医疗补助管理护理的评估. 满意度,访问和使用
J E Sisk1, S A Gorman, A L Reisinger
1School of Public Health Columbia University, New York, NY, USA.
JAMA
|July 3, 1996
概括
与传统的医疗补助相比,医疗补助管理护理改善了患者的满意度和获得通常的护理来源的机会,等待时间更短. 然而,极度不满的差异并不显著.
科学领域:
- 医疗保健政策 医疗保健政策
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 管理护理计划旨在改善Medicaid受益人的医疗保健服务.
- 早期实施阶段需要仔细评估患者的经验.
研究的目的:
- 评估管理护理对Medicaid受益人的医疗服务满意度,获取和利用的影响.
- 为了比较管理护理注册者和传统医疗补助计划的注册者之间的经验.
主要方法:
- 在纽约市的成年医疗补助受益者随机样本上进行了一项横截面调查.
- 参与者被分为管理护理计划或传统的医疗补助计划.
- 结果指标包括患者满意度评级,获得护理指标和医疗保健服务利用率.
主要成果:
- 管理护理入学者报告了更高的整体满意度,并且更有可能获得通常的护理来源.
- 管理护理受益人经历了明显更短的预约和办公室等待时间.
- 两组之间在获得所需护理或在住院/急诊室使用方面没有发现显著差异.
结论:
- 与传统的医疗补助相比,纽约市的医疗补助管理护理与获得和满意度的提高有关.
- 调查结果强调,需要避免从私人保险人群推广到医疗补助受益人群.
- 未来的研究应该探索影响极端满意度和不满意度水平的因素.
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