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Quality of care-risk adjustment outcomes model: testing the effects of a community-based educational self-management
P Page1, C Lengacher, C Holsonback
1College of Nursing, University of South Florida, Tampa, USA.
Insights
This study designs an outcomes model to assess patient risks for care outcomes. It proposes testing this model with a self-management program for pediatric asthma, aiming for culturally sensitive nursing interventions.
Area of Science:
- Nursing
- Health Services Research
- Pediatric Care
Background:
- Asthma management in children requires effective outcome evaluation.
- Existing models may not adequately account for patient-specific risks.
- Culturally sensitive interventions are crucial for pediatric asthma self-management.
Purpose of the Study:
- To design an outcomes model that adjusts for patient risks.
- To propose testing this model using a community-based asthma self-management program.
- To inform the development of individualized, culturally sensitive nursing interventions for children with asthma and their families.
Main Methods:
- The article outlines the design of an outcomes model.
- It details measures for clinical and nonclinical factors.
- Psychosocial functioning and patient satisfaction are included as model components.
Main Results:
- The proposed model incorporates risk adjustment for diverse patient outcomes.
- The model's components include clinical, nonclinical, and psychosocial factors.
- Patient and client satisfaction measures are integral to the model.
Conclusions:
- The designed outcomes model provides a framework for evaluating care.
- Testing the model with an asthma program can guide intervention development.
- This approach supports individualized and culturally sensitive nursing care for pediatric asthma patients.
Abstract:
This article describes the design of an outcomes model incorporating adjustment for patients' risks for various outcomes of care. A community-based educational self-management program for children with asthma is proposed for testing the model. Measures of model components: clinical factors; nonclinical factors; psychological, cognitive, and psychosocial functioning; and patient and client satisfaction are described. Testing this model has implications for guiding the development of individualized culturally sensitive nursing interventions for children with asthma and their parents.