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临床试验/NCT02390557
NCT02390557已完成不适用

Persons With Disabilities Generating Quality Metrics to Inform Integrated Care

Massachusetts General Hospital0 个研究点目标入组 451 人开始时间: 2015年7月1日最近更新:
适应症
干预措施

试验速览

阶段
不适用
状态
已完成
入组人数
451
主要终点
Improved Quality of Care

研究概览

简要总结

No standard way exists to measure the quality of medical care or independent living long-term services and supports provided to persons with disabilities. This project will: provide a broader picture of how consumers with disabilities define care and care quality; measure the value of using consumers' expertise in developing, collecting, and assessing quality measures; and use this information to assist One Care providers in improving care delivered to their enrollees

详细描述

The aims of the project are as follows:

  1. To work with persons with significant physical disabilities and serious and persistent mental illness to develop two new approaches to assess quality of care:

Approach #1: We will survey enrollees about their experiences in One Care and their thoughts about the care they receive. This survey will also ask One Care enrollees about how they manage their care and what self-direction means to them. The survey will be called the Persons with Disabilities Quality Survey (PDQ-S), and it will be available in English and Spanish versions.

Approach #2: Enrollees in One Care will provide information about their perceptions of care quality to a trained team of persons with disabilities who will report the information to One Care care teams. The goal of the activity is to support quality improvement in One Care through hearing the consumer's voice. This is called YES Health - Your Experience: Speak up for better health care. 2. We want to test how providing consumer informed and consumer directed quality information to One Care providers affects One Care quality. 3. We want to improve the ability of One Care enrollees to manage their own health care and to recognize and report quality problems

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Health Services Research
盲法
Double (Participant, Care Provider)

盲法说明

Randomization was performed at the level of primary care practice. Providers and patients were unaware of assignment to study arms

入排标准

年龄范围
21 Years 至 64 Years(Adult)
性别
All
接受健康志愿者

入选标准

  • One Care enrollee
  • Permanent physical disability and/or serious mental illness
  • Seen at designated practice site
  • English or Spanish speaking

排除标准

  • Persons with an intellectual or a developmental disability

研究组 & 干预措施

Control - Standard Practice

No Intervention

Standard measures of quality at baseline. No intervention reports sent to providers

Survey

Experimental

Persons with Disabilities Quality Survey.PDQS Survey Reports Intervention.reports sent to providers of OneCare enrollees

干预措施: Survey (Other)

YESHealth

Experimental

Arm 3: YESHealth Reports and PDQS Survey Reports sent to providers of OneCare enrollees

干预措施: Survey (Other)

YESHealth

Experimental

Arm 3: YESHealth Reports and PDQS Survey Reports sent to providers of OneCare enrollees

干预措施: YESHealth (Other)

结局指标

主要结局

Improved Quality of Care

时间窗: 12 months

% who agree that their quality of care Is better, the same or worse than before

次要结局

未报告次要终点

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

Lisa Iezzoni

Principal Investigator

Massachusetts General Hospital

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