Discover how England’s healthcare system is revolutionizing patient care through innovative payor management practices.
– by James
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Measuring healthcare payor management practices in England.
Dorgan et al., Soc Sci Med 2023
DOI: 10.1016/j.socscimed.2023.116415
The study introduces a novel tool designed to measure management practices in healthcare payors, specifically within England’s National Health Service (NHS). This tool was applied to all 152 NHS healthcare payors in 2010. The importance of this research lies in its attempt to fill the gap in evidence linking management practices of healthcare payors to patient outcomes, a link that has been established for healthcare providers but not payors.
The tool’s performance was robust, showing strong comparability to other scorecards used in different settings. Through exploratory factor analysis, the tool was found to measure two distinct latent factors of management practice with high consistency and reliability. Additionally, the tool demonstrated validity in assessment and scoring. A notable finding was that variations in payor management practices were associated with the level of supervisory oversight.
The significance of this tool is that it offers a way to quantitatively assess management practices in healthcare payors, which could help governments and other stakeholders understand how these practices impact health system performance. This understanding could inform interventions aimed at improving management practices and, consequently, health system outcomes.