对医疗保险患者调查的电话跟踪仍然至关重要
Ann Haas, Denise D Quigley, Amelia M Haviland
1RAND, 1776 Main St, Santa Monica, CA 90401.
The American journal of managed care
|January 23, 2025
概括
在医疗保险调查中,通过电话进行跟踪,提高了服务不足群体的代表性. 尽管整体率较低,但电话完成对于捕捉多样化的患者体验和改善健康公平措施至关重要.
科学领域:
- 医疗保健质量测量 医疗保健质量测量
- 卫生公平评估健康公平评估
- 以患者为中心的护理
背景情况:
- 患者体验调查对于评估医疗保健质量和以患者为中心的护理至关重要.
- 缺乏服务的群体的低响应率可能会扭曲结果并阻碍健康公平评估.
- 电话跟踪是改善各种医疗保健环境中调查响应率的一种已知的方法.
研究的目的:
- 分析2022年医疗保健提供者和系统 (MCAHPS) 医疗保险消费者评估调查的响应率和完成模式 (邮件与电话).
- 检查医疗保险人口中不同的人口和社会经济群体的反应模式.
- 评估电话填写在代表各种医疗保险注册者的有效性.
主要方法:
- 采用了一个横截面调查设计.
- 数据来自50个州和哥伦比亚特区的1,092,434名医疗保险受益者.
- 调查响应率和完成方式 (邮件或电话) 是主要的衡量标准.
主要成果:
- 总体而言,MCAHPS调查的回复率为33.7%,其中邮件回复率为31.3%,电话回复率为2.3%.
- 电话完成占所有回复的6.9%.
- 具有历史较低响应率的群体,例如年轻人 (65岁以下) 由于残疾而有资格,黑人,西班牙裔和低收入受益者,对电话完成的相对偏好更高.
结论:
- 在MCAHPS调查中,电话组件对于吸引特定的人口群体仍然很有价值.
- 某些人群更喜欢电话填写,这凸显了它对包容性数据收集的重要性.
- 建议采取提高电话响应率的策略,以提高总体调查的代表性和健康公平评估.
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