{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T19:28:59Z","timestamp":1790882939563,"version":"4.1.0"},"reference-count":20,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"6","license":[{"start":{"date-parts":[[2024,11,1]],"date-time":"2024-11-01T00:00:00Z","timestamp":1730419200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:sec>\n                    <jats:title>Background and Objectives:<\/jats:title>\n                    <jats:p>It is possible to evaluate health services for stroke patients based on clinical benefits. However, in recent years, questions about responsiveness and outcomes have also emerged. Currently, there is no index that can assess health-care services for stroke patients along these three dimensions. This study introduces the first index designed to measure the value generated by health-care services for stroke patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>The Case-Mix Variables Data Collection Reference Guide, developed through a review of national and international stroke guidelines, underwent content validation by 10 neurologists and 10 interventional radiologists. Questions with a content validity index exceeding 0.80, along with the World Health Organization responsiveness questionnaire and the Patient-Reported Outcomes Measurement Information System Global-10 short form, were subjected to pairwise comparison by two neurologists, two interventional radiologists, and two public health physicians using the analytic hierarchy process (AHP) method.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>In the comprehensive ranking of questions formulated using the AHP method and assessed by experts for importance and global weights, new stroke follow-up emerged as the most crucial, garnering an index score of 0.09. Conversely, questioning patients about their alcohol use status was deemed the least significant by experts, registering an index score of 0.00021.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Our AHP analyses have furnished an index for gauging the factors that contribute to the value of health-care services rendered to stroke patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/aian.aian_1084_23","type":"journal-article","created":{"date-parts":[[2024,11,19]],"date-time":"2024-11-19T07:00:21Z","timestamp":1731999621000},"page":"695-705","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Developing an Index to Measure the Value of Health Care Provided to Stroke Patients"],"prefix":"10.4103","volume":"27","author":[{"given":"Halil","family":"\u015eeng\u00fcl","sequence":"first","affiliation":[{"name":"Department of Health Management, Istanbul Sabahattin Zaim University, Turkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sabahattin","family":"Ayd\u0131n","sequence":"additional","affiliation":[{"name":"Department of Health Management, Istanbul Medipol University, Istanbul, Turkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emrah","family":"\u00d6nder","sequence":"additional","affiliation":[{"name":"Department of Business Administration, Istanbul University, Istanbul, Turkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arzu","family":"Bulut","sequence":"additional","affiliation":[{"name":"Department of Health Management, Band\u0131rma Onyedi Eylul University, Bal\u0131kesir, Turkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2024,11,19]]},"reference":[{"key":"R3-20260424","first-page":"e1067","article-title":"Redefining health: Implication for value-based healthcare reform","volume":"9","author":"Putera","year":"2017","journal-title":"Cureus"},{"key":"R4-20260424","first-page":"64","article-title":"Understanding value-based healthcare \u2013 An interview study with Project team members at a Swedish University Hospital","volume":"4","author":"Andersson","year":"2015","journal-title":"J Hosp Adm"},{"key":"R5-20260424","first-page":"1165","article-title":"Incorporating value in investment decisions in health across Europe","volume":"386","author":"Martens","year":"2015","journal-title":"sustainable development,"},{"key":"R7-20260424","doi-asserted-by":"crossref","first-page":"161","DOI":"10.1159\/000441085","article-title":"Update on the global burden of ischemic and hemorrhagic stroke in 1990-2013: The GBD 2013 study","volume":"45","author":"Feigin","year":"2015","journal-title":"Neuroepidemiology"},{"key":"R9-20260424","doi-asserted-by":"crossref","first-page":"171","DOI":"10.1159\/000506396","article-title":"Global, regional and country-specific burden of ischaemic stroke, intra cerebral haemorrhage and subarachnoid haemorrhage: A systematic analysis of the global burden of disease study 2017","volume":"54","author":"Krishnamurthi","year":"2020","journal-title":"Neuroepidemiology"},{"key":"R11-20260424","doi-asserted-by":"crossref","first-page":"e67","DOI":"10.1161\/CIR.0000000000000558","article-title":"Heart disease and stroke statistics\u20142018 