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财务困难查:使用两种不同的查工具比较患者调查答案
Emilia H De Marchis1, Eric W Fleegler2,3, Alicia J Cohen4,5,6
1Department of Family & Community Medicine, University of California, San Francisco, San Francisco, CA, USA. Emilia.DeMarchis@ucsf.edu.
Journal of general internal medicine
|September 28, 2023
概括
医疗保险和医疗补助服务中心 (CMS) 的财务困难查工具显示,与国家医学院 (NAM) 工具相比,患者对援助的兴趣更高,尽管积极查率相似.
科学领域:
- 医疗保健提供 医疗保健提供
- 健康的社会决定因素
- 医疗保健服务研究 医疗服务研究
背景情况:
- 医疗机构越来越多地选社会风险.
- 选工具的内容和长度各不相同.
- 有效的社会风险评估需要标准化工具.
研究的目的:
- 为了比较医疗保险和医疗补助服务中心 (CMS) 和国家医学院 (NAM) 的社会风险查工具.
- 为了评估患者的接受度,对经济困难的积极查率,以及对援助的兴趣.
- 在临床环境中为选择适当的社会风险查工具提供信息.
主要方法:
- 采用了一个横截面调查设计.
- 在初级保健诊所的成年患者 (n=471) 进行了方便抽样.
- 参与者被随机分配到完成CMS财务困难工具或NAM社会和行为风险措施.
主要成果:
- 这两种工具都显示出患者接受度很高.
- 对于财务困难的积极选率相似:CMS的57%,NAM的52%.
- 在使用CMS工具后,对援助的兴趣显著增加 (39%对NAM的21%).
结论:
- 这两种社会风险评估工具都得到了患者的良好接受.
- 该CMS工具可能更有效地激发人们对经济困难援助的兴趣.
- 工具的选择应考虑具体的临床环境,人口,查目标和可用的资源.
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