Measuring Resource Utilization: A Systematic Review of Validated Self-Reported Questionnaires

Laura E Leggett, Rachel G Khadaroo, Jayna Holroyd-Leduc, Diane L Lorenzetti, Heather Hanson, Adrian Wagg, Raj Padwal, Fiona Clement, Laura E Leggett, Rachel G Khadaroo, Jayna Holroyd-Leduc, Diane L Lorenzetti, Heather Hanson, Adrian Wagg, Raj Padwal, Fiona Clement

Abstract

A variety of methods may be used to obtain costing data. Although administrative data are most commonly used, the data available in these datasets are often limited. An alternative method of obtaining costing is through self-reported questionnaires. Currently, there are no systematic reviews that summarize self-reported resource utilization instruments from the published literature.The aim of the study was to identify validated self-report healthcare resource use instruments and to map their attributes.A systematic review was conducted. The search identified articles using terms like "healthcare utilization" and "questionnaire." All abstracts and full texts were considered in duplicate. For inclusion, studies had to assess the validity of a self-reported resource use questionnaire, to report original data, include adult populations, and the questionnaire had to be publically available. Data such as type of resource utilization assessed by each questionnaire, and validation findings were extracted from each study.In all, 2343 unique citations were retrieved; 2297 were excluded during abstract review. Forty-six studies were reviewed in full text, and 15 studies were included in this systematic review. Six assessed resource utilization of patients with chronic conditions; 5 assessed mental health service utilization; 3 assessed resource utilization by a general population; and 1 assessed utilization in older populations. The most frequently measured resources included visits to general practitioners and inpatient stays; nonmedical resources were least frequently measured. Self-reported questionnaires on resource utilization had good agreement with administrative data, although, visits to general practitioners, outpatient days, and nurse visits had poorer agreement.Self-reported questionnaires are a valid method of collecting data on healthcare resource utilization.

Conflict of interest statement

The authors declare that they have no conflict of interest.

Figures

FIGURE 1
FIGURE 1
Flowchart of included and excluded studies.

References

    1. OUP Oxford, Briggs A, Sculpher M, Claxton K. Decision modelling for health economic evaluation. 2006.
    1. Frick KD. Micro-costing quantity data collection methods. Med Care 2009; 47 (7 Suppl 1):S76.
    1. Goossens ME, Rutten-van Mölken MP, Vlaeyen JW, et al. The cost diary: a method to measure direct and indirect costs in cost-effectiveness research. J Clin Epidemiol 2000; 53:688–695.
    1. Smaldone A, Tsimicalis A, Stone PW. Measuring resource utilization in patient-oriented comparative effectiveness research: a psychometric study of the resource utilization questionnaire. Res Theory Nursing Pract 2011; 25:80–106.
    1. Choi BC, Pak AW. A catalog of biases in questionnaires. Prev Chronic Dis 2005; 2:A13.
    1. Moher D, Liberati A, Tetzlaff J, et al. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Int J Surg 2010; 8:336–341.
    1. Zuvekas SH, Olin GL. Validating household reports of health care use in the medical expenditure panel survey. Health Serv Res 2009; 44:1679–1700.
    1. Ritter PL, Stewart AL, Kaymaz H, et al. Self-reports of health care utilization compared to provider records. J Clin Epidemiol 2001; 54:136–141.
    1. Lairson DR, Basu R, Begley CE, et al. Concordance of survey and billing data in a study of outpatient healthcare cost and utilization among epilepsy patients. Epilepsy Res 2009; 87:59–69.
    1. Golding JM, Gongla P, Brownell A. Feasibility of validating survey self-reports of mental health service use. Am J Commun Psychol 1988; 16:39–51.
    1. van den Brink M, van den Hout WB, Stiggelbout AM, et al. Self-reports of health-care utilization: diary or questionnaire? Int J Technol Assess Healthcare 2005; 21:298–304.
    1. Reijneveld SA. The cross-cultural validity of self-reported use of health care: a comparison of survey and registration data. J Clin Epidemiol 2000; 53:267–272.
    1. Bouwmans C, De Jong K, Timman R, et al. Feasibility, reliability and validity of a questionnaire on healthcare consumption and productivity loss in patients with a psychiatric disorder (TiC-P). BMC Health Serv Res 2013; 13:217.
    1. Schweikert B, Hahmann H, Leidl R. Development and first assessment of a questionnaire for health care utilization and costs for cardiac patients. BMC Health Serv Res 2008; 8:187.
    1. Heinrich S, Deister A, Birker T, et al. Accuracy of self-reports of mental health care utilization and calculated costs compared to hospital records. Psychiatry Res 2011; 185:261–268.
    1. Byford S, Leese M, Knapp M, et al. Comparison of alternative methods of collection of service use data for the economic evaluation of health care interventions. Health Econ 2007; 16:531–536.
    1. Carsjo K, Thorslund M, Warneryd B. The validity of survey data on utilization of health and social services among the very old. J Gerontol 1994; 49:S156–S164.
    1. Longobardi T, Walker JR, Graff LA, et al. Health service utilization in IBD: comparison of self-report and administrative data. BMC Health Serv Res 2011; 11:137.
    1. Mirandola M, Bisoffi G, Bonizzato P, et al. Collecting psychiatric resources utilisation data to calculate costs of care: a comparison between a service receipt interview and a case register. Social Psychiatry Psychiatr Epidemiol 1999; 34:541–547.
    1. Peersman W, Pasteels I, Cambier D, et al. Validity of self-reported utilization of physician services: a population study. Eur J Public Health 2014; 24:91–97.
    1. Pinto D, Robertson MC, Hansen P, et al. Good agreement between questionnaire and administrative databases for health care use and costs in patients with osteoarthritis. BMC Med Res Methodol 2011; 11:45.
    1. Boynton PM, Greenhalgh T. Selecting, designing, and developing your questionnaire. BMJ 2004; 328:1312–1315.
    1. Drummond MF, Sculpher MJ, Claxton K, et al. Methods for the economic evaluation of health care programmes. Oxford University Press:2015.
    1. Fisher RJ. Social desirability bias and the validity of indirect questioning. J Consumer Res 1993; 303–315.
    1. Schroder KE, Carey MP, Vanable PA. Methodological challenges in research on sexual risk behavior: II. Accuracy of self-reports. Ann Behav Med 2003; 26:104–123.
    1. Stone AA, Shiffman S. Capturing momentary, self-report data: a proposal for reporting guidelines. Ann Behav Med 2002; 24:236–243.
    1. Werch CE. Two procedures to reduce response bias in reports of alcohol consumption. J Studies Alcohol 1990; 51:327–330.

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