Evaluating the effect of healthcare providers on the clinical path of heart failure patients through a semi-Markov, multi-state model.
Francesca GasperoniFrancesca IevaAnna Maria PaganoniChristopher H JacksonLinda SharplesPublished in: BMC health services research (2020)
The proposed statistical method incorporates both multiple time-to-event outcomes and identification of clusters of providers with extreme behaviour simultaneously. In this way, the whole patient pathway can be considered, which should help healthcare managers to make a more comprehensive assessment of performance.