Kazis Lewis E, Selim Alfredo J, Rogers William, Qian Shirley X, Brazier John
Center for the Assessment of Pharmaceutical Practices (CAPP), Department of Health Policy and Management, Boston University School of Public Health, Boston, Massachusetts 02118,
J Ambul Care Manage. 2012 Oct-Dec;35(4):263-276. doi: 10.1097/JAC.0b013e318267468f.
The Veterans RAND 12-Item Health Survey (VR-12) is one of the major patient-reported outcomes for ranking the Medicare Advantage (MA) plans in the Health Outcomes Survey (HOS). Approaches for scoring physical and mental health are given using contemporary norms and regression estimators. A new metric approach for the VR-12 called the "VR-6D" is presented with case-mix adjustments for monitoring plans that combine utilities and mortality. Results show that the models for ranking health outcomes of the plans are robust and credible. Future directions include the use of utilities for evaluating and ranking of MA plans.
退伍军人兰德12项健康调查（VR - 12）是健康结果调查（HOS）中对医疗保险优势（MA）计划进行排名的主要患者报告结果之一。使用当代标准和回归估计量给出了身体和心理健康评分方法。提出了一种名为“VR - 6D”的VR - 12新指标方法，并对结合效用和死亡率的监测计划进行了病例组合调整。结果表明，这些用于对计划的健康结果进行排名的模型是稳健且可信的。未来的方向包括使用效用对MA计划进行评估和排名。
