社会弱势群体患者较多的家庭保健机构的护理体验评分较差。
Home Health Agencies With More Socially Vulnerable Patients Have Poorer Experience of Care Ratings.
机构信息
Elaine Hubbard Center for Nursing Research on Aging, School of Nursing, 16148University of Rochester, Rochester, NY, USA.
Department of Public Health Sciences, 6923University of Rochester, NY, USA.
出版信息
J Appl Gerontol. 2022 Mar;41(3):661-670. doi: 10.1177/07334648211053859. Epub 2021 Dec 23.
OBJECTIVES
Examine the relationships between dual eligibility and race/ethnicity characteristics of Medicare-Certified Home Health Agencies (CHHAs) and experience of care ratings.
METHODS
Analysis of 2017 national Consumer Assessment of Healthcare Providers and Systems and matched datasets of 10,906 CHHAs.
RESULTS
CHHAs with higher concentrations of dual-eligible patients were less likely to have high experience of care ratings for all three domains (e.g., for care delivery, quartile 4 vs. 1: odds ratio [OR] = 0.622, < .001); CHHAs with higher concentrations of racial/ethnic minorities generally were less likely to have high experience of care ratings in care delivery (e.g., Black: quartile 4 vs. 1: OR = 0.418, <0.001), communication (e.g., Black: quartile 4 vs. 1: OR = 0.316, <0.001), and specific care issues (e.g., Hispanic: quartile 4 vs. 1: OR = 0.397, < .001).
DISCUSSION
CHHAs with greater concentrations of dual-eligible patients and racial/ethnic minorities were more likely to have poor experience of care ratings.
目的
研究医疗保险认证家庭健康机构（CHHAs）的双重资格和种族/民族特征与护理体验评分之间的关系。
方法
对 2017 年全国医疗保健提供者和系统消费者评估以及 10906 家 CHHA 的匹配数据集进行分析。
结果
在所有三个领域（例如，在护理提供方面，第 4 四分位与第 1 四分位相比），具有较高比例的双重合格患者的 CHHAs 获得高护理体验评分的可能性较小（例如，黑人：第 4 四分位与第 1 四分位相比，OR = 0.418，<0.001）；少数民族比例较高的 CHHAs 通常在护理提供（例如，黑人：第 4 四分位与第 1 四分位相比，OR = 0.316，<0.001）、沟通（例如，黑人：第 4 四分位与第 1 四分位相比，OR = 0.316，<0.001）和特定护理问题（例如，西班牙裔：第 4 四分位与第 1 四分位相比，OR = 0.397，<0.001）方面获得高护理体验评分的可能性较小。
讨论
具有较高比例的双重合格患者和少数民族的 CHHAs 更有可能获得较差的护理体验评分。
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