一种基于账单的新方法来衡量收到的专业息护理咨询
Julia L Frydman1, Arushi Arora2, Yingtong Chen2
1Thyme Care Inc, Nashville, TN, USA.
Journal of pain and symptom management
|December 26, 2025
概括
开发新的方法来确定息护理咨询对于解决差异至关重要. 这项研究表明,将计费,注册和认证数据联系起来是可行的,但强调仅仅依靠董事会认证的局限性.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 抚慰性护理医学 抚慰性护理医学
- 健康 公平 卫生 公平
背景情况:
- 专门的息护理提高了患者的生活质量和符合目标的护理.
- 对息治疗的不平等接入影响了种族和民族少数群体的患者,特别是在为少数群体服务的机构 (MSI).
- 目前的国家数据集缺乏确定息治疗咨询的可靠方法,这阻碍了差异研究.
研究的目的:
- 开发和验证一种基于计费的新方法,用于识别专业息护理咨询.
- 评估使用董事会认证和ICD-10代码来识别息护理咨询的准确性.
主要方法:
- 链接的行政计费数据,缓和护理注册表和董事会认证数据集 (2021-2022).
- 使用临床医生国家提供者标识符 (NPI) 识别咨询,并获得董事会认证和ICD-10 Z51.5 代码.
- 将这些识别方法与息治疗咨询注册表进行比较,作为黄金标准.
主要成果:
- 经过董事会认证的NPI实现了64%的敏感性和96%的特异性.
- ICD-10 Z51.5 代码显示总体特异性高 (99%),但敏感性较低 (∼50%),在某些患者群体中特异性降低.
- 相当一部分息治疗是由非董事会认证的临床医生提供,这表明基于认证的指标的局限性.
结论:
- 连接多个数据源提供了一种可行的方法来衡量专业息护理.
- 过度依赖船上认证低估了息护理工作人员,特别是在MSI.
- 改进的测量策略对于评估息护理中的结构性种族主义以及为公平干预提供信息至关重要.
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