Shortening a Patient Experiences Survey for Medical Homes

Healthcare

Judy H. Ng¹  Erika Henry¹  Tyler Oberlander¹  Peichang Shi²  Sarah Hudson Scholle¹ 

[1] National Committee for Quality Assurance, 1100 13th Street NW, Suite 1000, Washington, DC 20005, USA;Booz Allen Hamilton, One Preserve Parkway, Suite 200, Rockville, MD 20852, USA;

关键词: Patient-Centered Medical Homes;    PCMH;    patient reports about care;    health care quality;    patient experiences survey;    CAHPS^®;   

DOI  :  10.3390/healthcare4010001

来源: mdpi

【 摘 要 】

The Consumer Assessment of Healthcare Providers and Systems—Patient-Centered Medical Home (CAHPS PCMH) Survey assesses patient experiences reflecting domains of care related to general patient experience (access to care, communication with providers, office staff interaction, provider rating) and PCMH-specific aspects of patient care (comprehensiveness of care, self-management support, shared decision making). The current work compares psychometric properties of the current survey and a proposed shortened version of the survey (from 52 to 26 adult survey items, from 66 to 31 child survey items). The revisions were based on initial psychometric analysis and stakeholder input regarding survey length concerns. A total of 268 practices voluntarily submitted adult surveys and 58 submitted child survey data to the National Committee for Quality Assurance in 2013. Mean unadjusted scores, practice-level item and composite reliability, and item-to-scale correlations were calculated. Results show that the shorter adult survey has lower reliability, but still it still meets general definitions of a sound survey for the adult version, and resulted in few changes to mean scores. The impact was more problematic for the pediatric version. Further testing is needed to investigate approaches to improving survey response and the relevance of survey items in informing quality improvement.

【 授权许可】

CC BY   
© 2015 by the authors; licensee MDPI, Basel, Switzerland.