Semin intervent Radiol 2023; 40(05): 452-460
DOI: 10.1055/s-0043-1775849
Review Article

Health Services Research: A Review for the Interventional Radiologist

Katherine Marchak
1   Division of Interventional Radiology, Department of Radiology, University of Colorado, Anschutz Medical Campus, Aurora, Colorado
,
Mira Malavia
2   University of Missouri, Kansas City School of Medicine, Kansas City, Missouri
,
Premal S. Trivedi
1   Division of Interventional Radiology, Department of Radiology, University of Colorado, Anschutz Medical Campus, Aurora, Colorado
› Author Affiliations

Abstract

Health services research (HSR) is a multidisciplinary field which studies access to drivers of health care service utilization, the quality and cost of services, and their outcomes on groups of patients. Since its foundations in the 1960s, there has been a large focus on HSR and using large data sets to study real-world care. Because interventional radiology (IR) is a dynamic field with foundations in innovation, research often focuses on small-scale projects. This review will discuss HSR including data sources, focus areas, methodologies, limitations, and opportunities for future directions in IR.

Disclosures

K.M.: None.


M.M.: None.


P.S.T.: Consultant—Boston Scientific; speaking and consulting fees—Fortec Medical; advisory board—Pneumonix. Grant support from the National Heart, Lung and Blood Institute, National Cancer Institute, and American Heart Association unrelated to the current submission.




Publication History

Article published online:
02 November 2023

© 2023. Thieme. All rights reserved.

Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA

 
  • References

  • 1 Technology (U.S.) NIC on HSR & HC. History of Health Services Research Project. Accessed May 22, 2023 at: https://www.nlm.nih.gov/hmd/nichsr/intro.html
  • 2 History of Health Services Research. Accessed May 22, 2023 at: https://www.nlm.nih.gov/hmd/nichsr/home.html
  • 3 Cressman ENK, Newton I, Larson AC. et al. State of the research enterprise in IR and recommendations for the future: proceedings from the Society of Interventional Radiology Foundation Investigator Development Task Force. J Vasc Interv Radiol 2018; 29 (06) 751-757
  • 4 Gligorijević V, Malod-Dognin N, Pržulj N. Integrative methods for analyzing big data in precision medicine. Proteomics 2016; 16 (05) 741-758
  • 5 Baro E, Degoul S, Beuscart R, Chazard E. Toward a literature-driven definition of big data in healthcare. BioMed Res Int 2015; 2015: 639021
  • 6 Topper SR, Levin DC, Hansberry DR. et al. Trends in percutaneous embolization procedures by radiologists and other specialists. J Vasc Interv Radiol 2020; 31 (06) 961-966
  • 7 Akhtar OS, Lakhter V, Zack CJ. et al. Contemporary trends and comparative outcomes with adjunctive inferior vena cava filter placement in patients undergoing catheter-directed thrombolysis for deep vein thrombosis in the United States: Insights from the National Inpatient Sample. JACC Cardiovasc Interv 2018; 11 (14) 1390-1397
  • 8 Cronan J, Horný M, Duszak Jr R. et al. Invasive procedural treatments for symptomatic uterine fibroids: a cost analysis. J Am Coll Radiol 2020; 17 (10) 1237-1244
  • 9 Niekamp A, Kuban JD, Lee SR. et al. Transjugular intrahepatic portosystemic shunts reduce variceal bleeding and improve survival in patients with cirrhosis: a population-based analysis. J Vasc Interv Radiol 2020; 31 (09) 1382-1391.e2
  • 10 Chirikov VV, Mullins CD, Hanna N, Breunig IM, Seal B, Shaya FT. Multispecialist care and mortality in hepatocellular carcinoma. Am J Clin Oncol 2015; 38 (06) 557-563
  • 11 Rao SS, Jensen AM, Kriss MS. et al. Racial differences in the use of endoscopy and transjugular intrahepatic portosystemic shunt creation for treatment of acute variceal bleeding in the United States. J Vasc Interv Radiol 2022; 33 (04) 465-468.e1
  • 12 Trivedi PS, Jensen AM, Kriss MS. et al. Ethnoracial disparity in hospital survival following transjugular intrahepatic portosystemic shunt creation for acute variceal bleeding in the United States. J Vasc Interv Radiol 2021; 32 (07) 941-949.e3
  • 13 Sarwar A, Hawkins CM, Bresnahan BW. et al. Evaluating the costs of IR in health care delivery: proceedings from a Society of Interventional Radiology Research Consensus Panel. J Vasc Interv Radiol 2017; 28 (11) 1475-1486
  • 14 Wadhwa V, Trivedi PS, Chatterjee K. et al. Decreasing utilization of inferior vena cava filters in post-FDA warning era: insights from 2005 to 2014 nationwide inpatient sample. J Am Coll Radiol 2017; 14 (09) 1144-1150
  • 15 Olanipekun T, Ritchie C, Abe T. et al. Updated trends in inferior vena cava filter use by indication in the United States after Food and Drug Administration safety warnings: a decade analysis from 2010 to 2019. J Endovasc Ther 2023;15266028231156088:15266028231156089
  • 16 Morris E, Duszak Jr R, Sista AK, Hemingway J, Hughes DR, Rosenkrantz AB. National trends in inferior vena cava filter placement and retrieval procedures in the Medicare population over two decades. J Am Coll Radiol 2018; 15 (08) 1080-1086
  • 17 Shah SS, Tennakoon L, O'Beirne E, Staudenmayer KL, Kothary N. The economic footprint of interventional radiology in the United States: implications for systems development. J Am Coll Radiol 2021; 18 (1, Pt A): 53-59
  • 18 Tariq S, Woodman J. Using mixed methods in health research. JRSM Short Rep 2013; 4 (06) 20 42533313479197
  • 19 Lee SJ, Fan S, Guo M. et al. Prophylactic IVC filter placement in patients with severe intracranial, spinal cord, and orthopedic injuries at high thromboembolic event risk: a utilization and outcomes analysis of the National Trauma Data Bank. Clin Imaging 2022; 91: 134-140
  • 20 Sofaer S. Qualitative methods: what are they and why use them?. Health Serv Res 1999; 34 (5, Pt 2): 1101-1118
  • 21 Creswell JW, Clark VLP. Designing and Conducting Mixed Methods Research. SAGE Publications; 2017
  • 22 Jacobs G, Boyle DA, El-Serag HB. et al. Clinical care in hepatocellular carcinoma: a mixed methods assessment of experiences and challenges of oncology professionals. Cancer Med 2023; 12 (03) 3670-3683
  • 23 Trivedi PS, Timpone VM, Morgan RL. et al. A practical guide to use of publicly available data sets for observational research in interventional radiology. J Vasc Interv Radiol 2022; 33 (11) 1286-1294
  • 24 Sarwar A, Kwan S. Health services research for interventional radiology procedures in large databases - implications for the practicing radiologist. J Am Coll Radiol 2021; 18 (3, Pt A): 375-377
  • 25 Illescas A, Zhong H, Cozowicz C. et al. Health services research in anesthesia: a brief overview of common methodologies. Anesth Analg 2022; 134 (03) 540-547
  • 26 Hafezi-Nejad N, Bailey CR, Arun A, Weiss CR. Transcatheter and endoscopic treatment of gastric and duodenal bleeding: population-based analysis of national inpatient trends and outcomes in the United States. J Am Coll Radiol 2021; 18 (3, Pt A): 361-374
  • 27 Hawkins CM, Duszak Jr R, Hughes DR. et al. Defining the value of interventional radiology to healthcare stakeholders: proceedings from a Society of Interventional Radiology Research Consensus Panel. J Vasc Interv Radiol 2021; 32 (07) 1088.e1-1088.e8
  • 28 Bindman AB. The evolution of health services research. Health Serv Res 2013; 48 (2, Pt 1): 349-353
  • 29 About PCORI. Published October 28, 2021. Accessed May 22, 2023 at: https://www.pcori.org/about/about-pcori
  • 30 Haig Y, Feiring E. Stakeholder views of the development of a clinical quality registry for interventional radiology: a qualitative study. BMC Health Serv Res 2022; 22 (01) 44