Facility-level outcome performance measures for nursing homes.
Facility-level outcome performance measures for nursing homes.
复制标题
疗养院设施层面的结果绩效衡量。
DOI：
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发表时间：
1998
期刊：
影响因子：
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通讯作者：
Francis G. Caro
中科院分区：
文献类型：
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作者：
F. Porell;Francis G. Caro
风险调整后的养老院绩效评分是根据马萨诸塞州500多家养老院的医疗补助居民的居民水平纵向病例组合报销数据，针对四项健康结果和五项质量指标制定的。设施的性能进行了衡量，比较实际居民的预期成果，从居民水平的计量经济模型在3年期间（1991-1994年）的季度预测。绩效指标在该州的设施中分布很紧。九个结果绩效指标之间的相互关系相对较低，并不一致。性能指标与各种结构设施属性的相关性不高。对于大多数结果，纵向分析显示，从一个时间段到下一个设施的性能得分之间只有适度的相关性。随着时间的推移，相对较少的设施表现出一贯的上级或较差的性能。研究结果对设施成果绩效指标在不久的将来用于质量保证和报销目的的实际使用有影响。
Risk-adjusted nursing home performance scores were developed for four health outcomes and five quality indicators from resident-level longitudinal case-mix reimbursement data for Medicaid residents of more than 500 nursing homes in Massachusetts. Facility performance was measured by comparing actual resident outcomes with expected outcomes derived from quarterly predictions of resident-level econometric models over a 3-year period (1991-1994). Performance measures were tightly distributed among facilities in the state. The intercorrelations among the nine outcome performance measures were relatively low and not uniformly positive. Performance measures were not highly associated with various structural facility attributes. For most outcomes, longitudinal analyses revealed only modest correlations between a facility's performance score from one time period to the next. Relatively few facilities exhibited consistent superior or inferior performance over time. The findings have implications toward the practical use of facility outcome performance measures for quality assurance and reimbursement purposes in the near future.