Suppr超能文献

一种用于评估复杂医疗保健干预措施的广义中断时间序列模型。

A generalized interrupted time series model for assessing complex health care interventions.

作者信息

Cruz Maricela, Ombao Hernando, Gillen Daniel L

机构信息

Kaiser Permanente Washington Health Research Institute, Seattle, WA, USA.

Biostatistics Group, King Abdullah University of Science and Technology Thuwal, Saudi Arabia.

出版信息

Stat Biosci. 2022 Dec;14(3):582-610. doi: 10.1007/s12561-022-09346-6. Epub 2022 May 25.

Abstract

Assessing the impact of complex interventions on measurable health outcomes is a growing concern in health care and health policy. Interrupted time series (ITS) designs borrow from traditional case-crossover designs and function as quasi-experimental methodology able to retrospectively analyze the impact of an intervention. Statistical models used to analyze ITS designs primarily focus on continuous-valued outcomes. We propose the "Generalized Robust ITS" (GRITS) model appropriate for outcomes whose underlying distribution belongs to the exponential family of distributions, thereby expanding the available methodology to adequately model binary and count responses. GRITS formally implements a test for the existence of a change point in discrete ITS. The methodology proposed is able to test for the existence of and estimate the change point, borrow information across units in multi-unit settings, and test for differences in the mean function and correlation pre- and post-intervention. The methodology is illustrated by analyzing patient falls from a hospital that implemented and evaluated a new care delivery model in multiple units.

摘要

评估复杂干预措施对可测量的健康结果的影响是医疗保健和卫生政策领域日益关注的问题。中断时间序列(ITS)设计借鉴了传统的病例交叉设计,作为一种准实验方法,能够回顾性分析干预措施的影响。用于分析ITS设计的统计模型主要关注连续值结果。我们提出了“广义稳健ITS”(GRITS)模型,适用于其潜在分布属于指数分布族的结果,从而扩展了可用方法,以充分模拟二元和计数响应。GRITS正式实现了对离散ITS中变化点存在性的检验。所提出的方法能够检验变化点的存在并估计变化点,在多单元设置中跨单元借用信息,并检验干预前后均值函数和相关性的差异。通过分析一家在多个单元实施并评估了新护理模式的医院的患者跌倒情况,对该方法进行了说明。

相似文献

1
A generalized interrupted time series model for assessing complex health care interventions.
Stat Biosci. 2022 Dec;14(3):582-610. doi: 10.1007/s12561-022-09346-6. Epub 2022 May 25.
2
RITS: a toolbox for assessing complex interventions via interrupted time series models.
BMC Med Res Methodol. 2021 Jul 8;21(1):143. doi: 10.1186/s12874-021-01322-w.
3
Assessing health care interventions via an interrupted time series model: Study power and design considerations.
Stat Med. 2019 May 10;38(10):1734-1752. doi: 10.1002/sim.8067. Epub 2019 Jan 7.
4
A robust interrupted time series model for analyzing complex health care intervention data.
Stat Med. 2017 Dec 20;36(29):4660-4676. doi: 10.1002/sim.7443. Epub 2017 Aug 29.
6
Intervention analysis and classification: key to health outcomes optimization.
Int J Health Care Qual Assur. 2019 Mar 11;32(2):347-359. doi: 10.1108/IJHCQA-03-2018-0066.
7
The Impact of Hospital Visiting Hour Policies on Pediatric and Adult Patients and their Visitors.
JBI Libr Syst Rev. 2009;7(2):38-79. doi: 10.11124/01938924-200907020-00001.
8

本文引用的文献

1
Assessing health care interventions via an interrupted time series model: Study power and design considerations.
Stat Med. 2019 May 10;38(10):1734-1752. doi: 10.1002/sim.8067. Epub 2019 Jan 7.
2
A methodological framework for model selection in interrupted time series studies.
J Clin Epidemiol. 2018 Nov;103:82-91. doi: 10.1016/j.jclinepi.2018.05.026. Epub 2018 Jun 6.
3
Selecting and Improving Quasi-Experimental Designs in Effectiveness and Implementation Research.
Annu Rev Public Health. 2018 Apr 1;39:5-25. doi: 10.1146/annurev-publhealth-040617-014128. Epub 2018 Jan 12.
4
A robust interrupted time series model for analyzing complex health care intervention data.
Stat Med. 2017 Dec 20;36(29):4660-4676. doi: 10.1002/sim.7443. Epub 2017 Aug 29.
5
Refining and validating a conceptual model of Clinical Nurse Leader integrated care delivery.
J Adv Nurs. 2017 Feb;73(2):448-464. doi: 10.1111/jan.13113. Epub 2016 Sep 26.
6
Interrupted time series regression for the evaluation of public health interventions: a tutorial.
Int J Epidemiol. 2017 Feb 1;46(1):348-355. doi: 10.1093/ije/dyw098.
8
Use of interrupted time series analysis in evaluating health care quality improvements.
Acad Pediatr. 2013 Nov-Dec;13(6 Suppl):S38-44. doi: 10.1016/j.acap.2013.08.002.
9
Moving healthcare quality forward with nursing-sensitive value-based purchasing.
J Nurs Scholarsh. 2012 Dec;44(4):385-95. doi: 10.1111/j.1547-5069.2012.01469.x. Epub 2012 Oct 15.
10
Alternatives to the randomized controlled trial.
Am J Public Health. 2008 Aug;98(8):1359-66. doi: 10.2105/AJPH.2007.124446. Epub 2008 Jun 12.

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验