Çalıkoğlu Şule, Christmyer Carol S, Kozlowski Bruce U
Maryland Health Services Cost Review Commission, Baltimore, Maryland, USA.
J Healthc Qual. 2012 Nov-Dec;34(6):5-12. doi: 10.1111/j.1945-1474.2011.00159.x. Epub 2011 Aug 29.
In 2008, the Centers for Medicaid and Medicare Services (CMS) launched the Five-Star Quality Rating System to help consumers compare nursing homes. The quality rating system consists of three domains: nursing home inspection results, staffing, and quality measures (QMs) and an overall rating calculated from the three domains. The Five-Star System has both advocates and detractors. One source of criticism about the rating system is its lack of input from consumer surveys. Although different dimensions of quality have been recognized as important by the experts and studied in the literature, how these dimensions are linked with each other is largely unknown. This article describes an analysis of the relationship between overall experience of care ratings from a family survey and ratings obtained on the CMS Five-Star Quality Rating for Maryland nursing homes. The results indicated a strong positive correlation between family experience of care score and two five-star domains, namely health inspections and nurse staffing, and no relationship with the quality domain. The lack of relationship between the quality domain and the family score may be due to inadequate risk adjustment or that each rating system measures different aspects of quality.
2008年，医疗保险和医疗补助服务中心（CMS）推出了五星级质量评级系统，以帮助消费者比较疗养院。质量评级系统由三个领域组成：疗养院检查结果、人员配备和质量指标（QMs），以及根据这三个领域计算得出的总体评级。五星级系统既有支持者也有反对者。对评级系统的一个批评来源是其缺乏消费者调查的输入。尽管质量的不同维度已被专家认可为重要因素并在文献中进行了研究，但这些维度之间如何相互关联在很大程度上尚不清楚。本文描述了对家庭调查中护理总体体验评分与马里兰州疗养院CMS五星级质量评级所获评分之间关系的分析。结果表明，家庭护理体验得分与两个五星级领域（即健康检查和护士配备）之间存在很强的正相关，与质量领域无关。质量领域与家庭得分之间缺乏关联可能是由于风险调整不足，或者每个评级系统衡量的是质量的不同方面。