update: A report from the American Heart Association","volume":"137","author":"Benjamin","year":"2018","journal-title":"Circulation"},{"key":"R12-20260424","doi-asserted-by":"crossref","first-page":"646","DOI":"10.1186\/1471-2458-11-646","article-title":"Estimating the life time economic burden of stroke according to the age of onset in South Korea: A cost of illness study","volume":"11","author":"Kang","year":"2011","journal-title":"BMC Public Health"},{"key":"R13-20260424","doi-asserted-by":"crossref","first-page":"S85","DOI":"10.1016\/j.wneu.2011.07.023","article-title":"Epidemiology and the global burden of stroke","volume":"76","author":"Mukherjee","year":"2021","journal-title":"World Neurosurg"},{"key":"R14-20260424","first-page":"245","article-title":"Global Burden of Diseases, Injuries, and Risk Factors Study 2010 (GBD 2010) and the GBD Stroke Experts Group","volume":"383","author":"Feigin","year":"2014","journal-title":"Global and regional burden of stroke during 1990-2010: Findings from the global burden of disease study 2010"},{"key":"R15-20260424","first-page":"911","article-title":"The strategy that will fix healthcare","author":"Lee","year":"2013","journal-title":"Harv Bus Rev"},{"key":"R16-20260424","doi-asserted-by":"crossref","first-page":"2477","DOI":"10.1056\/NEJMp1011024","article-title":"What is value in healthcare","volume":"363","author":"Porter","year":"2010","journal-title":"N Engl J Med"},{"key":"R17-20260424","doi-asserted-by":"crossref","first-page":"1721","DOI":"10.1161\/01.STR.25.9.1721","article-title":"Patient preferences for stroke outcomes","volume":"25","author":"Solomon","year":"1994","journal-title":"Stroke"},{"key":"R20-20260424","first-page":"3","article-title":"Kulturleraras\u0131 olcek uyarlamas\u0131 icin rehber II- olcek psikometrik ozellikler ve kulturleraras\u0131 kar\u015f\u0131la\u015ft\u0131rma","volume":"5","author":"Gozum","year":"2003","journal-title":"Hem\u015firelik Ara\u015ft\u0131rma Geli\u015ftirme Dergisi"},{"key":"R22-20260424","article-title":"Responsiveness of Inpatient Services in the Case of a Training and Research Hospital (Thesis)","author":"Akalin","year":"2017","journal-title":"Istanbul Medipol University, Institute of Health Sciences, Department of Health Management, Department of Health Management, PhD Thesis,"},{"key":"R23-20260424","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1016\/0377-2217(90)90057-I","article-title":"How to make a decision: The analytic hierarchy process","volume":"48","author":"Saaty","year":"1990","journal-title":"Eur J Oper Res"},{"key":"R25-20260424","first-page":"771","article-title":"\u00d6l\u00e7ek geli\u015ftirme \u00e7al\u0131\u015fmalar\u0131nda kapsam ge\u00e7erli\u011fi i\u00e7in kapsam ge\u00e7erlik indekslerinin kullan\u0131lmas\u0131. XIV","volume":"1","author":"Yurdug\u00fcl","year":"2005","journal-title":"Ulusal E\u011fitim Bilimleri Kongresi"},{"key":"R27-20260424","doi-asserted-by":"crossref","first-page":"467","DOI":"10.1370\/afm.1514","article-title":"Relationship between clinical quality and patient experience: Analysis of data from the english quality and outcomes framework and the National GP Patient Survey","volume":"11","author":"Llanwarne","year":"2013","journal-title":"Ann Fam Med"},{"key":"R28-20260424","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1177\/1062860618777878","article-title":"Clinical quality and patient experience in the adult ambulatory setting","volume":"34","author":"Congiusta","year":"2019","journal-title":"Am J Med Qual"},{"key":"R29-20260424","doi-asserted-by":"crossref","first-page":"285","DOI":"10.1108\/CGIJ-03-2012-0008","article-title":"Patient experience as an indicator of clinical quality in emergency care","volume":"18","author":"Shale","year":"2013","journal-title":"Clinical Governance: An International Journal"},{"key":"R30-20260424","doi-asserted-by":"crossref","first-page":"645","DOI":"10.1016\/j.jaad.2017.03.051","article-title":"Analysis of the patient experience measure","volume":"78","author":"Golda","year":"2018","journal-title":"J Am Acad Dermatol"}],"container-title":["Annals of Indian Academy of Neurology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/aian.aian_1084_23","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T13:31:02Z","timestamp":1787837462000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/aian.aian_1084_23"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,11]]},"references-count":20,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2024]]}},"URL":"https:\/\/doi.org\/10.4103\/aian.aian_1084_23","relation":{},"ISSN":["0972-2327","1998-3549"],"issn-type":[{"value":"0972-2327","type":"print"},{"value":"1998-3549","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,11]]},"assertion":[{"value":"2023-12-13","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-08-11","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}