Assessing Cirrhosis Quality of Care While Accounting for Cost: Is the Patient and/or Caregiver Perspective Associated With Outcomes or Quality Metrics, and What is the Cost of Implementing and Measuring Quality Metrics
试验速览
- 阶段
- 不适用
- 入组人数
- 273
- 试验地点
- 1
- 主要终点
- Participant perceptions of care
研究概览
简要总结
The objective of this study is to determine what influences the patient and caregiver perception of care, and if this perception associates with the percentage of and what quality metrics are being met and outcomes. The investigators also plan to capture the cost of providing quality metrics and the cost of monitoring adherence to quality metrics.
详细描述
This study will be conducted using mixed-methods. The qualitative part will consist of in person, 1:1, open ended in depth interviews using a standard interview guide with probes. The quantitative part will document subjects meeting or not meeting the quality metrics supported by strong evidence, clinical outcomes, and medical bills.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 80 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •primary liver cirrhosis
- •receiving care at the study cite
- •no evidence of hepatic encephalopathy if the subject is providing consent
排除标准
- •no documentation of cirrhosis
- •unable to confirm diagnosis of cirrhosis by imaging or pathology
结局指标
主要结局
Participant perceptions of care
时间窗: 2 years
Qualitative interview performed where the participant describes their experience of the quality of care they have received.
Relationship of perceptions of quality of care to recent hospitalizations
时间窗: 2 years
Assess associations of qualitative themes that emerge from the qualitative interview with hospitalization frequency
Relationship of perceptions of quality of care to portal hypertension quality metric adherence
时间窗: 2 years
Assess associations of qualitative themes that emerge from the qualitative interview with physician meeting of portal hypertension quality metric (i.e., physician follows the recommended management (yes/no)).
次要结局
- Assess if portal hypertension quality metric adherence equates to less hospitalizations(2 years)
- Association of quality metric adherence with survival(2 years)
研究者
Nicole T Shen
Principal Investigator
New York Presbyterian Hospital