MEASURING THE QUALITY OF CARE FOR DIABETES

衡量糖尿病护理质量

• 批准号: 6053790
• 负责人: Jack Needleman
• 金额: $ 26.66万
• 依托单位: HARVARD MEDICAL SCHOOL
• 依托单位国家: 美国
• 财政年份: 1999
• 资助国家: 美国
• 起止时间: 1999-09-30 至 2001-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6053790
• 关键词: Medicare /Medicaid; behavioral /social science research tag; clinical research; diabetes mellitus therapy; health care quality; health care service evaluation; health services research tag; hospital patient care; human data; outcomes research; outpatient care; racial /ethnic difference; socioenvironment

Approximately 16 million Americans suffer from diabetes - one half of them estimated to have undiagnosed disease. Diabetes disproportionately affects low-income and minority populations and is one of the six target conditions under the President s Initiative to Eliminate Racial and Ethnic Disparities in Health. While diabetes has to potential for severe and long-lasting health complications, the condition can be well-managed on an ambulatory basis. Treatment of diabetes is marked by clear guidelines on the appropriate content of care, and wide variation in the extent to which these guidelines are adhered to in practice. There are high potential costs associated with inadequately treated diabetes, which makes improving quality of ambulatory services for diabetes a priority. In order to improve the care received by patients with diabetes, it is necessary to monitor the quality of care across many settings, routinely and at low cost. This research will use the Medicaid SMRF data sets from 6 states to develop a claims and administrative record-based system for measuring the quality of diabetes care. This study will: 1. Develop a set of quality care measures for diabetes based on information reported in claims files. 2. Assess the ability of these measures to reflect variations in the quality of care. 3. Identify patient and environmental characteristics that correlate with variations in the quality of care received by diabetic Medicaid patients. 4. Validate these measures by showing they are associated with other outcomes for diabetes care, such as hospitalization.

大约1600万美国人患有糖尿病，其中一半估计患有未确诊的疾病。 糖尿病不成比例地影响低收入和少数民族人口，是总统消除种族和民族健康差异倡议的六个目标条件之一。虽然糖尿病有可能导致严重和长期的健康并发症，但这种情况可以在门诊基础上得到良好的管理。 糖尿病治疗的特点是对适当的护理内容有明确的指导方针，在实践中遵守这些指导方针的程度存在很大差异。 糖尿病治疗不充分可能带来高昂的成本，因此提高糖尿病门诊服务质量成为当务之急。 为了改善糖尿病患者接受的护理，有必要在许多环境中以低成本定期监测护理质量。这项研究将使用来自6个州的Medicaid SMRF数据集来开发一个基于索赔和管理记录的系统，用于衡量糖尿病护理的质量。 本研究将：1.根据索赔文件中报告的信息制定一套糖尿病优质护理措施。 2.评估这些措施反映护理质量变化的能力。 3.识别与糖尿病医疗补助患者接受的护理质量变化相关的患者和环境特征。 4.通过显示这些指标与糖尿病护理的其他结果（如住院）相关来验证这些指标。