Consumer Assessment of Healthcare Providers and Systems

描述（由申请方提供）：拟定研究将通过开发产品（作为收集报告相关信息的国家标准）和评估患者护理体验，促进美国医疗保健质量的改善。具体的项目目标是：1）开发和测试组织可以使用CAHPS数据进行质量改进的方法; 2）评估向消费者，患者和其他受众报告CAHPS结果的策略; 3）改进现有的CAHPS工具并开发一些新的有针对性的调查;以及4）传播和促进CAHPS产品的使用。为了实现第一个目标，将对现有文献进行审查，以评估绩效工资倡议和干预措施，旨在改善护理服务 由初级保健和专业提供者向商业和医疗补助部门的患者提供。实现第二个目标将需要审查和总结关于报告质量信息的现有研究，评估消费者对此类信息的需求，评估CAHPS报告卡简编和谈话质量网站，为新的调查构建和测试复合标签，测试针对不同文化受众的报告（包括西班牙语）和视力下降者，确定报告高质量信息的有效策略，以及开发资源以协助赞助者编写报告。第三个目标将通过进行认知访谈、半结构化访谈和实地测试来实现，以完成行动障碍者调查、辅助生活调查和卫生信息技术调查的编制工作。此外，还将研究调查答复的文化可比性和非标准调查数据收集方法的使用情况。第四个目标将要求与SUN承包商和对采用CAHPS产品至关重要的团体一起开发CAHPS产品，在专业会议上介绍有关CAHPS的信息，并在同行评审的期刊上发表文章。 文学实现这些目标将推进AHRQ CAHPS的使命，即通过持续测量和报告患者的护理体验来改善医疗保健。该项目小组特别适合于实现研究的目标，因为它有着广泛的经验和在早期CAHPS工作中建立的现有工作关系。

DESCRIPTION (provided by the applicant): The proposed study will facilitate improvements in the quality of health care in the U.S. by developing products that are national standards for collecting information about reporting, and evaluating patient experiences with care. Specific project aims are: 1) develop and test ways that organizations can use CAHPS data for quality improvement; 2) evaluate strategies for reporting CAHPS results to consumers, patients, and other audiences; 3) refine existing CAHPS instruments and develop some new targeted surveys; and 4) disseminate and promote the use of CAHPS products. To accomplish the first aim, the existing literature will be reviewed, to inform an evaluation of pay-for-performance initiatives and interventions targeted at improving care delivered by primary care and specialty providers to patients in the commercial and Medicaid sectors. Pursuing the second aim will entail reviewing and summarizing existing research on reporting quality information, assessing consumer needs for such information, evaluating the CAHPS report card compendium and the talking quality website, constructing and testing composite labels for new surveys, testing reports for culturally diverse audiences (including Spanish language) and those with diminished visual capacity, identify effective strategies for reporting quality information, and developing resources to assist sponsors in developing reports. The third objective will be achieved by conducting cognitive interviews, semi-structured interviews and field tests in order to complete development of the persons-with-mobility-impairment survey, the assisted-living survey, and the health information technology survey. In addition, research will be conducted on cultural comparability of survey responses and the use of non-standard survey data collection methods. The fourth aim will require the development of CAHPS products with the SUN contractor and groups critical to the adoption of CAHPS products, presenting information about CAHPS at professional meetings, and publishing articles in the peer reviewed literature. Accomplishing these objectives will advance the AHRQ CAHPS mission of improving health care by ongoing measurement and reporting of patients' experiences with care. The project team is particularly well suited to achieving the aims of the study based on its extensive prior experience and existing working relationships established in earlier CAHPS work.