Using the vignette methodology to measure access

Abstract Background A vignette is a short description of person or situation designed to simulate key features real- world scenario. Usually this then presented relevant professionals solicit their hypothetical response behaviour. In medical literature, vignettes are mostly used study clinical judgments, compare hospital prices, self-assess health examine how age, sex, socioeconomic insurance status affects chosen treatment. Methods We aimed develop method utilize case gain better understanding access challenges. To end, we studied available indicators and frameworks applications as well possible ways include internationally recommended care plans increase comparability results across countries. Results developed five-step approach consisting (1) selection vignettes, (2) drafting questionnaire based on framework best practice guidelines for treatment, (3) expert validation, (4) application in country context, (5) systematic analysis feedback. Four detailed pilots were carried out dental care, stroke, depression palliative up 12 European Conclusions The has the potential identify gaps coverage differences treatment quality. have provided valuable insights challenges limitations that can be addressed future applications. These suggestions improve user friendliness, scope, complementing survey with more specific quantitative questions.