Differences in Consumer Assessment of Healthcare Providers and Systems Clinician and Group Survey Scores by Recency of the Last Visit
Implications for Comparability of Periodic and Continuous Sampling
Bibliographic Data
| ID | 9103693 |
|---|---|
| Authors | Claude Messan Setodji (0000-0001-9592-422X, RAND Corporation, corresponding author), Q Burkhart (0000-0003-2081-3482, RAND Corporation, Santa Monica, CA), Ron D Hays (0000-0001-6697-907X, Division of General Internal Medicine and Health Services Research), Denise D Quigley (0000-0002-3815-908X, RAND Corporation, Santa Monica, CA), Samuel A Skootsky (0000-0002-9995-436X, David Geffen School of Medicine, University of California, Los Angeles, CA), Marc N Elliott (0000-0002-7147-5535, RAND Corporation, Santa Monica, CA) |
| Year | 2019 |
| Volume | 57 |
| Issue | 12 |
| Pages | e80-e86 |
| Publication date | 2019-12-01 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | Medical Care (JOURNAL) |
| Journal identifiers | ISSN: 0025-7079 • E-ISSN: 1537-1948 |
| Publisher | Ovid Technologies (Wolters Kluwer Health) (PUBLISHER) |
| DOI | 10.1097/mlr.0000000000001134 |
| PMID | 31107400 |
| OpenAlex | W2946597052 |
| Language | EN |
| Citations received | 1 |
| References cited | 20 |
BACKGROUND: Patient experience data can be collected by sampling patients periodically (eg, patients with any visits over a 1-year period) or sampling visits continuously (eg, sampling any visit in a monthly interval). Continuous sampling likely yields a sample with more frequent and more recent visits, possibly affecting the comparability of data collected under the 2 approaches. OBJECTIVE: To explore differences in Consumer Assessment of Healthcare Providers and Systems Clinician and Group survey (CG-CAHPS) scores using periodic and continuous sampling. RESEARCH DESIGN: We use observational data to estimate case-mix-adjusted differences in patient experience scores under 12-month periodic sampling and simulated continuous sampling. SUBJECTS: A total of 29,254 adult patients responding to the CG-CAHPS survey regarding visits in the past 12 months to any of 480 physicians, 2007-2009. MEASURES: Overall doctor rating and 4 CG-CAHPS composite measures of patient experience: doctor communication, access to care, care coordination, and office staff. RESULTS: Compared with 12-month periodic sampling, simulated continuous sampling yielded patients with more recent visits (by definition), more frequent visits (92% of patients with 2+ visits, compared with 76%), and more positive case-mix-adjusted CAHPS scores (2-3 percentage points higher). CONCLUSIONS: Patients with more frequent visits reported markedly higher CG-CAHPS scores, but this causes only small to moderate changes in adjusted physician-level scores between 12-month periodic and continuous sampling schemes. Caution should be exercised in trending or comparing scores collected through different schemes
Case mix index · Comparability · Confidence interval · Family medicine · Health care · Observational study · Patient experience · Patient satisfaction · Psychiatry · Sampling (signal processing) · Internal Medicine · Medicine · Patient Satisfaction in Healthcare · Patient-Provider Communication in Healthcare · Primary Care and Health Outcomes · Surgery
| Unique citing works | 1 |
|---|---|
| Citations per year | 0,25 |
| Citation span | 2022 - 2022 (1) |
| Citation velocity | historical |
| Highly cited | No |
| Citation types | Neutral: 1 |