| 结论 |
The Survey Field Test Revealed Differences in Response Rates- The overall field test response rate was 53.6 percent. Spouses and parents of hospice decedents were more likely to respond than children, those who were mailed the Family Evaluation of Hospice Care (FEHC) survey were less likely to respond, caregivers of older decedents were more likely to respond than those of younger decedents, and caregivers of Hispanic decedents were less likely to respond than those of decedents in other race or ethnicity categories.
The Analysis Identified Nine Measures- Psychometric analyses identified six multi-item composites and three single-item indicators: Hospice Team Communication (five items), Getting Timely Care (two items), Treating Your Family Member with Respect (two items), Providing Emotional Support (two items), Getting Help for Symptoms (two items), Hospice Care Training (home setting only) (four items), Information Continuity (1 item), Support for Religious and Spiritual Beliefs (one item), and Understanding the Side Effects of Pain Medication (one item).
An Adjustment Model Is Recommended for National Implementation- The recommended case-mix adjustment model includes language of completed survey, decedent age, decedent education, decedent sex, payer type (all categories), primary diagnosis (all categories), respondent age, respondent education, respondent sex, language spoken at home (all categories), relationship to decedent (all categories), and prior receipt of FEHC survey. The model should be further examined and evaluated in national implementation.
Overall, Survey Respondents in the Field Test Seem Satisfied with Hospice Care- The mean overall rating of hospice care was 93.0 out of 100. Mean scores for each composite were generally high, ranging from 81.0 for Understanding the Side Effects of Pain Medication and 85.2 for Hospice Care Training to 94.9 for Information Continuity and 95.7 for Treating Your Family Member with Respect.
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