Consumer Assessment of Healthcare Providers and Systems

消费者对医疗保健提供者和系统的评估

• 批准号: 8120876
• 负责人: RONALD Dale HAYS
• 金额: $ 148.29万
• 依托单位: RAND CORPORATION
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-08-01 至 2012-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8120876
• 关键词: Consumer; Assessment; Healthcare; Providers; Systems

DESCRIPTION (provided by the applicant): The proposed study will facilitate improvements in the quality of health care in the U.S. by developing products that are national standards for collecting information about reporting, and evaluating patient experiences with care. Specific project aims are: 1) develop and test ways that organizations can use CAHPS data for quality improvement; 2) evaluate strategies for reporting CAHPS results to consumers, patients, and other audiences; 3) refine existing CAHPS instruments and develop some new targeted surveys; and 4) disseminate and promote the use of CAHPS products. To accomplish the first aim, the existing literature will be reviewed, to inform an evaluation of pay-for-performance initiatives and interventions targeted at improving care delivered by primary care and specialty providers to patients in the commercial and Medicaid sectors. Pursuing the second aim will entail reviewing and summarizing existing research on reporting quality information, assessing consumer needs for such information, evaluating the CAHPS report card compendium and the talking quality website, constructing and testing composite labels for new surveys, testing reports for culturally diverse audiences (including Spanish language) and those with diminished visual capacity, identify effective strategies for reporting quality information, and developing resources to assist sponsors in developing reports. The third objective will be achieved by conducting cognitive interviews, semi-structured interviews and field tests in order to complete development of the persons-with-mobility-impairment survey, the assisted-living survey, and the health information technology survey. In addition, research will be conducted on cultural comparability of survey responses and the use of non-standard survey data collection methods. The fourth aim will require the development of CAHPS products with the SUN contractor and groups critical to the adoption of CAHPS products, presenting information about CAHPS at professional meetings, and publishing articles in the peer reviewed literature. Accomplishing these objectives will advance the AHRQ CAHPS mission of improving health care by ongoing measurement and reporting of patients' experiences with care. The project team is particularly well suited to achieving the aims of the study based on its extensive prior experience and existing working relationships established in earlier CAHPS work.

描述（由申请人提供）：拟议的研究将通过开发作为收集报告信息和评估患者护理体验的国家标准的产品，促进美国医疗保健质量的提高。具体项目目标是： 1) 开发和测试组织可以使用 CAHPS 数据来提高质量的方法； 2) 评估向消费者、患者和其他受众报告 CAHPS 结果的策略； 3）完善现有的CAHPS工具并开发一些新的有针对性的调查； 4) 传播和推广CAHPS产品的使用。为了实现第一个目标，将审查现有文献，为评估绩效工资举措和旨在改善护理服务的干预措施提供信息 由初级保健和专科医疗服务提供者向商业和医疗补助部门的患者提供。追求第二个目标将需要审查和总结关于报告质量信息的现有研究，评估消费者对此类信息的需求，评估 CAHPS 成绩单概要和谈话质量网站，构建和测试新调查的复合标签，测试针对不同文化受众的报告（包括西班牙语）和视觉能力下降的人，确定报告高质量信息的有效策略，并开发资源以协助申办者编写报告。第三个目标将通过进行认知访谈、半结构化访谈和现场测试来实现，以完成行动障碍人士调查、辅助生活调查和卫生信息技术调查的开发。此外，还将对调查答复的文化可比性和非标准调查数据收集方法的使用进行研究。第四个目标将要求与 SUN 承包商和对采用 CAHPS 产品至关重要的团体一起开发 CAHPS 产品，在专业会议上展示有关 CAHPS 的信息，并在同行评审中发表文章 文学。实现这些目标将推进 AHRQ CAHPS 的使命，即通过持续测量和报告患者的护理体验来改善医疗保健。基于其丰富的先前经验以及早期 CAHPS 工作中建立的现有工作关系，该项目团队特别适合实现该研究的目标。