计算整体医院质量星级评级,包括和不包括同行分组步骤
Cameron J Gettel1,2, Kyle Bagshaw2, Li Qin3
1Department of Emergency Medicine, Yale School of Medicine, New Haven, Connecticut.
JAMA network open
|May 16, 2024
概括
医疗保险和医疗补助服务中心 (CMS) 总体星级评分,包括同行分组步骤,稍微改变了医院评级. 这种方法增强了对医院质量的比较和患者评估.
科学领域:
- 医疗保健质量测量 医疗保健质量测量
- 医院绩效分析 医院绩效分析
背景情况:
- 医疗保险和医疗补助服务中心 (CMS) 的整体星级评分是患者决策的关键工具.
- 利益相关者对同行分组步骤对2021年整体星级评级方法的影响感兴趣.
研究的目的:
- 评估同行分组步骤对医院星级评级的影响.
- 为了比较用同行分组方法计算的和没有使用同行分组方法计算的医院星级.
主要方法:
- 一项横截面研究分析了2023年3076家医院的护理比较数据.
- 医院评级是用和没有同行分组分层计算的.
主要成果:
- 同行分组步骤导致19.0%的医院 (585) 获得了不同的星级评分.
- 更多的医院在同行分组步骤中获得了更高的评级 (517) 比较低的评级 (68).
- 城市化,非安全网状态和更少的床位与更高的评级有关.
结论:
- 将同行分组步骤纳入CMS星级评级方法导致整体医院评级的适度变化.
- 同行分组方法提高了面部有效性,并支持对医院绩效的持久比较.
- 这种方法有助于患者通过类似对类似的比较来评估整体医院质量.
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