Julie A Brown
Biographic Data
| ID | 3743160 |
|---|---|
| NAME | Julie A Brown |
| GIVEN NAMES | Julie A |
| FAMILY NAME | Brown |
| SIGNATURE | BROWN J A |
| AFFILIATIONS | RAND Corporation |
| ORCID | 0000-0002-6463-2360 |
| VERIFIED | Yes |
| TOTAL WORKS | 22 |
| TOTAL CITATIONS | 13 |
| AUTHOR COUNT | 22 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1998 |
| LATEST PUBLICATION YEAR | 2025 |
| H-INDEX | 2 |
Supplemental Items Reduce HCAHPS Response Rates, but Response Rates Do Not Affect HCAHPS Scores
BACKGROUND: Longer surveys can reduce response rates (RRs). Observational data suggest a positive hospital-level association between RRs and HCAHPS scores, but a negative patient-level relationship. There is no experimental evidence of whether a hospital's RR affects its HCAHPS scores. OBJECTIVES: Estimate the effect of the 59-item versus 32-item survey on RR by survey mode; assess whether any reductions in RR change HCAHPS scores. RESEARCH DESIG…
Updated Adjustment of the HCAHPS Survey for New Modes of Survey Administration and Patient Mix
BACKGROUND: Web-first multimode survey protocols increase Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey response rates and representativeness but may result in different HCAHPS scores because of survey mode effects and selective email address availability. A variable absent from many patient-mix adjustment models that may result in more positive patient experiences is whether the hospital admission was planned; …
Survey Protocols, Response Rates, and Representation of Underserved Patients
In this randomized clinical trial, web-first multimode survey protocols significantly improved the RR and representativeness of patient surveys. The best-performing protocol based on RR and representativeness was web-mail-phone. Web-phone performed well for young and diverse patient populations, and web-mail for older and less diverse patient populations. The US Centers for Medicare & Medicaid Services will allow hospitals to use the web-mail, we…
Possibilities for Shortening the CAHPS Clinician and Group Survey
BACKGROUND: The Consumer Assessment of Healthcare Providers and Systems (CAHPS) Clinician and Group adult survey (CG-CAHPS) includes 34 items used to monitor the quality of ambulatory care from the patient's perspective. CG-CAHPS includes items assessing access to care, provider communication, and courtesy and respect of office staff. Stakeholders have expressed concerns about the length of the CG-CAHPS survey. OBJECTIVES: This paper explores the…
Digital Games as a Source of Enjoyment in Later Life
As playing digital games has become a popular pastime among older adults, the study of the older audience of digital games would do well to exchange exploratory research for more specialist and focused areas. This article follows this reasoning and focuses on game enjoyment in later life. This topic is explored through two qualitative studies with actively playing older adults. The first study ( n = 35, aged between 49 and 73) took place in Fland…
How Much Do Additional Mailings and Telephone Calls Contribute to Response Rates in a Survey of Medicare Beneficiaries
Surveys often spend substantial money on multiple mailings and telephone calls to ensure high overall response rates and adequate representation of hard-to-reach demographic subgroups. We examine the extent to which an additional mailing and additional sets of telephone calls are effective in attaining these goals across a variety of subgroups in a large, national multimode survey of Medicare beneficiaries. We also examine the relative data quali…
The domestication of digital games in the lives of older adults
The current study aims to integrate the findings of previous research on the use of video games by older adults by applying the domestication framework developed in the 1990s. A qualitative study was performed with 35 participants aged between 49 and 73, who were targeted purposefully from a larger sample of 213. The analysis revealed how older adults appropriated digital games using pre-existing, public and co-constructed meanings, as well as ho…
Does Naming the Focal Plan in a CAHPS Survey of Health Care Quality Affect Response Rates and Beneficiary Evaluations
From well-being to positive mental health
Differences in CAHPS Reports and Ratings of Health Care Provided to Adults and Children
BACKGROUND: Consumer assessment of health care is an important metric for evaluating quality of care. These assessments can help purchasers, health plans, and providers deliver care that fits patients' needs. OBJECTIVE: To examine differences in reports and ratings of care delivered to adults and children and whether they vary by site. RESEARCH DESIGN: This observational study compares adult and child experiences with care at a large west coast m…
Giving Voice to the Vulnerable
Background: To complement a nursing home resident survey, the team developed a survey asking family members about their experiences with nursing homes. Although a family member does not receive care directly from a nursing home, their experiences at the nursing home and with staff can contribute to understanding nursing home quality. Objectives: To describe how the nursing home family member instrument was developed, refined, tested, and finalize…
Development of and Field Test Results for the CAHPS PCMH Survey
This study provides support for the reliability and validity of new items to supplement the CG-CAHPS 1.0 Survey to assess aspects of primary care that are important attributes of PCMHs
Development and Evaluation of CAHPS Questions to Assess the Impact of Health Information Technology on Patient Experiences With Ambulatory Care
BACKGROUND: Little is known about whether health information technology (HIT) affects patient experiences with health care. OBJECTIVE: To develop HIT questions that assess patients care experiences not evaluated by existing ambulatory Consumer Assessment of Health Plans and Systems (CAHPS) measures. RESEARCH DESIGN: We reviewed published articles and conducted focus groups and cognitive testing to develop survey questions. We collected data, usin…
