Dimensions of consumer-assessed quality of Medicare managed-care health plans.
Dimensions of consumer-assessed quality of Medicare managed-care health plans.
复制标题
消费者评估的医疗保险管理式医疗健康计划的质量维度。
DOI：
10.1097/00005650-200002000-00006
复制
发表时间：
2000
期刊：
影响因子：
3
通讯作者：
Paul D. Cleary
中科院分区：
文献类型：
--
作者：
A. Zaslavsky;Nancy Dean Beaulieu;Bruce E. Landon;Paul D. Cleary
目标
我们在健康计划层面上调查了消费者健康计划评估调查(CAHPS)中成员对计划的评级和报告之间的关系。我们寻求对可用于分析消费者评估质量的分布和相关性的报告进行更简明的描述。
科目
1998年，有89,419名联邦医疗保险受益人参加了212个联邦医疗保险管理保健计划，他们对CAHPS做出了回应。
措施
有39个调查项目衡量消费者对护理的评级和报告。
方法
我们调整了计划均值中抽样变异性的相关性，并对报告项目进行了斜向旋转的主因子分析。我们对加载了大量不同因素的项进行了分组，形成了组合，并对报告组合中的评级项进行了回归。
结果
四个因素解释了报告中75%的差异。相应的项目组涉及以下主题：(1)围绕医生办公室提供护理的互动；(2)该计划的客户服务；(3)获得该计划提供的医疗服务，如专家护理、设备、治疗或药物；以及(4)关于促进健康活动的咨询意见。复合材料的修正Cronbach Alpha分别为0.97、0.93、0.86和0.60。“交付”组合对护理、医生和专科医生的总体评级具有很强的预测性；“客户”组合对计划的总体评级具有很强的预测性。
结论
Cahps区分了消费者评估质量的计划间可变性的不同维度。不同的全球评级与不同的消费者报告组有关他们的体验。
OBJECTIVES
We investigated relationships at the health-plan level among member ratings of and reports on plans in the Consumer Assessment of Health Plans Survey (CAHPS). We sought a more parsimonious description of the reports that can be used in analyses of the distribution and correlates of consumer-assessed quality.
SUBJECTS
There were 89,419 Medicare beneficiaries enrolled in 212 Medicare managed-care health plans who responded to CAHPS in 1998.
MEASURES
There were 39 survey items measuring consumer ratings of and reports on care.
METHODS
We adjusted correlations for sampling variability in the plan means and performed a principal factor analysis of the report items with oblique rotation. We grouped items that loaded heavily on the different factors, formed composites, and regressed rating items on the report composites.
RESULTS
Four factors explained 75% of the variance in the reports. The corresponding groups of items were concerned with the following subjects: (1) interactions around delivery of care in the doctor's office; (2) customer service from the plan; (3) access to medical services provided by the plan, such as specialist care, equipment, therapy, or drugs; and (4) advice on health-promoting activities. Corrected Cronbach alpha for composites were 0.97, 0.93, 0.86, and 0.60. The "delivery" composite was strongly predictive of overall ratings of care, doctor, and specialist; the "customer" composite was strongly predictive of overall ratings of the plan.
CONCLUSIONS
CAHPS distinguishes among dimensions of between-plan variability of consumer-assessed quality. Different global ratings are related to distinct groups of consumer reports on their experiences.
让父母报告自己和孩子的健康保险计划经历的影响。
影响因子：
3
作者：
Shaul,JA;FowlerJr,FJ;Zaslavsky,AM;Homer,CJ;Gallagher,PM;Cleary,PD
通讯作者：
Cleary,PD