Consumer Assessment of Healthcare Providers and Systems CAHPS V

项目摘要 申请人提出了一项研究、开发和评估使用 消费者对卫生保健的评估，为卫生保健选择提供信息， 促进患者参与和质量改进。该团队将推动科学的发展， 通过细化问题等活动对患者体验进行消费者评估， 评估适合患者的患者参与度和共同决策 慢性复杂的健康问题申请人还将进行一项研究计划， 患者叙述的启发，并制定可与以下内容一起使用的叙述收集策略， 并独立于CAHPS调查;扩大CAHPS调查的使用方法;以及 制定方案，向接受治疗的低收入患者提供叙述性问题 复杂的护理形式的临床医生团队，该小组将研究如何这些信息可以最好地 提供给临床医生，以促进改善以病人为中心的护理。该团队还将测试 新的数据收集模式，有可能降低调查成本， 答复率。另一项主要活动将是修订用于评估护理的CAHPS调查 接受行为健康和物质使用问题护理的个人的经验。的 团队将进行三项质量改进研究，其中一项是关于改进护理协调， 有复杂需求的患者和两个关于改善患者参与和共同决策的患者 制作。申请人还将制定内部和外部沟通策略， 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.