COVID-19对实践质量改善和转型活动的影响:实践调查结果
Suzanne Felt-Lisk1, Jesse Chandler, Angela Merrill
1Author Affiliations: Health Unit, Mathematica, Inc., Princeton, NJ (Ms Felt-Lisk, Drs Chandler and Merrill); and Centers for Clinical Standards and Quality, Centers for Medicare & Medicaid Services, Baltimore, MD (Ms Johnson, Drs Everhart and Flemming).
Quality management in health care
|October 28, 2024
概括
尽管有COVID-19大流行,但大多数医生实践保持或改善了他们的转型进展,这表明了弹性和有效的基于价值的支付 (VBP) 准备,特别是在农村地区.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 医疗保健管理的管理
- 提高质量 提高质量
背景情况:
- 转型临床实践倡议 (TCPI) 旨在提高患者护理质量,优化医疗保健支出,并准备基于价值的支付 (VBP) 的实践.
- 2021年10月的一项后续调查调查调查了COVID-19大流行对TCPI计划期间取得的实践转型进展的影响.
研究的目的:
- 评估COVID-19大流行是否阻碍或逆转了TCPI计划期间取得的实践转型进展.
- 评估疫情对实践护理质量,临床绩效和转型工作的感知影响.
主要方法:
- 对参加TCPI的2207家初级保健和专科诊所进行了一项调查,在2021年10月至2022年4月期间收集了610份答案.
- 收集的数据包括实践特征,财务稳定性,所有权,临床表现和质量改善努力,无论是在COVID-19之前还是之后.
- 使用加权描述性统计和多变量分析来表示实践,并检查变量之间的关联.
主要成果:
- 大多数实践 (至少52%) 报告说,COVID-19经验对转型活动的进展没有产生负面影响,甚至有所改善.
- 只有大约7%的实践报告COVID-19后护理质量或临床表现变差,而32%的实践报告有所改善.
- 农村实践比城市实践更有可能报告对转型活动的负面影响 (29%对14%).
结论:
- 大多数实践都表现出了弹性,从与大流行有关的压力中恢复过来,并继续努力改善患者护理和VBP成功的表现.
- 调查结果表明,价值准备支持和紧急财政援助的投资回报强,强调需要继续为未来的流行病和VBP过渡做好准备.
- 需要特别关注农村环境,以确保在基于价值的护理倡议方面取得持续进展.
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