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Association between Medicare Advantage plan star ratings and enrollment.医疗保险优势计划星级评定与参保情况的关联
JAMA. 2013 Jan 16;309(3):267-74. doi: 10.1001/jama.2012.173925.
2
Do consumers respond to publicly reported quality information? Evidence from nursing homes.消费者对公开报告的质量信息有反应吗？来自养老院的证据。
J Health Econ. 2012 Jan;31(1):50-61. doi: 10.1016/j.jhealeco.2012.01.001. Epub 2012 Jan 10.
3
Does information matter? Competition, quality, and the impact of nursing home report cards.信息是否重要？竞争、质量与养老院评分报告的影响。
Health Serv Res. 2011 Dec;46(6pt1):1698-719. doi: 10.1111/j.1475-6773.2011.01298.x. Epub 2011 Jul 25.
4
Conditions for intuitive expertise: a failure to disagree.直觉性专长的条件：无法存在分歧。
Am Psychol. 2009 Sep;64(6):515-26. doi: 10.1037/a0016755.
5
Public reporting of hospital quality: recommendations to benefit patients and hospitals.医院质量的公开报告：为患者和医院带来益处的建议。
J Hosp Med. 2009 Nov;4(9):541-5. doi: 10.1002/jhm.481.
6
Impact of public reporting on quality of postacute care.公共报告对急性后期护理质量的影响。
Health Serv Res. 2009 Aug;44(4):1169-87. doi: 10.1111/j.1475-6773.2009.00967.x. Epub 2009 Mar 31.
7
Disparities in long-term care: building equity into market-based reforms.长期护理中的差异：将公平性纳入基于市场的改革。
Med Care Res Rev. 2009 Oct;66(5):491-521. doi: 10.1177/1077558709331813. Epub 2009 Feb 18.
8
Consumer competencies and the use of comparative quality information: it isn't just about literacy.消费者能力与比较质量信息的使用：这不仅仅关乎读写能力。
Med Care Res Rev. 2007 Aug;64(4):379-94. doi: 10.1177/1077558707301630.
9
Nursing homes' response to the nursing home compare report card.疗养院对疗养院比较成绩单的回应。
J Gerontol B Psychol Sci Soc Sci. 2007 Jul;62(4):S218-25. doi: 10.1093/geronb/62.4.s218.
10
Testing consumers' comprehension of quality measures using alternative reporting formats.使用替代报告格式测试消费者对质量指标的理解。
Health Care Financ Rev. 2007 Spring;28(3):31-45.

疗养院比较报告卡：居民和护理人员对质量评级及疗养院选择的看法

The Nursing Home Compare Report Card: Perceptions of Residents and Caregivers Regarding Quality Ratings and Nursing Home Choice.

作者信息

Schapira Marilyn M, Shea Judy A, Duey Katia A, Kleiman Carly, Werner Rachel M

机构信息

Division of General Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.

Center for Health Equity Research and Promotion, Philadelphia VA Medical Center, Philadelphia, PA.

出版信息

Health Serv Res. 2016 Jun;51 Suppl 2(Suppl 2):1212-28. doi: 10.1111/1475-6773.12458. Epub 2016 Feb 11.

DOI:10.1111/1475-6773.12458
PMID:26867949
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4874934/
Abstract

OBJECTIVE

To evaluate the perceived usefulness of publicly reported nursing home quality indicators.

STUDY SETTING

Primary data were collected from October 2013 to August 2014 among a convenience sample of persons (or family member) recently admitted or anticipating admission to a nursing home within 75 miles of the city of Philadelphia.

STUDY DESIGN

Structured interviews were conducted to assess the salience of data on the Medicare Nursing Home Compare website, including star ratings, clinical quality measures, and benchmarking of individual nursing home quality with state and national data.

DATA COLLECTION

Interviews were transcribed verbatim, independently coded by two reviewers, and agreement determined. A thematic analysis of transcripts was undertaken.

PRINCIPAL FINDINGS

Thirty-five interviews were completed. Eighty-three percent (n = 29) were caregivers and 17 percent (n = 6) were residents. Star ratings, clinical quality measures, and benchmarking information were salient to decision making, with preferred formats varying across participants. Participants desired additional information on the source of quality data. Confusion was evident regarding the relationship between domain-specific and overall star quality ratings.

CONCLUSIONS

The Nursing Home Compare website provides salient content and formats for consumers. Increased awareness of this resource and clarity regarding the definition of measures could further support informed decision making regarding nursing home choice.

摘要

目的

评估公开报告的养老院质量指标的感知有用性。

研究背景

2013年10月至2014年8月期间，从费城75英里范围内最近入住或预期入住养老院的人员（或家庭成员）的便利样本中收集了原始数据。

研究设计

进行结构化访谈，以评估医疗保险养老院比较网站上数据的显著性，包括星级评级、临床质量指标以及将各个养老院质量与州和国家数据进行的基准对比。

数据收集

访谈内容逐字转录，由两名审阅者独立编码，并确定一致性。对转录本进行了主题分析。

主要发现

完成了35次访谈。83%（n = 29）为护理人员，17%（n = 6）为居民。星级评级、临床质量指标和基准信息对决策很重要，不同参与者偏好的格式有所不同。参与者希望获得有关质量数据来源的更多信息。在特定领域星级质量评级与总体星级质量评级之间的关系上，明显存在困惑。

结论

养老院比较网站为消费者提供了显著的内容和格式。提高对该资源的认识以及明确指标定义，可能会进一步支持有关养老院选择的明智决策。