Consumer Assessment of Healthcare Providers and Systems (CAHPS) VI

摘要/摘要 本申请提出了一个研究、开发和评估使用的方案 消费者对医疗保健的评价，为医疗保健选择和质量提供信息 进步。该方案的目标分为五个方面：(1)调查和 补充项目集开发、调查修订和商标注册；(2)调查 方法旨在实现患者护理体验公平的研究；(3)分析 和报告患者体验数据，包括评估不同 人口中的亚组在调查答复中有代表性；(4)患者体验 基于CAHPS数据的质量改进研究；以及(5)制定内部和 与关键利益相关者的外部计划沟通策略。 所提出的方法包括焦点小组、认知访谈、访谈 专家告密者，建立国家认可的技术专家小组 专家，以及调查草案的实地测试。该团队将使用标准的心理测量学 分析调查数据的统计技术。该团队将进行实验，以 评估报告策略和质量改进计划。 申请者是一个由消费者调查设计专家组成的联盟，Report 消费者感知的发展、实验评估和医疗选择 行为、患者体验质量改进、评估研究和 来自麻省理工学院耶鲁公共卫生学院的沟通和传播 Brigham Healthcare System和哈佛医学院调查研究中心 在马萨诸塞大学、宾夕法尼亚大学、哥伦比亚大学、 以及几位全国知名的独立研究人员和顾问。这个财团 建议通过以下方式保持履约协助方案发展进程的连续性 来自以前的CAHPS项目的关键活动和良好的合作 医疗保险和医疗补助服务(CMS)项目中心，同时加强团队 为项目带来新的技能、视角和专业知识。这支球队已经接近 与协作演示站点建立合作伙伴关系，并与 公共和私营组织都有兴趣完善和评估履约协助方案 用于改善消费者决策和质量改进的产品。

Summary/Abstract This application proposes a program of research, development, and evaluation of the use of consumers’ assessments of health care for informing health care choices and quality improvement. The goals of the program are organized in five areas: (1) Survey and supplemental item set development, revision of surveys, and trademarking; (2) Survey methods research aimed at achieving equity in patients’ experience of care; (3) Analysis and reporting of patient experience data, including assessments of how well different subgroups in the population are represented in survey responses; (4) Patient experience quality improvement studies based on CAHPS data; and (5) Developing internal and external program communication strategies to critical stakeholders. The proposed methods include focus groups, cognitive interviewing, interviewing of expert informants, establishing technical expert panels with nationally recognized experts, and field tests of draft surveys. The team will use standard psychometric statistical techniques to analyze survey data. The team will conduct experiments to assess reporting strategies and quality improve initiatives. The applicants are a consortium of experts in consumer survey design, report development, experimental assessment of consumer perceptions and medical care choice behavior, patient experience quality improvement, evaluation research, and communication and dissemination from the Yale School of Public Health, Mass General Brigham healthcare system and Harvard Medical School, the Center for Survey Research at the University of Massachusetts, the University of Pennsylvania, Columbia University, and several nationally known independent researchers and consultants. This consortium proposes maintaining continuity in the CAHPS development process by continuing critical activities and well-established collaborations from previous CAHPS projects and Centers for Medicare & Medicaid Services (CMS) projects, while strengthening the team to bring new skills, perspectives, and expertise to the project. The team has close partnerships with collaborating demonstration sites and has established relationships with public and private organizations that share an interest in refining and assessing CAHPS products for improved consumer decision making and quality improvement.