The Impact of Methamphetamine Use on Parenting
Children whose parents abuse substances are often exposed to chaotic and neglectful lifestyles. Because of the increase in methamphetamine abuse, especially by females of child-bearing age, it is important to understand how the use of this drug impacts parenting. In this qualitative study, ten parents being treated for methamphetamine abuse were interviewed. Results indicated that while using, parents utilized a polarized style of parenting and s…
Classical Test Theory and Item Response Theory Analyses of Multi-Item Scales Assessing Parents?? Perceptions of Their Children??s Dental Care
BACKGROUND: Classical test theory and item response theory methods can provide useful and potentially different insights into the performance of items in a survey designed to elicit parental perceptions of dental care delivered to children in publicly funded programs. OBJECTIVES: We sought to illustrate the use of both classical test theory and item response theory to evaluate survey instruments. METHODS: : Using 2 years of cross-sectional data c…
Do Patient Consent Procedures Affect Participation Rates in Health Services Research
BACKGROUND: Few studies have examined the effects of Institutional Review Board (IRB) requirements to contact potential research participants. OBJECTIVE: To examine the association between requirements to contact potential research subjects and participation rates in a multisite health services research study. RESEARCH DESIGN, SUBJECTS: Prospective observational study of survey participation by 2673 individuals with diabetes and 1974 individuals …
National Estimates of HIV-Related Symptom Prevalence From the HIV Cost and Services Utilization Study
OBJECTIVES: The objectives of this study were (1) to estimate the prevalence, bothersomeness, and variation of HIV-related symptoms in a nationally representative sample of HIV-infected adults receiving medical care and (2) to evaluate new aggregate measures of symptom frequency and bothersomeness. METHODS: Beginning in January 1996, 76% of a multistage national probability sample of 4,042 HIV-infected adults receiving medical care were interview…
Are latinos less satisfied with communication by health care providers?
Translating the CAHPSTM 1.0 Survey Instruments Into Spanish
OBJECTIVES: Collecting accurate health data on the growing number of ethnic minorities in the United States has increased in policy relevance in recent years. Today, most general population sample surveys conducted in the United States, including the CAHPS 1.0 Surveys, require translation into Spanish and often other languages as well. This article discusses the process used to translate the CAHPS 1.0 survey instruments into Spanish and the techn…
Special Issues in Assessing Care of Medicaid Recipients
OBJECTIVES: The authors describe the process used to develop and test survey items targeted to Medicaid consumers for the Consumer Assessment of Health Plans Study (CAHPS). In addition, the authors highlight the special challenges in locating and surveying Medicaid recipients and provide recommendations for increasing response rates. METHODS: The RAND CAHPS team reviewed the literature and existing questionnaires to identify health care issues an…
The Use of Cognitive Testing to Develop and Evaluate CAHPSTM 1.0 Core Survey Items
OBJECTIVES: The main goal of the Consumer Assessments of Health Plans Study (CAHPS) is to develop an integrated set of tested, standardized surveys to obtain meaningful information from health plan enrollees about their experiences. The CAHPS project benefits from the complementary strengths of psychometric and cognitive testing. METHODS: The CAHPS team conducted 150 cognitive interviews across three organizations in different geographic location…
The Care of HIV-Infected Adults in the United States
BACKGROUND AND METHODS: In order to elucidate the medical care of patients with human immunodeficiency virus (HIV) infection in the United States, we randomly sampled HIV-infected adults receiving medical care in the contiguous United States at a facility other than military, prison, or emergency department facility during the first two months of 1996. We interviewed 76 percent of 4042 patients selected from among the patients receiving care from…
The domestication of digital games in the lives of older adults
The current study aims to integrate the findings of previous research on the use of video games by older adults by applying the domestication framework developed in the 1990s. A qualitative study was performed with 35 participants aged between 49 and 73, who were targeted purposefully from a larger sample of 213. The analysis revealed how older adults appropriated digital games using pre-existing, public and co-constructed meanings, as well as ho…
Digital Games as a Source of Enjoyment in Later Life
As playing digital games has become a popular pastime among older adults, the study of the older audience of digital games would do well to exchange exploratory research for more specialist and focused areas. This article follows this reasoning and focuses on game enjoyment in later life. This topic is explored through two qualitative studies with actively playing older adults. The first study ( n = 35, aged between 49 and 73) took place in Fland…
The Care of HIV-Infected Adults in the United States
BACKGROUND AND METHODS: In order to elucidate the medical care of patients with human immunodeficiency virus (HIV) infection in the United States, we randomly sampled HIV-infected adults receiving medical care in the contiguous United States at a facility other than military, prison, or emergency department facility during the first two months of 1996. We interviewed 76 percent of 4042 patients selected from among the patients receiving care from…
Are latinos less satisfied with communication by health care providers?
