A Study of Reliability and Burden of Home Health Assessment Using OASIS.
A Study of Reliability and Burden of Home Health Assessment Using OASIS.
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DOI：
10.1300/j027v22n04_03
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发表时间：
2004-02-02
影响因子：
1.4
通讯作者：
Engle, Karen
中科院分区：
文献类型：
--
作者：
Hittle, David F;Shaughnessy, Peter W;Engle, Karen
结果和评估信息集（OASIS）用于结果报告、质量改进和家庭医疗保健每次发作支付的病例组合调整。这里描述的研究解决了OASIS项目的评估者间可靠性，并比较了临床医生完成OASIS和不OASIS患者评估所需的时间。OASIS数据项的评估者间可靠性由两名临床医生对66例患者样本进行独立评估。增量评估时间由于OASIS估计使用两个机构匹配组的临床护理提供者的访谈数据-一组谁使用OASIS的评估和第二组的评估不包括OASIS项目。许多OASIS项目的评分者间信度非常好（kappa > 0.80），大多数项目的评分者间信度很高（kappa > 0.60）。报告的使用OASIS完成评估所需的时间与不使用OASIS的可比评估所需的时间没有差异。这项研究的结果被用来指导开发工作，以改善OASIS项目。在解释基于OASIS的结局和病例组合报告时，它们也可以为家庭医疗保健机构提供信息。
The Outcome and Assessment Information Set (OASIS) is used for outcome reporting, quality improvement, and case mix adjustment of per-episode payment for home health care. The research described here addresses interrater reliability of OASIS items and compares clinician time required to complete patient assessment with and without OASIS. Interrater reliability for OASIS data items was estimated using independent assessments by two clinicians for a sample of 66 patients. Incremental assessment time due to OASIS was estimated using interview data from two agency-matched groups of clinical care providers-one group who used OASIS in the assessment and a second group whose assessment did not include OASIS items. Interrater reliability is excellent (kappa > .80) for many OASIS items and substantial (kappa > 0.60) for most items. The reported time required to complete an assessment with OASIS did not differ from the time required for a comparable assessment without OASIS. The results of this study are being used to guide developmental efforts to improve OASIS items. They can also be informative to home health care agencies when interpreting OASIS-based outcome and case mix reports.