While individual metrics in evaluating healthcare quality offer in-depth insights into particular areas, they frequently fail to encompass all pertinent information. Consequently, there is a growing need to develop composite measures that comprehensively assess the overall quality or performance of specific care services, especially those not covered by official OECD measures. A novel multi-directional robust Benefit-of-the-doubt approach is proposed to measure overall acute care services quality through a composite indicator while, at the same time, highlighting the potential improvement directions for each single component indicator. First, an approach based on simulated data has been carried out to better describe the advantages of the proposed approach, and then the methodology has been applied to country-level OECD data drawn from the Healthcare Quality and Outcomes programme.

中文翻译：

---

怀疑模型的多向稳健效益：在 OECD 国家急症护理服务质量衡量中的应用

虽然评估医疗保健质量的各个指标可以提供对特定领域的深入见解，但它们常常无法涵盖所有​​相关信息。因此，越来越需要制定综合措施来全面评估特定护理服务的整体质量或绩效，特别是那些未纳入经合组织官方措施的服务。提出了一种新颖的多方向鲁棒怀疑论方法，通过综合指标衡量整体急症护理服务质量，同时强调每个单一组成指标的潜在改进方向。首先，采用了基于模拟数据的方法，以更好地描述所提出方法的优点，然后将该方法应用于从医疗保健质量和成果计划中提取的国家级经合组织数据。