Health Outcomes Measurement

Recommended Prerequisites

Not applicable.

Teaching Methods

The methodology includes lectures, using audiovisual means. It seeks to promote an active and participatory learning, focusing on the interaction, in order to better understand what is meant by a health system. The knowledge evaluation will be performed by preparing a written work (80%) and corresponding presentation and discussion in the class (20%). The classification is assigned from zero to twenty values, being guaranteed approval with the minimum rating of ten values. The final mark is the result of weighted average of the written document and the presentation/discussion.

Learning Outcomes

This curricular unit aims to develop knowledge and understanding to a deeper level about the measurement in health, including the theory and principles underlying it. In addition, critically analyzes health measures on the basis of their suitability, relevance and applicability in the context of clinical practice and research.

Work Placement(s)

No

Syllabus

- Measurement in health - Biomedical model of health. Need and health outcomes. Terminology and definitions. Social determinants of health. Operationalization of concepts.

- Health status and quality of life - Approaches of psychology and economics. Description and valuation of health. Applications of health questionnaires.

- Examples of measuring instruments - Generic measures. Utility measures. Specific measures. Criteria for choice of measurement instruments.

- Quality of measurement instruments - Conceptual and measurement models. Criteria of quality.

- Cultural and linguistic adaptation - Translation and cultural validation. Intercultural equivalencies. Methodological problems. Creation and modification of questionnaires.

- RIMAS- Repository of instruments of measurement and evaluation in health.

- Strategy to obtain health gains and value. Concept of value in health: health gains, patient experience, inequalities, externalities and large economic results, value for money.

Head Lecturer(s)

Víctor Manuel dos Reis Raposo

Assessment Methods

Assessment
Other: 20.0%
Laboratory work or Field work: 80.0%

Bibliography

- Acquadro C, Conway K, Giroudet C, Mear I. Linguistic validation manual for patient-reported outcomes (PRO) instruments. Lyon, França: MAPI, 2004.

- Donabedian A. Explorations in quality assessment and monitoring. Vol I: The definition of quality and approaches to its assessment. Ann Arbor, MI: Health Administration Press, 1980.

- McDowell I. Measuring health: a guide to rating scales and questionnaires. New York: Oxford University Press, 2006.

- Porter ME, Lee TH. The strategy that will fix health care. Providers must lead the way in making value the overarching goal. Harvard Business Review 2013; 91(10) (October 2013): 50–70.

- Scientific Advisory Committee of the Medical Outcomes Trust. Assessing health status and quality-of-life instruments: attributes and review criteria. Quality of Life Research 2001; 11: 193-205.

- Wilkin D, Halla L, Doggett M-A. Measure of need and outcome for primary health care. Oxford: Oxford University Press, 1994.