护理水平评估：评分者间信度对卫生政策的影响
Assessment of level of care: implications of interrater reliability on health policy.
作者信息
Gustafson D H, Koningsveld R V, Peterson R W
出版信息
Health Care Financ Rev. 1984 Winter;6(2):43-51.
In Wisconsin, level-of-care assessments are used to set Medicaid reimbursement and determine nursing home eligibility. This study examined three methods of assessing level of care: 1) the Wisconsin quality assurance project (QAP) method, based on observations of patients, patient records, and staff interviews; 2) the Wisconsin standard (STD) method, based primarily on a clinical record review; and, 3) an adaptation of New York's "DMS-I," a checklist with numerical weights used to set level of care. Results address interrater reliability, the agreement between assessments by research teams and actual levels of care set by the State, and the implications that agreement has for reimbursement.
在威斯康星州，护理级别评估用于确定医疗补助的报销额度并决定养老院入住资格。本研究考察了三种护理级别评估方法：1）威斯康星州质量保证项目（QAP）方法，该方法基于对患者的观察、患者记录以及员工访谈；2）威斯康星州标准（STD）方法，主要基于临床记录审查；3）纽约州“DMS-I”的一种改编版本，这是一份带有数字权重的清单，用于确定护理级别。研究结果涉及评估者间的可靠性、研究团队评估与该州实际设定的护理级别之间的一致性，以及这种一致性对报销的影响。
Zotero 插件