利益相关者对CAHPS门诊调查的投入
Ron D Hays1,2,3, Julie A Brown4, Emma Bianculli4
1RAND Corporation, Santa Monica, CA, USA. drhays@ucla.edu.
Journal of patient-reported outcomes
|December 22, 2025
概括
利益相关者对医疗保健提供者和系统 (CAHPS) 消费者评估调查的反突出了需要改进的重要领域,包括数字访问和通信,并建议修订以更好地评估患者体验.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 患者体验研究研究的研究.
- 医疗服务研究 医疗服务研究
背景情况:
- 医疗保健提供者和系统的消费者评估 (CAHPS) 调查对于评估患者的医疗保健经验至关重要.
- 尽管定期更新,但CAHPS调查内容,长度和分数分布的担忧仍然存在.
- 系统的利益相关者反对于完善CAHPS门诊调查至关重要.
研究的目的:
- 收集系统的利益相关者反,以告知CAHPS门诊调查的未来修订.
- 评估现有的CAHPS调查项目主题的基本性.
- 识别潜在的新主题,以便纳入CAHPS门诊调查.
主要方法:
- 一种经过修改的Delphi方法被使用,由20名专家组成的专家小组.
- 参与者在3个阶段的1-9级别上对46个现有项目主题的基本性进行了评分.
- 评级的可靠性是使用差异模型的混合效应分析来评估的.
主要成果:
- 专家评级可靠性从初始到最后一轮 (ICC 0.08 到 0.10) 得到改善.
- 数字化访问,药物调和,提供者沟通和上诉的必要性增加;专业护理和非工作时间访问的必要性减少.
- 主要主题强调了获取,沟通,尊重互动和成本明确性;新的主题包括心理健康和患者安全.
结论:
- 利益相关者的意见为修订CAHPS门诊调查内容提供了宝贵的见解.
- 修订应提高现有项目的清晰度和可操作性,并纳入反映当前医疗保健优先事项的新主题.
- 扩展的CAHPS调查可以提供更全面的对门诊患者体验的评估.
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