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首页> 美国卫生研究院文献>Health Services Research >Differences in the structure of CAHPS measures among the medicare fee-for-service medicare managed care and privately insured populations.
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Differences in the structure of CAHPS measures among the medicare fee-for-service medicare managed care and privately insured populations.

机译：CAHPS措施的结构在医疗保险收费服务医疗保险管理的护理和私人保险人群之间存在差异。

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OBJECTIVE: To confirm in a new population, the Medicare fee-for-service population, the factor structure previously found in two Consumer Assessment of Health Plans Study (CAHPS) field-test surveys with Medicare HMO and adult privately insured populations. DATA SOURCES: Primary data were collected in the fall of 1998. Survey responses from the Medicare Fee-for-Service CAHPS survey field test were compared to results from the Medicare HMO and adult privately insured field-test studies conducted in the fall of 1996. STUDY DESIGN: Respondents for the field-test survey were a random sample of Medicare beneficiaries in five states who had opted for the original Medicare plan (fee-for-service). DATA COLLECTION: Data were collected by a mailed survey with a telephone follow-up survey to those who did not return the mailed survey. PRINCIPAL FINDINGS: A confirmatory factor analysis in two different samples of Medicare fee-for-service beneficiaries provided basic support for a previously reported three-factor structure underlying the CAHPS reports and rating items: (1) quality of provider or staff communications; (2) timely access to quality health care; and (3) quality of plan administration. An exploratory factor analysis revealed a variant three-factor structure. CONCLUSION: Because of differences in the factor structures among the different populations discussed, caution needs to be exercised in any composite development, based on factor analysis or any other basis, by which cross-population comparisons will be made. Comparisons should only be made on composites representing stable structure across all populations concerned.
机译：目的：为确定一个新的人群，即医疗保险的按服务付费人群，该因子结构是先前在两项针对医疗保险HMO和成人私人保险人群的健康计划消费者评估研究（CAHPS）现场测试调查中发现的。数据来源：主要数据收集于1998年秋季。将Medicare服务付费CAHPS调查现场测试的调查结果与1996年秋季进行的Medicare HMO和成人私人保险现场测试研究的结果进行了比较。研究设计：现场测试调查的受访者是五个州的医疗保险受益人的随机样本，他们选择了原始的医疗保险计划（服务费）。数据收集：数据是通过邮寄调查收集的，并通过电话跟踪调查收集了未退回邮寄调查的那些人。主要发现：对两个医疗保险付费服务受益人样本的确认性因素分析为CAHPS报告和评级项目所依据的先前报告的三因素结构提供了基本支持：（1）提供者或员工沟通的质量； （2）及时获得优质的医疗保健； （3）计划管理质量。探索性因素分析显示了一个可变的三因素结构。结论：由于所讨论的不同人群之间的因素结构存在差异，因此在基于因素分析或任何其他基础的任何复合开发中，都应谨慎行事，以进行跨群体比较。仅应对代表所有相关人群中稳定结构的复合材料进行比较。

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