Core Items for a Standardized Resource Use Measure: Expert Delphi Consensus Survey



Thorn, Joanna C, Brookes, Sara T, Ridyard, Colin, Riley, Ruth, Hughes, Dyfrig A ORCID: 0000-0001-8247-7459, Wordsworth, Sarah, Noble, Sian M, Thornton, Gail and Hollingworth, William
(2018) Core Items for a Standardized Resource Use Measure: Expert Delphi Consensus Survey. VALUE IN HEALTH, 21 (6). pp. 640-649.

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Abstract

<h4>Background</h4>Resource use measurement by patient recall is characterized by inconsistent methods and a lack of validation. A validated standardized resource use measure could increase data quality, improve comparability between studies, and reduce research burden.<h4>Objectives</h4>To identify a minimum set of core resource use items that should be included in a standardized adult instrument for UK health economic evaluation from a provider perspective.<h4>Methods</h4>Health economists with experience of UK-based economic evaluations were recruited to participate in an electronic Delphi survey. Respondents were asked to rate 60 resource use items (e.g., medication names) on a scale of 1 to 9 according to the importance of the item in a generic context. Items considered less important according to predefined consensus criteria were dropped and a second survey was developed. In the second round, respondents received the median score and their own score from round 1 for each item alongside summarized comments and were asked to rerate items. A final project team meeting was held to determine the recommended core set.<h4>Results</h4>Forty-five participants completed round 1. Twenty-six items were considered less important and were dropped, 34 items were retained for the second round, and no new items were added. Forty-two respondents (93.3%) completed round 2, and greater consensus was observed. After the final meeting, 10 core items were selected, with further items identified as suitable for "bolt-on" questionnaire modules.<h4>Conclusions</h4>The consensus on 10 items considered important in a generic context suggests that a standardized instrument for core resource use items is feasible.

Item Type: Article
Uncontrolled Keywords: cost measurement, patient-reported, randomized clinical trial, resource use
Depositing User: Symplectic Admin
Date Deposited: 24 Jan 2019 16:34
Last Modified: 19 Jan 2023 01:06
DOI: 10.1016/j.jval.2017.06.011
Open Access URL: https://reader.elsevier.com/reader/sd/pii/S1098301...
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URI: https://livrepository.liverpool.ac.uk/id/eprint/3031755