养老院比较星级评分之前与养老院所有权变更后的星级评分
Kira L Ryskina1,2, Emily Tu1, Junning Liang1
1Division of General Internal Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Journal of the American Geriatrics Society
|July 29, 2024
概括
养老院所有权的变化与整体质量评级的轻微下降有关,主要是由于人员和健康检查的下降. 这凸显了对养老院所有权转型的更大透明度的需要.
科学领域:
- 医疗保健管理的管理
- 老年学是一门学科.
- 公共卫生政策 公共卫生政策
背景情况:
- 提高养老院的透明度和问责制是改善护理质量的关键目标.
- 现在收集有关养老院所有权变化的信息,但其对质量的影响仍未得到充分研究.
研究的目的:
- 调查养老院所有权变化与设施质量之间的关联.
- 为了检查所有权转型对医疗保险养老院的影响,比较5星级评级.
主要方法:
- 美国15471个养老院 (2016-2022) 的回顾性队列研究.
- 后勤回归用于识别与所有权变更相关的特征.
- 差异差异模型来评估对5星评级的影响.
主要成果:
- 23%的设施在2016年至2022年期间经历了所有权变化.
- 具有特定特征的设施 (城市,营利性,连锁链附属,医疗补助重,低入住率或初始评级较差) 更有可能改变所有权.
- 在5星级评级的统计学上显著下降被观察到后所有权变化 (-0.09分),由人员减少 (-0.19分) 和健康检查 (-0.07分) 驱动,部分抵消了质量措施的增加 (0.15分).
结论:
- 养老院所有权的变化与整体医疗保险5星级评级的适度下降有关.
- 这一下降主要归因于人员减少和卫生检查得分的减少.
- 提高透明度和了解所有权变更后果对于患者和家人来说至关重要.
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