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The palliative care indicator is a particular exemplar of the value of a multiple attribute indicator testing protocol - while technically feasible and reliable, it had poor acceptability and was rejected for possible inclusion in QOF.
A palliative care indicator is used as an exemplar of the value of piloting using a multiple attribute indicator testing protocol - while technically feasible and reliable, it was unacceptable to practice staff and raised concerns about potentially causing actual patient harm.
The indicator testing protocol consists of two stages: indicator development and indicator testing (see Figure 1).
As part of the indicator testing process, mixed methodologies are used to test particular indicator attributes (Table 1), based on an overall indicator testing protocol (Appendix 1).
There are common attributes shared by indicator testing protocols (Table 3).
Based on the evidence obtained from piloting, twelve indicators passed the indicator testing protocol.
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A fourth indicator tests whether the immigrant shares are indeed endogenous so that an IV approach is warranted.
Thus, cytochrome c was the least sensitive indicator tested, was not readily discernable before 1 h and only showed positive responses in about 45% of cells.
Other Sociodemographic indicators tested for inclusion but not significant in the univariable analysis were educational level, income, marital status, site.
Other Sociodemographic indicators tested for inclusion but were not significant were educational level, income, fishing, marital status, site.
These authors found that each of the tested periods showed selection bias for only one or two of the eleven indicators tested.
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