Translating the CAHPSTM 1.0 Survey Instruments Into Spanish
OBJECTIVES: Collecting accurate health data on the growing number of ethnic minorities in the United States has increased in policy relevance in recent years. Today, most general population sample surveys conducted in the United States, including the CAHPS 1.0 Surveys, require translation into Spanish and often other languages as well. This article discusses the process used to translate the CAHPS 1.0 survey instruments into Spanish and the techn…
Special Issues in Assessing Care of Medicaid Recipients
OBJECTIVES: The authors describe the process used to develop and test survey items targeted to Medicaid consumers for the Consumer Assessment of Health Plans Study (CAHPS). In addition, the authors highlight the special challenges in locating and surveying Medicaid recipients and provide recommendations for increasing response rates. METHODS: The RAND CAHPS team reviewed the literature and existing questionnaires to identify health care issues an…
The Use of Cognitive Testing to Develop and Evaluate CAHPSTM 1.0 Core Survey Items
OBJECTIVES: The main goal of the Consumer Assessments of Health Plans Study (CAHPS) is to develop an integrated set of tested, standardized surveys to obtain meaningful information from health plan enrollees about their experiences. The CAHPS project benefits from the complementary strengths of psychometric and cognitive testing. METHODS: The CAHPS team conducted 150 cognitive interviews across three organizations in different geographic location…
National Estimates of HIV-Related Symptom Prevalence From the HIV Cost and Services Utilization Study
OBJECTIVES: The objectives of this study were (1) to estimate the prevalence, bothersomeness, and variation of HIV-related symptoms in a nationally representative sample of HIV-infected adults receiving medical care and (2) to evaluate new aggregate measures of symptom frequency and bothersomeness. METHODS: Beginning in January 1996, 76% of a multistage national probability sample of 4,042 HIV-infected adults receiving medical care were interview…
Do Patient Consent Procedures Affect Participation Rates in Health Services Research
BACKGROUND: Few studies have examined the effects of Institutional Review Board (IRB) requirements to contact potential research participants. OBJECTIVE: To examine the association between requirements to contact potential research subjects and participation rates in a multisite health services research study. RESEARCH DESIGN, SUBJECTS: Prospective observational study of survey participation by 2673 individuals with diabetes and 1974 individuals …
The Impact of Methamphetamine Use on Parenting
Children whose parents abuse substances are often exposed to chaotic and neglectful lifestyles. Because of the increase in methamphetamine abuse, especially by females of child-bearing age, it is important to understand how the use of this drug impacts parenting. In this qualitative study, ten parents being treated for methamphetamine abuse were interviewed. Results indicated that while using, parents utilized a polarized style of parenting and s…
Classical Test Theory and Item Response Theory Analyses of Multi-Item Scales Assessing Parents?? Perceptions of Their Children??s Dental Care
BACKGROUND: Classical test theory and item response theory methods can provide useful and potentially different insights into the performance of items in a survey designed to elicit parental perceptions of dental care delivered to children in publicly funded programs. OBJECTIVES: We sought to illustrate the use of both classical test theory and item response theory to evaluate survey instruments. METHODS: : Using 2 years of cross-sectional data c…
From well-being to positive mental health
Differences in CAHPS Reports and Ratings of Health Care Provided to Adults and Children
BACKGROUND: Consumer assessment of health care is an important metric for evaluating quality of care. These assessments can help purchasers, health plans, and providers deliver care that fits patients' needs. OBJECTIVE: To examine differences in reports and ratings of care delivered to adults and children and whether they vary by site. RESEARCH DESIGN: This observational study compares adult and child experiences with care at a large west coast m…
Giving Voice to the Vulnerable
Background: To complement a nursing home resident survey, the team developed a survey asking family members about their experiences with nursing homes. Although a family member does not receive care directly from a nursing home, their experiences at the nursing home and with staff can contribute to understanding nursing home quality. Objectives: To describe how the nursing home family member instrument was developed, refined, tested, and finalize…
Development of and Field Test Results for the CAHPS PCMH Survey
