Engaging Vulnerable Consumers in Developing Useful Public Healthcare Reports

让弱势消费者参与制定有用的公共医疗保健报告

• 批准号: 8550002
• 负责人: Daniel R Longo
• 金额: $ 32.35万
• 依托单位: VIRGINIA COMMONWEALTH UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-09-30 至 2015-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8550002
• 关键词: Engaging; Vulnerable; Consumers; Developing; Useful

DESCRIPTION (provided by applicant): Our objective is to build the scientific base for effective public reporting of healthcare quality by examining the nature, type and dissemination of public reports by engaging consumers in focus groups to identify their needs in healthcare decision-making. Consistent with the Patient Protection and Affordable Care Act of 2010, that aims to improve dissemination of measures of healthcare quality and resource use and as identified in the Agency for Healthcare Research and Quality's (AHRQ) request for applications, we intend to fill two of the major gaps in the public reporting evidence base identified by AHRQ through the engagement of subgroups of AHRQ's priority populations and Medicare beneficiaries. We will address the major gaps identified by AHRQ: "1) improve the design and presentation of public reports to meet the needs to consumers, and 2) increase consumer's use and the dissemination of public reports." Our application aims to help fill the gaps identified above through a qualitative developmental study that engages consumers in the Commonwealth of Virginia, most specifically vulnerable Medicare beneficiaries with type II diabetes: African Americans and Latinos compared with a White population. We will engage these target populations in focus groups to ask them about the role public reports of quality data may play in meeting their personal health care needs. Specifically we aim to determine: (1) How public reports can be designed to address the varying information needs of vulnerable populations as they make decisions for their personal health care including selection of health care providers - both physicians and hospitals. (2) How the content, design and dissemination of public reports can best reflect meaningful information that consumers would actually use in their personal decision-making. Our qualitative study design proposes two rounds of focus groups. The first round will focus on Aim 1 and the results will be used by project staff together with Virginia Health Information (VHI) developer of Virginia consumer reports, to develop public report templates and to identify themes, both of which will be relevant in the design of the round two focus groups, which will focus on Aim 2. Final study results will be used by VHI to develop a final public report to Virginia Medicare beneficiaries on type II diabetes; further we will disseminate project findings with the assistance of our national advisory committee to ensure wide scale dissemination beyond Virginia.

描述（由申请人提供）：我们的目标是通过让消费者参与焦点小组，确定他们在医疗保健决策中的需求，研究公共报告的性质、类型和传播，为有效的医疗保健质量公共报告建立科学基础。2010年的《患者保护和平价医疗法案》旨在改善医疗保健质量和资源使用措施的传播，正如医疗保健研究和质量机构（AHRQ）的申请请求所确定的那样，我们打算通过AHRQ的优先人群和医疗保险受益人的子群体的参与，填补AHRQ确定的公共报告证据基础中的两个主要空白。我们将解决AHRQ确定的主要差距：“1)改进公共报告的设计和呈现，以满足消费者的需求；2)增加消费者对公共报告的使用和传播。”我们的应用程序旨在通过一项定性发展研究来帮助填补上述空白，该研究涉及弗吉尼亚联邦的消费者，特别是患有II型糖尿病的弱势医疗保险受益人：与白人人口相比的非洲裔美国人和拉丁美洲人。我们将让这些目标人群参加焦点小组，询问他们关于公开高质量数据报告在满足其个人保健需求方面可能发挥的作用。具体而言，我们的目标是确定：(1)如何设计公共报告，以满足弱势群体在决定个人医疗保健时的不同信息需求，包括选择医疗保健提供者——医生和医院。(2)公共报告的内容、设计和传播如何才能最好地反映消费者在个人决策中实际使用的有意义的信息。我们的定性研究设计提出了两轮焦点小组。第一轮将侧重于目标1，项目工作人员将与弗吉尼亚健康信息（VHI）弗吉尼亚消费者报告的编写人员一起使用结果，以制定公共报告模板和确定主题，这两者都将与第二轮焦点小组的设计相关，后者将侧重于目标2。最终的研究结果将由VHI用于制定弗吉尼亚州医疗保险受益人关于II型糖尿病的最终公开报告；此外，我们将在国家咨询委员会的协助下传播项目结果，以确保在弗吉尼亚州以外广泛传播。