Mukamel Dana B, Spector William D, Zinn Jacqueline S, Huang Lynn, Weimer David L, Dozier Ann
Department of Medicine, Center for Health Policy Research, University of California, Irvine, 111 Academy, Suite 220, Irvine, CA 92697-5800, USA.
J Gerontol B Psychol Sci Soc Sci. 2007 Jul;62(4):S218-25. doi: 10.1093/geronb/62.4.s218.
The Centers for Medicare and Medicaid Services have recently begun publishing the Nursing Home Compare report card. The objective of this study was to examine the initial reactions of nursing homes to publication of the report card and to evaluate the impact of the report card on quality-improvement activities.
We conducted a survey of a random national sample of 1,502 nursing home administrators; 724 responded. We analyzed frequency of responses to questions regarding views of the quality measures and actions taken.
A model of nursing homes' behavior predicted that the report card would provide an incentive for facilities to improve quality. A majority of facilities (69%) reported reviewing their quality scores regularly, and many have taken specific actions to improve quality. Homes with poor quality scores were more likely to take actions following the publication of the report card.
These findings suggest that the Nursing Home Compare report card has the potential to positively affect nursing home quality.
医疗保险和医疗补助服务中心最近开始发布疗养院比较成绩单。本研究的目的是调查疗养院对成绩单发布的初步反应，并评估成绩单对质量改进活动的影响。
我们对全国1502名疗养院管理人员进行了随机抽样调查；724人做出了回应。我们分析了对有关质量措施看法和采取行动问题的回答频率。
一个疗养院行为模型预测，成绩单将激励各机构提高质量。大多数机构（69%）报告称定期查看其质量得分，许多机构已采取具体行动来提高质量。质量得分较低的疗养院在成绩单发布后更有可能采取行动。
这些发现表明，疗养院比较成绩单有可能对疗养院质量产生积极影响。