This study provides support for the reliability and validity of new items to supplement the CG-CAHPS 1.0 Survey to assess aspects of primary care that are important attributes of PCMHs
Development and Evaluation of CAHPS Questions to Assess the Impact of Health Information Technology on Patient Experiences With Ambulatory Care
BACKGROUND: Little is known about whether health information technology (HIT) affects patient experiences with health care. OBJECTIVE: To develop HIT questions that assess patients care experiences not evaluated by existing ambulatory Consumer Assessment of Health Plans and Systems (CAHPS) measures. RESEARCH DESIGN: We reviewed published articles and conducted focus groups and cognitive testing to develop survey questions. We collected data, usin…
Does Naming the Focal Plan in a CAHPS Survey of Health Care Quality Affect Response Rates and Beneficiary Evaluations
The domestication of digital games in the lives of older adults
The current study aims to integrate the findings of previous research on the use of video games by older adults by applying the domestication framework developed in the 1990s. A qualitative study was performed with 35 participants aged between 49 and 73, who were targeted purposefully from a larger sample of 213. The analysis revealed how older adults appropriated digital games using pre-existing, public and co-constructed meanings, as well as ho…
How Much Do Additional Mailings and Telephone Calls Contribute to Response Rates in a Survey of Medicare Beneficiaries
Surveys often spend substantial money on multiple mailings and telephone calls to ensure high overall response rates and adequate representation of hard-to-reach demographic subgroups. We examine the extent to which an additional mailing and additional sets of telephone calls are effective in attaining these goals across a variety of subgroups in a large, national multimode survey of Medicare beneficiaries. We also examine the relative data quali…
Possibilities for Shortening the CAHPS Clinician and Group Survey
BACKGROUND: The Consumer Assessment of Healthcare Providers and Systems (CAHPS) Clinician and Group adult survey (CG-CAHPS) includes 34 items used to monitor the quality of ambulatory care from the patient's perspective. CG-CAHPS includes items assessing access to care, provider communication, and courtesy and respect of office staff. Stakeholders have expressed concerns about the length of the CG-CAHPS survey. OBJECTIVES: This paper explores the…
Digital Games as a Source of Enjoyment in Later Life
As playing digital games has become a popular pastime among older adults, the study of the older audience of digital games would do well to exchange exploratory research for more specialist and focused areas. This article follows this reasoning and focuses on game enjoyment in later life. This topic is explored through two qualitative studies with actively playing older adults. The first study ( n = 35, aged between 49 and 73) took place in Fland…
Survey Protocols, Response Rates, and Representation of Underserved Patients
In this randomized clinical trial, web-first multimode survey protocols significantly improved the RR and representativeness of patient surveys. The best-performing protocol based on RR and representativeness was web-mail-phone. Web-phone performed well for young and diverse patient populations, and web-mail for older and less diverse patient populations. The US Centers for Medicare & Medicaid Services will allow hospitals to use the web-mail, we…
Supplemental Items Reduce HCAHPS Response Rates, but Response Rates Do Not Affect HCAHPS Scores
BACKGROUND: Longer surveys can reduce response rates (RRs). Observational data suggest a positive hospital-level association between RRs and HCAHPS scores, but a negative patient-level relationship. There is no experimental evidence of whether a hospital's RR affects its HCAHPS scores. OBJECTIVES: Estimate the effect of the 59-item versus 32-item survey on RR by survey mode; assess whether any reductions in RR change HCAHPS scores. RESEARCH DESIG…
Updated Adjustment of the HCAHPS Survey for New Modes of Survey Administration and Patient Mix
BACKGROUND: Web-first multimode survey protocols increase Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey response rates and representativeness but may result in different HCAHPS scores because of survey mode effects and selective email address availability. A variable absent from many patient-mix adjustment models that may result in more positive patient experiences is whether the hospital admission was planned; …
Psychology (17 works) · Medicine (13 works) · Patient Satisfaction in Healthcare (9 works) · Survey Methodology and Nonresponse (9 works) · Computer Science (8 works) · Family medicine (7 works) · Health care (7 works) · Nursing (6 works) · Political science (5 works) · Business (4 works)