局部灾害是否会影响医疗保健质量的临床测量?
Maria DeYoreo1, Megan Mathews, Carolyn M Rutter
1RAND Corporation, 1776 Main St, Santa Monica, CA 90401.
地理有限的灾难对健康计划质量绩效得分没有重大影响. 这表明,医疗保险优势星级评级和其他质量测量计划对局部灾害有很强的抵抗力.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 卫生政策 卫生政策
- 灾难医学 灾难医学
背景情况:
- 医疗保健计划,特别是医疗保险优势 (MA) 合同,根据质量绩效评分进行评估.
- 地理有限的灾难可能会破坏医疗保健的提供,并影响这些得分.
- 了解这种影响对于保持质量测量程序的完整性至关重要.
研究的目的:
- 确定局部灾害对许可证合同质量绩效得分的影响.
- 分析对临床质量和患者体验措施的影响.
- 评估质量测量系统的稳定性.
主要方法:
- 对2017年和2018年许可证合同质量评分的回顾性分析.
- 根据受益人居住在联邦紧急情况管理局指定灾区的灾害暴露率计算.
- 线性混合效应模型用于评估灾难暴露与绩效得分之间的关联.
主要成果:
- 灾难对合同质量总体绩效得分没有显著影响.
- 在研究的11项措施中,只有1项被发现具有统计学意义的,但很小的变化.
- 结果在2017年和2018年都是一致的.
结论:
- 质量绩效测量计划,包括医疗保险优势星级评级,似乎对短期的局部灾害有很强的抵抗力.
- 尽管发生了灾难事件,这些计划仍然按预期运行.
- 局部灾害并没有实质性地改变卫生计划质量评估.
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