Application of the analytic hierarchy process in the performance measurement of colorectal cancer care for the design of a pay-for-performance program in taiwan
Journal
International Journal for Quality in Health Care
Journal Volume
25
Journal Issue
1
Pages
81-91
Date Issued
2013
Author(s)
Abstract
Objective: To prioritize performance measures for colorectal cancer care to facilitate the implementation of a pay-for-performance (PFP) system. Design: Questionnaires survey. Setting: Medical hospitals in Taiwan. Participants: Sixty-six medical doctors from 5 November 2009 to 10 December 2009. Intervention: Analytic hierarchy process (AHP) technique. Main outcome measure(s): Performance measures (two pre-treatment, six treatment related and three monitoring related) were used. Results: Forty-eight doctors responded and returned questionnaires (response rate 72.7%) with surgeons and physicians contributing equally. The most important measure was the proportion of colorectal patients who had pre-operative examinations that included chest X-ray and abdominal ultrasound, computed tomography or MRI (global priority: 0.144), followed by the proportion of stages I-III colorectal cancer patients who had undergone a wide surgical resection documented as 'negative margin' (global priority: 0.133) and the proportion of colorectal cancer patients who had undergone surgery with a pathology report that included information on tumor size and node differentiation (global priority: 0.116). Most participants considered that the best interval for the renewal indicators was 3-5 years (43.75%) followed by 5-10 years (27.08%). Conclusions: To design a PFP program, the AHP method is a useful technique to prioritize performance measures, especially in a highly specialized domain such as colorectal cancer care. ? The Author 2012. Published by Oxford University Press in association with the International Society for Quality in Health Care; all rights reserved.
Subjects
Analytic hierarchy process; Colorectal cancer; Pay-for-performance; Performance measurement
SDGs
Other Subjects
article; cancer size; cancer staging; cancer surgery; colonoscopy; colorectal cancer; follow up; human; job experience; major clinical study; obesity; patient care; pay for performance system; performance measurement system; preoperative period; priority journal; questionnaire; Taiwan; thorax radiography; Adult; Colorectal Neoplasms; Female; Humans; Male; Medical Staff, Hospital; Middle Aged; Perioperative Care; Pilot Projects; Quality Indicators, Health Care; Questionnaires; Reimbursement, Incentive; Taiwan
Type
journal article