Quality of care in home health agencies with and without accreditation: a cohort study.
Quality of care in home health agencies with and without accreditation: a cohort study.
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有或没有认证的家庭保健机构的护理质量：一项队列研究。
DOI：
10.1080/01621424.2022.2123756
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发表时间：
2023
影响因子：
1.4
通讯作者：
Wu,Bei
中科院分区：
文献类型：
--
作者：
Ma,Chenjuan;Dutton,HillaryJ;Wu,Bei
虽然家庭健康机构 (HHA) 可以寻求认证以认可其服务质量，但尚不清楚获得认证的机构在提供护理方面是否比未获得认证的机构表现更好。使用来自国家数据源的 5 年数据，本研究的目的是： 1) 描述经过和未经认证的 HHA 的特征； 2) 检查认证状态与 HHA 在护理质量指标方面的表现之间的关系。这项研究分析了美国 7,697 个机构，发现 1) 营利性、城市、非医院附属、单一分支机构、仅参加医疗保险且没有临终关怀计划的机构更有可能获得认证； 2) 总体而言，经认可的机构在三个常用的质量指标、及时开始护理、住院治疗和急诊就诊方面表现更好，尽管并非所有观察到的差异的绝对值都很大。我们的结果为考虑寻求认证的机构提供了独特的经验信息。
While home health agencies (HHAs) can seek accreditation to recognize their quality of service, it is unknown whether agencies with accreditation perform better in providing care than those without accreditation. Using 5-year data from national data sources, the aims of this study were: 1) to depict characteristics of HHAs with and without accreditation; and 2) to examine the relationship between accreditation status and HHA performance on quality-of-care metrics. This study analyzed 7,697 agencies in the US and found that 1) agencies that were for-profit, urban, not-hospital-affiliated, single-branch, Medicare enrolled only, and without hospice program were more likely to have accreditation; and 2) overall, accredited agencies performed better on the three commonly used quality indicators, timely initiation of care, hospitalization, and emergency department visit, though not all the observed differences were substantial in absolute value. Our results provide unique empirical information to agencies considering seeking accreditation.