A Consensus-Based Agreement on a Definition of a Process Variable: Findings from a New Zealand Nominal Group Technique Study
| aut.relation.articlenumber | 1416 | |
| aut.relation.issue | 1 | |
| aut.relation.journal | BMC Health Services Research | |
| aut.relation.volume | 24 | |
| dc.contributor.author | Harvey, Daniel | |
| dc.contributor.author | White, Steve | |
| dc.contributor.author | Reid, Duncan | |
| dc.contributor.author | Cook, Chad | |
| dc.date.accessioned | 2024-11-18T03:34:58Z | |
| dc.date.available | 2024-11-18T03:34:58Z | |
| dc.date.issued | 2024-11-16 | |
| dc.description.abstract | Background Musculoskeletal pain and disability are leading causes of reduced health and significant economic costs worldwide. Individualised, and evidence-based treatment approaches for specific musculoskeletal conditions aimed at improving patient outcomes and costs have not been successful. Recently authors have suggested that the ‘process’ of how care is implemented within a health system needs to be considered as an influencer on patient outcomes. With the rising prevalence of musculoskeletal conditions and the burgeoning costs associated with their treatment, it seems timely that new research focusing on process variables and their influence on patients with musculoskeletal conditions is explored. Before such studies can take place, a modern definition of a process variable within a musculoskeletal care pathway is needed to anchor future research endeavours. Therefore, the aim of this study was to establish a consensus-based definition of a process variable within a musculoskeletal care pathway, based on a New Zealand setting. Methods This study used a virtual nominal group technique and took place in July 2023 using a Microsoft Teams platform. A nominal group technique employs a structured approach to generate information and solutions to problems that can then be prioritised through group discussion and consensus. It is unique because it allows expert participants to explore using in-depth inquiry, areas previously unidentified or not yet investigated. There was an inclusion criterion and the participants completed pre-work before the two-hour five stage virtual meeting. The Auckland University of Technology Ethics Committee (AUTEC) approved this study (AUTEC 23/94). Results The study included eight participants (five male, three female) who had extensive experience with the New Zealand ACC insurance scheme and the design, implementation, and administration of musculoskeletal care pathways. The consensus definition was ‘A health process variable is any modifiable factor in a health process or pathway that can be quantified and measured and that if varied may achieve a different operational or patient outcome’. Conclusions This study of New Zealand-based experts has formed a consensus-based agreement for a definition of a process variable in a musculoskeletal care pathway. This is an important first step in developing our understanding of process variables, and further research is needed to establish the link between process variables and their influence on the outcomes of patients with musculoskeletal conditions. | |
| dc.identifier.citation | BMC Health Services Research, ISSN: 1472-6963 (Online), Springer Science and Business Media LLC, 24(1). doi: 10.1186/s12913-024-11909-w | |
| dc.identifier.doi | 10.1186/s12913-024-11909-w | |
| dc.identifier.issn | 1472-6963 | |
| dc.identifier.uri | http://hdl.handle.net/10292/18347 | |
| dc.language | en | |
| dc.publisher | Springer Science and Business Media LLC | |
| dc.relation.uri | https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-024-11909-w | |
| dc.rights | Open Access This article is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License, which permits any non-commercial use, sharing, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if you modified the licensed material. You do not have permission under this licence to share adapted material derived from this article or parts of it. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by-nc-nd/4.0/. | |
| dc.rights.accessrights | OpenAccess | |
| dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/4.0/ | |
| dc.subject | 0807 Library and Information Studies | |
| dc.subject | 1110 Nursing | |
| dc.subject | 1117 Public Health and Health Services | |
| dc.subject | Health Policy & Services | |
| dc.subject | 4203 Health services and systems | |
| dc.subject | 4205 Nursing | |
| dc.subject | 4206 Public health | |
| dc.title | A Consensus-Based Agreement on a Definition of a Process Variable: Findings from a New Zealand Nominal Group Technique Study | |
| dc.type | Journal Article | |
| pubs.elements-id | 575538 |
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