount")
3. specific -- (relating to or distinguishing or constituting a taxonomic species; "specific
characters")
4. specific -- (being or affecting a disease produced by a particular microorganism or condition;
used also of stains or dyes used in making microscope slides; "quinine is highly specific for
malaria"; "a specific remedy"; "a specific stain is one having a specific affinity for particular
structural elements")
--- WordNet end ---