メディケイドの管理介護の評価. 満足度,アクセス,利用について
J E Sisk1, S A Gorman, A L Reisinger
1School of Public Health Columbia University, New York, NY, USA.
JAMA
|July 3, 1996
まとめ
メディケイドのマネージドケアにより,従来のメディケイドと比較して,患者の満足度と通常のケア源へのアクセスが改善され,待つ時間が短縮されました. しかし,極端な不満の差は有意ではなかった.
科学分野:
- 保健医療政策について
- 公衆衛生は公衆衛生である.
- 医療サービス 研究 医療サービス
背景:
- マネージドケアイニシアチブは,メディケイド受給者の医療提供を改善することを目的としています.
- 早期の実施段階では,患者の体験を慎重に評価する必要があります.
研究 の 目的:
- メディケイド受給者の医療サービスへの満足度,アクセス,利用に対するマネージドケアの影響を評価する.
- マネージドケア参加者と従来のメディケイドプログラム参加者の経験を比較する.
主な方法:
- 横断的な調査は,ニューヨーク市のメディケイド受給者の成人のランダムなサンプルで実施されました.
- 参加者は,管理ケアプランまたは従来のメディケイドプログラムに分類されました.
- 結果指標には,患者の満足度評価,ケアインジケーターへのアクセス,ヘルスケアサービスの利用が含まれていました.
主要な成果:
- マネージドケアに登録した人は,全体的に満足度が高く,いつもの介護を受ける可能性が高いと報告しています.
- マネージドケア受給者は,予約とオフィス待ち時間が大幅に短縮されました.
- 必要なケアを得ることや,入院/救急室での使用において,グループ間の有意な差異は観察されなかった.
結論:
- ニューヨーク市のメディケイドマネージドケアは,従来のメディケイドと比較して,アクセスの向上と満足度の向上と関連していました.
- 調査結果は,民間保険の受給者からメディケイド受給者への一般化を避ける必要性を強調しています.
- 将来の研究は,極端な満足度や不満のレベルに影響を与える要因を探求すべきである.
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