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首页> 外文期刊>Journal of health communication >Factors Associated With Americans' Ratings of Health Care Quality: What Do They Tell Us About the Raters and the Health Care System?
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Factors Associated With Americans' Ratings of Health Care Quality: What Do They Tell Us About the Raters and the Health Care System?

机译：与美国人的医疗保健质量评级相关的因素：他们对评级者和医疗保健系统告诉我们什么？

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摘要

Consumer satisfaction ratings of health care quality represent a commonly used measure of health care performance. Identifying factors associated with ratings will help us understand the relative influence of individuals' sociodemographic and health characteristics on satisfaction level, thus informing policy making and clinical practice. Existing research has yielded mixed results on key predictors of consumer ratings. Using nationally representative data, this study aims to identify factors associated with Americans' ratings of health care quality. Data from 2008 Health Information National Trends Survey (HINTS) were analyzed using weighted multinomial logistic regressions to estimate consumer ratings. Predictor variables included demographics, health status, care access, and attitude and perceptions about health. Overall ratings were positively skewed; 70% of respondents rated care as "excellent" or "very good." Minority race, psychological distress, not having had cancer, not having a regular health care provider, not having health insurance, lacking confidence in self-care, and avoidance of doctors were significantly associated with lower ratings. The study identifies the psychosocial characteristics associated with lower consumer ratings. The results highlight the importance of using multiple approaches to assess quality of care, including considering patient characteristics, and contribute to the evidence base for evaluating overall quality of care at the dawn of health care reform.
机译：消费者对医疗保健质量的满意度等级代表了医疗保健绩效的常用度量。识别与评级相关的因素将有助于我们了解个人的社会人口统计学和健康特征对满意度的相对影响，从而为决策和临床实践提供依据。现有研究对消费者评级的主要预测指标产生了不同的结果。本研究使用具有国家代表性的数据，旨在确定与美国人的医疗保健质量评级相关的因素。使用加权多项式Lo​​gistic回归分析了来自2008年健康信息国家趋势调查（HINTS）的数据，以估计消费者的评价。预测变量包括人口统计学，健康状况，获得医疗服务以及对健康的态度和看法。总体评分呈正偏态; 70％的受访者将护理评为“优秀”或“非常好”。少数族裔，心理困扰，没有癌症，没有正规的医疗保健提供者，没有医疗保险，对自我保健缺乏信心以及对医生的规避与较低的评分显着相关。该研究确定了与较低的消费者评级相关的心理社会特征。结果突出了使用多种方法评估护理质量（包括考虑患者特征）的重要性，并为医疗改革初期评估整体护理质量提供了依据。

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