Consumer Assessment of Healthcare Providers and Systems CAHPS V

项目摘要 申请者提出一个研究、开发和评估使用的计划 消费者对医疗保健的评估，为医疗保健选择提供信息，评估和 促进患者参与，提高质量。该团队将推进科学研究 除其他活动外，消费者对患者体验的评估包括将问题细化为 评估适合患者的患者参与度和共同决策制定 患有慢性、复杂的健康问题。申请者还将进行一项关于 启发患者的叙述，并开发叙事收集策略， 并独立于CAHPS调查；拓宽与CAHPS调查一起使用的方法； 制定对接受治疗的低收入患者进行叙述性问题管理的方案 由临床医生组成复杂的护理团队，然后团队将研究这些信息如何最好地 提供给临床医生，以促进改进以患者为中心的护理。该团队还将测试 新的数据收集模式有可能降低调查成本和改善 应答率。另一项主要活动将是修订用于评估护理的CAHPS调查 个人接受行为健康和药物使用问题护理的经历。这个 团队将进行三项质量改进研究，其中一项是关于改善护理协调 有复杂需求的患者和两名关于提高患者参与度和共享决策的患者 制作。申请者还将制定内部和外部沟通策略，以 推进CAHPS调查的使用，以提高护理质量。

Project Summary The applicants propose a program of research, development, and evaluation of the use of consumers' assessments of health care for informing health care choices, assessing and promoting patient engagement, and quality improvement. The team will advance the science of consumer assessment of patient experience by, among other activities, refining questions to assess patient engagement and shared decision making that will be appropriate for patients with chronic, complex health issues. The applicants also will conduct a program of research on elicitation of patient narratives and develop narrative collection strategies that can be used with, and independently of, CAHPS surveys; broaden the approach for use with CAHPS surveys; and develop protocols for administering the narrative questions to low-income patients receiving complex care form team of clinicians, The team will then study how such information can best be provided to clinicians to facilitate improved patient-centered care. The team will also test new modes of data collection that have the potential of reducing survey costs and improving response rates. Another major activity will be to revise the CAHPS survey used to assess care experiences of individuals receiving care for behavioral health and substance use issues. The team will conduct three quality improvement studies, one on improving care coordination for patients with complex needs and two on improving patient engagement and shared decision making. The applicants will also develop internal and external communication strategies to advance the use of CAHPS surveys to improve quality of care.