Health plan performance measurement: Does it affect quality of care for medicare managed care enrollees?
Health plan performance measurement: Does it affect quality of care for medicare managed care enrollees?
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DOI：
10.5034/inquiryjrnl_45.02.168
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发表时间：
2008-06-01
影响因子：
1.7
通讯作者：
Baker, Laurence
中科院分区：
文献类型：
--
作者：
Bundorf, M. Kate;Choudhry, Kavita;Baker, Laurence
尽管提供者绩效衡量的目标是提高护理质量，但很少有证据表明它是否具有这种效果。本研究探讨了 Medicare 管理式护理 (MMC) 计划的强制性质量报告的实施情况。我们比较了在该计划推出之前和之后参加和未参加这些计划的 Medicare 受益人的绩效衡量服务的利用率。我们发现，采用绩效衡量后，MMC 和按服务收费受益人对衡量服务的使用有所增加。我们的结果没有证据表明绩效衡量提高了 MMC 参与者的护理质量。
Although the objective of provider performance measurement is to improve quality of care, little evidence exists on whether it has this effect. This study examines the implementation of mandatory quality reporting for Medicare managed care (MMC) plans. We compare utilization rates of performance-measured services for Medicare beneficiaries who were and were not enrolled in these plans before and after the program's introduction. We find that the use of measured services increased among both MMC and fee-for-service beneficiaries after the adoption of performance measurement. Our results provide no evidence that performance measurement increased quality of care among MMC enrollees.