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 and corresponding presentation and discussion in the class. 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 unit aims to enable students to understand and apply methods for assessing health outcomes based on multidisciplinary approaches, covering biomedical, psychological and economic aspects.

The competencies to be developed are as follows: (1) critical understanding of health models and their relationship with social determinants; (2) ability to select and apply generic and specific measurement instruments; (3) assessment of the quality and validity of measurement instruments; (4) competence in the cultural and linguistic adaptation of instruments; (5) application of methodologies for the creation of questionnaires and their intercultural validation; (6) ability to assess value in health, considering clinical results, patient experience and economic impact: and (7) practical use of national measurement and evaluation repositories (RIMAS) to analyse health gains.

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
In-class presentation: 20.0%
Laboratory work or Field work: 80.0%

Bibliography

Benson, T. (2022). Patient-reported outcomes and experience: measuring what we want from PROMs and PREMs. Springer Nature.
European Commission. (2019). Defining value in “value-based healthcare” - Report of the Expert Panel on effective ways of investing in Health (EXPH).
Raposo, V., Antonić, D., Nova, A. C., Lewandowski, R. A., & Melo, P. (2022). An Overview of Measurement Systems and Practices in Healthcare Systems Applied to Person-Centred Care Interventions. In D. Kriksciuniene & V. Sakalauskas (Eds.), Intelligent Systems for Sustainable Person-Centered Healthcare (pp. 119-143). Springer International Publishing. https://doi.org/10.1007/978-3-030-79353-1_7
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.