调查协议,响应率和服务不足患者的代表性:一个随机临床试验
Marc N Elliott1, Julie A Brown1, Katrin Hambarsoomian1
1RAND Corporation, Santa Monica, California.
JAMA health forum
|January 19, 2024
概括
将网络选项添加到患者调查中显著提高了响应率,并改善了服务不足群体的代表性. 网络邮件电话方法在不同患者群体中产生了最好的结果.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 调查方法 调查方法
- 健康 公平 卫生 公平
背景情况:
- 患者调查对于评估医疗保健质量和公平性至关重要.
- 传统的调查方法往往不足以代表服务不足的患者群体,限制了研究结果的概括性.
- 提高响应率和代表性对于准确的质量评估和有针对性的干预措施至关重要.
研究的目的:
- 评估整合初始网络模式和延长现场时间对HCAHPS调查RR和服务不足的患者群体代表性的影响.
- 为了比较标准HCAHPS协议与网络增强协议的有效性.
主要方法:
- 一项随机临床试验,涉及46家美国医院的36001名患者.
- 患者被分配到六种协议之一:三种标准 (只有邮件,只有电话,邮箱电话) 和三种网络增强 (网络邮件,网络电话,网络邮箱电话).
- 响应率和受访者产量被分析为整体,并根据患者的人口统计 (年龄,性别,种族,种族) 和服务线分层.
主要成果:
- 网络邮件电话协议实现了最高的整体RR (36.5%),明显超过单模式协议.
- 与白人患者相比,多模式方法,特别是网络增强的方法,在种族和少数民族群体的RR中显示出大幅度的增长.
- 网络邮件电话协议在黑人,西班牙裔和白人患者中显示出最高的收益率,而在多种族患者中则是第二高的收益率.
结论:
- 网络第一多模式调查协议大大提高了患者调查响应率和代表性,特别是在服务不足的人群中.
- 网络邮件电话协议成为增强调查参与和包容性的最有效策略.
- 这些发现支持在未来的患者调查中采用网络增强的多模式协议,医疗保险和医疗补助服务中心批准从2025年开始使用HCAHPS.
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