G2TT
来源类型Report
规范类型报告
DOIhttps://doi.org/10.7249/RR4273
来源IDRR-4273-CMS
Development of Palliative Care Quality Measures for Outpatients in a Clinic-Based Setting: A Report on Information Gathering Activities
Emily K. Chen; Sangeeta C. Ahluwalia; Kanaka Shetty; Francesca Pillemer; Jason Michel Etchegaray; Anne Walling; Alice Y. Kim; Monique Martineau; Jessica Phillips; Carrie M. Farmer; et al.
发表日期2020-02-25
出版年2020
页码124
语种英语
结论
  • Pain, fatigue/tiredness (including insomnia or other sleeping problems), and eating or digestive symptoms (e.g., anorexia, nausea or vomiting, constipation) are common and bothersome problems for patients in palliative care. Some studies also identified additional symptoms that appear to be prevalent but less frequently reported, such as dyspnea or respiratory problems, depression or low mood, and anxiety.
  • Communication and symptom management are core competencies for palliative care providers, and measuring quality of care based on the patient's experience in these two domains would be expected to capture overall quality of care, given how central these two factors are.
  • Pertinent clinical guidelines and regulations influence palliative care quality measurement.
  • Regulations and policy priorities focus on ways to ensure high-quality care by linking payment incentives to performance on quality measures.
  • More than 300 existing data elements in 31 patient survey or interview instruments were identified that assess communication and unmet needs with regard to symptom management in various contexts.
  • Findings from the focus groups with providers and interviews with patients and caregivers provided input on possible quality measure concepts and ways to assess key concepts through survey questions.
摘要

Palliative care has expanded rapidly in recent years. Hence, there has been a growing awareness of and emphasis on the importance of developing quality measures specific to palliative care. This report describes information-gathering activities conducted by RAND to develop two measures of palliative care quality for patients receiving such care in outpatient, clinic-based settings.

,

The authors describe the consensus that has developed for measurement priorities in the palliative care community, provide a summary of clinical practice guidelines, and review the evidence base for palliative care. The authors also review current relevant regulations, existing measures of patient and caregiver experience, findings from a gap analysis on palliative care assessment, and findings from provider focus groups and interviews with patients and caregivers or family members.

目录
  • Chapter One

    Project Background and Overview

  • Chapter Two

    Measurement Priorities in Palliative Care

  • Chapter Three

    Summary of Clinical Practice Guidelines

  • Chapter Four

    Review of Federal Programs

  • Chapter Five

    Existing Data Elements and Instruments That Assess Dimensions of Patient Experience Relevant to Palliative Care

  • Chapter Six

    Symptom Prevalence

  • Chapter Seven

    Review of Existing Quality Measures and Gap Analysis Summary

  • Chapter Eight

    Stakeholder Input

  • Chapter Nine

    Conclusion

  • Appendix A

    Project Team and Roles

  • Appendix B

    TECUPP Charter

  • Appendix C

    Existing Data Elements

  • Appendix D

    Provider Focus Group Guide

  • Appendix E

    Patient/Caregiver Interview Guide

  • Appendix F

    Example Data Elements Mentioned by Focus Group and Interview Participants

主题Caregivers ; Health Care Quality Measurement ; Palliative Care ; Patient Experience
URLhttps://www.rand.org/pubs/research_reports/RR4273.html
来源智库RAND Corporation (United States)
引用统计
资源类型智库出版物
条目标识符http://119.78.100.153/handle/2XGU8XDN/524017
推荐引用方式
GB/T 7714
Emily K. Chen,Sangeeta C. Ahluwalia,Kanaka Shetty,et al. Development of Palliative Care Quality Measures for Outpatients in a Clinic-Based Setting: A Report on Information Gathering Activities. 2020.
条目包含的文件
文件名称/大小 资源类型 版本类型 开放类型 使用许可
RAND_RR4273.pdf(603KB)智库出版物 限制开放CC BY-NC-SA浏览
x1631537269857.jpg.p(2KB)智库出版物 限制开放CC BY-NC-SA浏览
个性服务
推荐该条目
保存到收藏夹
导出为Endnote文件
谷歌学术
谷歌学术中相似的文章
[Emily K. Chen]的文章
[Sangeeta C. Ahluwalia]的文章
[Kanaka Shetty]的文章
百度学术
百度学术中相似的文章
[Emily K. Chen]的文章
[Sangeeta C. Ahluwalia]的文章
[Kanaka Shetty]的文章
必应学术
必应学术中相似的文章
[Emily K. Chen]的文章
[Sangeeta C. Ahluwalia]的文章
[Kanaka Shetty]的文章
相关权益政策
暂无数据
收藏/分享
文件名: RAND_RR4273.pdf
格式: Adobe PDF
文件名: x1631537269857.jpg.pagespeed.ic.0lHPOpKOtB.jpg
格式: JPEG

除非特别说明,本系统中所有内容都受版权保护,并保留所有权利。