调整绩效指标以确保公平的计划比较。
Adjusting Performance Measures to Ensure Equitable Plan Comparisons.
作者信息
Zaslavsky Alan M, Zaborski Lawrence B, Ding Lin, Shaul James A, Cioffi Matthew J, Cleary Paul D
出版信息
Health Care Financ Rev. 2001 Spring;22(3):109-126.
Abstract
When comparing health plans on scores from the Medicare Managed Care Consumer Assessment of Health Plans (MMC-CAHPS) survey, the results should be adjusted for patient characteristics, not under the control of health plans, that might affect survey results. We developed an adjustment model that uses self-reported measures of health status, age, education, and whether someone helped the respondent with the questionnaire. The associations of health and education with survey responses differed by HCFA administrative region. Consequently, we recommend that the case-mix model include regional interactions. Analyses of the impact of adjustment show that the adjustments were usually small but not negligible.
摘要
在根据医疗保险管理式医疗消费者健康计划评估（MMC-CAHPS）调查的得分比较健康计划时，应对那些可能影响调查结果、不受健康计划控制的患者特征进行结果调整。我们开发了一种调整模型，该模型使用自我报告的健康状况、年龄、教育程度以及是否有人协助受访者填写问卷等指标。健康状况和教育程度与调查回复之间的关联因医疗保健财务管理局（HCFA）行政区而异。因此，我们建议病例组合模型应纳入区域交互作用。对调整影响的分析表明，调整通常幅度较小，但并非微不足道。
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