住院康复设施所有权类型在质量指标上产生混合的表现
Jessica Edelstein1, Chih-Ying Li2, Jay Meythaler3
1Department of Occupational Therapy, Colorado State University, Fort Collins, CO.
Archives of physical medicine and rehabilitation
|October 31, 2023
概括
住院康复设施的所有权类型影响质量报告. 非营利机构的再接收率较低,而营利机构在功能成果和社区回报方面表现出色,尽管成本较高.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 提高医疗保健的质量 改善医疗保健的质量
- 康复医学 康复医学 康复医学
背景情况:
- 了解医疗保健质量的差异对于患者的治疗结果至关重要.
- 住院康复设施 (IRF) 的所有权类型 (营利性或非营利性) 可能会影响质量指标的表现.
- 该IRF质量报告计划 (IRF-QRP) 旨在标准化和提高护理质量.
研究的目的:
- 评估IRF所有权类型对15项IRF质量报告计划 (IRF-QRP) 措施绩效的影响.
- 确定特定的质量领域,以营利和非营利的IRF有所不同.
主要方法:
- 一项横截面的观察性研究,使用来自医疗保险和医疗补助服务中心的2021年公共可用的设施级数据.
- 包括1092个IRF.
- 使用一般线性模型来评估所有权类型与15个IRF-QRP措施之间的关联,并根据设施特征进行调整.
主要成果:
- 所有权类型与15项IRF-QRP措施中的9项有显著关联.
- 非营利性IRF的再接收率较低 (在停留期间和放学后30天内).
- 营利性IRF显示出更好的功能结果和更高的回归家庭/社区率,每受益人支出更高.
结论:
- IRF所有权类型与IRF-QRP指标的表现有明显的联系.
- 绩效差异表明,营利性和非营利性机构之间的护理提供模式可能存在差异.
- 建议进行进一步的研究,以探索患者水平的结果和所有权类型的纵向影响.
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