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Updated: Sep 10, 2025

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补充物品降低HCAHPS反应率,但反应率不会影响HCAHPS得分:一个随机实验
Megan K Beckett1, Katrin Hambarsoomian1, Julie Brown1
1RAND, Santa Monica, CA.
Medical care
|August 22, 2025
概括
较长的调查减少了患者的反应率 (RRs),特别是在混合模式的调查中. 然而,这些较低的RR没有影响医院HCAHPS得分,这表明调查长度是一个值得考虑的权衡.
科学领域:
- 医疗服务研究
- 测量患者体验
背景情况:
- 较长的调查与较低的响应率 (RRs) 有关.
- 之前的研究显示RR和HCAHPS分数在医院和患者水平之间存在混合关联.
- 医院休息对HCAHPS分数的影响缺乏实验证据.
研究的目的:
- 估计调查长度 (32项与59项) 对不同调查模式的RR的影响.
- 评估由于调查长度而导致的RR变化是否会影响HCAHPS得分.
主要方法:
- 这是一项随机对照试验,涉及51家美国医院的10,099名成年患者.
- 患者被分配到32项或59项的邮寄或混合模式 (MM) 调查中.
- 在回归模型中分析了调查长度和模式对RR和HCAHPS得分的影响,并对患者的特征进行控制.
主要成果:
- 在32项调查中,混合模式调查的RR比邮件调查高.
- 与32项调查相比,59项调查显著降低了RR,无论是邮寄还是MM模式.
- 由于调查长度增加而导致的RR减少并没有改变标准调整的HCAHPS得分.
结论:
- 随着调查时间的增加,特别是随着MM调查的电话后续,响应率下降.
- 医院和供应商应权衡额外调查项目的好处与潜在的RR下降以及MM的RR优势.
- 在医院内降低反应率不会影响标准调整的HCAHPS得分.
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