INSTITUTIONAL DETERMINANTS OF VARIABILITY OF CARE

护理可变性的制度决定因素

• 批准号: 3422740
• 负责人: Elinor R. Schoenfeld
• 金额: $ 1.26万
• 依托单位: ROSWELL PARK CANCER INSTITUTE
• 依托单位国家: 美国
• 财政年份: 1985
• 资助国家: 美国
• 起止时间: 1985-09-30 至 1987-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/3422740
• 关键词: Hodgkin's disease; United States; breast neoplasms; cancer information system; cancer rehabilitation /care; health care quality; health care service evaluation; hospital analysis; neoplasm /cancer classification /staging; neoplasm /cancer epidemiology; patient /disease registry; patient care management; prostate neoplasms; regional medical planning

The specific aims of this investigation are to determine the geographic, temporal and institutional correlates of patterns-of-care; to assess the degree to which differences in patterns-of-care relate to geographic location; to determine the association of treatment outcomes to institutional factors; to determine if treatment outcomes differ regionally for patients with similar disease characteristics. This research will be based upon available data gathered through the American College of Surgeons' (ACOS) patterns-of-care studies. Previous studies from the ACOS surveys have shown variations in treatment practices and survival over time. Institutional and geographic correlates of patterns-of-care are yet to be investigated. Such information will aid in future cancer control projects directed at patient care and outcome. Variations in patterns-of-care will be determined through use of analysis of variance, regression and survival analyses. In addition, the ACOS data set will be compared to hospital characteristics representative of all hospitals in the United States through American Hospital Association data and patient characteristics will be compared to the Surveillance Epidemiology and End Results data for comparability. The results of this research will aid in improvements in the process of health care delivery. Furthermore, findings from this study will highlight areas for future research in patterns-of-care and the diffusion of such care.

这项调查的具体目的是确定地理、 护理模式的时间和制度相关性；来评估 护理模式差异与地理区域相关的程度 地点;以确定治疗结果与 制度因素；确定治疗结果是否因地区而异 对于具有相似疾病特征的患者。 这项研究将 基于通过美国大学收集的可用数据 外科医生 (ACOS) 护理模式研究。 ACOS 之前的研究 调查显示治疗方法和生存率存在差异 时间。 护理模式的制度和地理相关性尚未确定 待调查。 这些信息将有助于未来的癌症控制 针对患者护理和结果的项目。 的变化 护理模式将通过方差分析来确定， 回归和生存分析。 此外，ACOS数据集将 与代表全国所有医院的医院特征进行比较 美国通过美国医院协会数据和患者 特征将与监测流行病学和最终结果进行比较 结果数据具有可比性。 这项研究的结果将有助于 改善医疗保健提供过程。 此外，调查结果 这项研究将突出未来研究的领域 护理模式和这种护理的传播。