The Unreliability of Two Publicly Reported Outcome Quality Measures for Characterizing Health Care Quality Within the Veterans Health Administration

Reliability estimates based on the latent scale approach are not numerically or conceptually interchangeable with estimates based on the other two approaches. Given that health outcomes are generally reported using observed outcomes, reliability estimation based on the latent scale approach should not be used without a strong rationale.

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Journal
Health Services Research
Published
2025-10-01
DOI
https://doi.org/10.1111/1475-6773.70050
Primary Topic
Healthcare Policy and Management
Type
article
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0.00
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article

The Unreliability of Two Publicly Reported Outcome Quality Measures for Characterizing Health Care Quality Within the Veterans Health Administration

Alex H. S. Harris, Daniel J. Tancredi, Kenneth J. Nieser
Health Services Research
Healthcare Policy and Management
article

The Unreliability of Two Publicly Reported Outcome Quality Measures for Characterizing Health Care Quality Within the Veterans Health Administration

Alex H. S. Harris, Daniel J. Tancredi, Kenneth J. Nieser
article en

Abstract

Reliability estimates based on the latent scale approach are not numerically or conceptually interchangeable with estimates based on the other two approaches. Given that health outcomes are generally reported using observed outcomes, reliability estimation based on the latent scale approach should not be used without a strong rationale.

Health Services ResearchVol. 61(1)
VA Palo Alto Health Care System (US), Center For Policy Research (US), Stanford Medicine (US), Center for Innovation (US), University of California Davis Medical Center (US), University of California, Davis (US), Stanford University (US)
Openalex Percentile: Top 64%
Healthcare Policy and Management
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The Unreliability of Two Publicly Reported Outcome Quality Measures for Characterizing Health Care Quality Within the Veterans Health Administration — Alex H. S. Harris, Daniel J. Tancredi, et al. · Health Services Research (2025) | TGRS Research Map | TGRS