国家医疗补助机构转向管理护理的质量管理:计划和当前实践
B E Landon1, C Tobias, A M Epstein
1Brigham and Women's Hospital, Department of Health Care Policy, Harvard Medical School, Boston, MA, USA.
JAMA
|January 23, 1998
概括
国家医疗补助机构正在加强管理护理计划的质量监测. 许多州计划收集更多数据,并与健康计划和受益人分享信息,以提高护理质量.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 公共卫生政策 公共卫生政策
- 管理护理 质量保证 质量保证
背景情况:
- 医疗补助管理护理入学人数大幅增加.
- 了解国家对这些项目的质量监督至关重要.
研究的目的:
- 评估州医疗补助机构的质量监测和保证活动.
- 专注于全面的预付费托管护理计划.
主要方法:
- 对所有34个州医疗补助机构 (和华盛顿特区) 的结构化电话调查,管理护理入学.
- 在1996年10月至1997年1月期间收集的数据.
主要成果:
- 所有34个州都注册了扶养儿童家庭援助 (AFDC) 受益人;62%的注册残疾人,44%的注册老年人.
- 在1995-1996年,有63%的人收集了患者满意度的数据,83%的人收集了儿童免疫的数据.
- 许多州计划在1997年之前增加数据收集和与健康计划和受益人分享数据.
结论:
- 国家医疗补助机构正在积极发展其作为医疗保健采购者的角色.
- 持续监测至关重要,以确保计划的质量倡议得到实施,并维持或改善医疗补助计划注册人员的护理.
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