干旱区生态环境知识资源中心(Arid): Consumer selection and home health agency quality and patient experience stars

Arid

DOI	10.1111/1475-6773.13867
	Consumer selection and home health agency quality and patient experience stars
	Schwartz, Margot L.; Rahman, Momotazur; Thomas, Kali S.; Konetzka, R. Tamara; Mor, Vincent
通讯作者	Schwartz, ML (corresponding author), Abt Associates Inc, Div Hlth & Environm, Cambridge, MA 02138 USA.
来源期刊	HEALTH SERVICES RESEARCH
ISSN	0017-9124
EISSN	1475-6773
出版年	2022
英文摘要	Objective To compare the impact of the introduction of two distinct sets of star ratings, quality of care, and patient experience, on home health agency (HHA) selection. Data Sources We utilized 2014-2016 home health Outcome and Assessment Information Set (OASIS) assessments, as well as publicly reported data from the Home Health Compare website. Data Collection/Extraction Methods We identified a 5% random sample of admissions (186,498 admissions) for new Medicare Fee-for-Service home health users. Study Design This admission-level assessment compared HHA selection before (July 2014-June 2015) and after (February-December 2016) star ratings were published. We utilized a conditional logit, discrete choice model, which accounted for all HHAs that each patient could have selected (i.e., the choice set) based on ZIP codes. Our explanatory variables of interest were the interactions between star ratings and time period (pre/post stars). We stratified our analyses by race, admission source, and Medicaid eligibility. We adjusted for HHA characteristics and distance between patients' homes and HHAs. Principal Findings The introduction of star ratings was associated with a 0.88-percentage-point increase in the probability of selecting a high-quality HHA and a 0.81-percentage-point increase in the probability of selecting a highly ranked patient experience HHA. Patients admitted from the community, and black and Medicare-Medicaid dual-eligible beneficiaries experienced larger increases in their likelihood of selecting high-rated agencies than inpatient, white, and nondual beneficiaries. Conclusions The introduction of quality of care and patient experience stars were associated with changes in HHA selection; however, the strength of these relationships was weaker than observed in other health care settings where a single star rating was reported. The introduction of star ratings may mitigate disparities in HHA selection. Our findings highlight the importance of reporting information about quality and satisfaction separately and conducting research to understand the mechanisms driving HHA selection.
英文关键词	home health care patient experience provider selection public reporting quality of care star ratings
类型	Article
语种	英语
收录类别	SCI-E ; SSCI
WOS记录号	WOS:000707900700001
WOS关键词	REPORT CARDS ; INFORMATION ; RATINGS ; DISPARITIES ; PEOPLE ; WANT
WOS类目	Health Care Sciences & Services ; Health Policy & Services
WOS研究方向	Health Care Sciences & Services
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/363503
作者单位	[Schwartz, Margot L.] Abt Associates Inc, Div Hlth & Environm, Cambridge, MA 02138 USA; [Rahman, Momotazur; Thomas, Kali S.; Mor, Vincent] Brown Univ, Sch Publ Hlth, Dept Hlth Serv Policy & Practice, Providence, RI 02912 USA; [Thomas, Kali S.; Mor, Vincent] Providence VA Med Ctr, Ctr Ctr Innovat Long Term Serv & Supports, Providence, RI USA; [Konetzka, R. Tamara] Univ Chicago, Dept Publ Hlth Sci, Chicago, IL 60637 USA; [Konetzka, R. Tamara] Univ Chicago, Dept Med, Biol Sci Div, 5841 S Maryland Ave, Chicago, IL 60637 USA
推荐引用方式 GB/T 7714	Schwartz, Margot L.,Rahman, Momotazur,Thomas, Kali S.,et al. Consumer selection and home health agency quality and patient experience stars[J],2022.
APA	Schwartz, Margot L.,Rahman, Momotazur,Thomas, Kali S.,Konetzka, R. Tamara,&Mor, Vincent.(2022).Consumer selection and home health agency quality and patient experience stars.HEALTH SERVICES RESEARCH.
MLA	Schwartz, Margot L.,et al."Consumer selection and home health agency quality and patient experience stars".HEALTH SERVICES RESEARCH (2022).