Developing a framework of quality indicators for healthcare business cases: a qualitative document analysis consolidating insight from expert guidance and current practice
Developing a framework of quality indicators for healthcare business cases: a qualitative document analysis consolidating insight from expert guidance and current practice
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DOI：
10.1186/s12913-019-4269-9
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发表时间：
2019-06-28
影响因子：
2.8
通讯作者：
Owen-Smith, Amanda
中科院分区：
文献类型：
--
作者：
Linton, Myles-Jay;Coast, Joanna;Owen-Smith, Amanda
背景商业案例被用来提供支持投资于新项目、服务或干预的结构化理由。尽管使用商业案例来确定如何在英格兰国家医疗服务体系(NHS)内分配有限的资源，但关于如何在医疗保健背景下开发和评估商业案例的指导意见是不稳定的，并且具有不同的相关性。本研究旨在通过分析专家指导文件的内容和NHS业务案例的样本，构建一个新的医疗保健相关业务案例质量指标框架。方法对指导文件(n=7)和现有NHS业务案例文档(n=18)进行了定性文档分析。使用标准对文件进行了有目的的抽样，以确保框架反映了专家意见的多样化传播，以及来自当前实践的不同的示例业务案例样本。使用主题和内容分析对数据进行分析，并在可视化框架中展示数据。结果在定性文件分析中确定了七个主题(目的、战略优先事项、备选方案、效益、成本、风险和评价)。对这些主题进行了描述，并提供了医疗保健相关业务案例的质量指标框架。结论据我们所知，这是第一个专门为医疗保健环境设计的业务案例质量指标框架。这项研究中提出的框架对决策者如何开发和评估业务案例具有重要意义。今后，调查框架如何在实践中用作批判性评估的工具将是有益的。
BackgroundBusiness cases are used to provide a structured justification in favour of investing in new projects, services or interventions. Despite the use of business cases in determining how limited resources will be allocated within England's National Health Service (NHS), guidance concerning how to develop and evaluate business cases in the context of healthcare is inconstant and of varying relevance. This study aimed to develop a new framework of quality indicators for healthcare-related business cases by analysing the content of expert guidance documents and a sample of NHS business cases.MethodsQualitative document analysis was conducted on guidance documents (n=7) and existing NHS business case documents (n=18). Documents were purposefully sampled using criteria to ensure the framework reflected a diverse spread of expert opinion, and a varied sample of example business cases from current practice. Data were analysed using thematic and content analysis, and are presented in a visualised framework.ResultsSeven themes were identified within the qualitative document analysis (purpose, strategic priorities, options, benefits, costs, risks and evaluation). These themes were described and presented with a framework of quality indicators for healthcare-related business cases.ConclusionTo ou`r knowledge, this is the first framework of business case quality indicators designed specifically for use in a healthcare context. The framework presented in this study has implications for how business cases are developed and evaluated by decision makers. In the future it would be beneficial to investigate how the framework could be used in practice as a tool for critical appraisal.