Nonresponse bias: does it affect measurement of clinician behavior?


BACKGROUND:Previous studies of nonresponders have not assessed the effects of nonresponse on the accuracy of clinician behavior measurements. Knowledge of these effects is critical to both research and quality improvement. OBJECTIVE:To evaluate the hypothesis that nonresponders to a survey would not adversely affect the ability to measure rates of preventive services. RESEARCH DESIGN:Four primary-care medical practices participating in a randomized clinical trial provided an unusual opportunity to compare the medical record-documented care of both responders and nonresponders to a survey of their patients. SUBJECTS:Three hundred forty-five nonresponders and 321 responders to a questionnaire requesting participation in the study. MEASURES:Differences in patient characteristics and diseases and documentation of screening and management of tobacco use, hypertension, and hypercholesterolemia. RESULTS:Although the survey process resulted in a response rate of only 52.5% and some statistically significant differences in responder and nonresponder characteristics, there were no differences in management behavior regarding cardiovascular risk factors. Responders were more likely to have adjusted documentation of tobacco use (OR = 1.4), blood pressure measurement (OR = 9.8), and cholesterol testing (OR = 2.0), but not family history of cardiovascular disease. The most striking difference in subject characteristics was that 22.0% of nonresponders and only 12.1% of responders were tobacco users (P = 0.002). CONCLUSIONS:This study confirms that survey nonresponders may have some different characteristics and risk factor screening rates than responders. However, if confirmed by others, nonresponders who have risk factors identified may not be managed differently than responders.


Med Care


Medical care


Solberg LI,Beth Plane M,Brown RL,Underbakke G,McBride PE





Has Abstract


2002-04-01 00:00:00












  • An epidemiologic approach to drug prescribing quality assessment: a study in primary care practice in France.

    abstract:OBJECTIVE:To assess drug prescribing by primary care physicians in France for various types of conditions, and to identify patterns and risk factors for poor prescribing quality. METHODS:The orders (n = 23,080) written for patients with five target diseases (acute nasopharyngitis, acute tonsillitis, essential hyperten...

    journal_title:Medical care

    pub_type: 杂志文章


    authors: Coste J,Venot A

    更新日期:1999-12-01 00:00:00

  • Dimensions of consumer-assessed quality of Medicare managed-care health plans.

    abstract:OBJECTIVES:We investigated relationships at the health-plan level among member ratings of and reports on plans in the Consumer Assessment of Health Plans Survey (CAHPS). We sought a more parsimonious description of the reports that can be used in analyses of the distribution and correlates of consumer-assessed quality....

    journal_title:Medical care

    pub_type: 杂志文章


    authors: Zaslavsky AM,Beaulieu ND,Landon BE,Cleary PD

    更新日期:2000-02-01 00:00:00

  • The hierarchical structure of geriatric patient satisfaction. An Older Patient Satisfaction Scale designed for HMOs.

    abstract::This paper describes an instrument design effort aimed at measuring patient-satisfaction among older (65 years and over) subscribers of HMOs. The study was conducted in a multi-satellite prepaid group practice in Buffalo, New York. In order to be able to construct a satisfaction measure that would reflect the interest...

    journal_title:Medical care

    pub_type: 杂志文章


    authors: Cryns AG,Nichols RC,Katz LA,Calkins E

    更新日期:1989-08-01 00:00:00

  • Do the AHRQ patient safety indicators flag conditions that are present at the time of hospital admission?

    abstract:OBJECTIVE:The Agency for Healthcare Research and Quality (AHRQ) developed 20 patient safety indicators (PSIs) to identify potentially preventable complications of acute inpatient care based on administrative data. The objective of this patient safety performance study was to assess the impact of cases flagged by each P...

    journal_title:Medical care

    pub_type: 杂志文章


    authors: Bahl V,Thompson MA,Kau TY,Hu HM,Campbell DA Jr

    更新日期:2008-05-01 00:00:00

  • The effects of patient volume on the quality of diabetic care for Medicare beneficiaries.

    abstract:BACKGROUND:The quality of care for Medicare beneficiaries with diabetes remains suboptimal. The contributing factors at the physician level are not well characterized, especially the relationship of patient volume and physician performance. OBJECTIVE:We sought to determine associations between the number of Medicare d...

    journal_title:Medical care

    pub_type: 杂志文章


    authors: Holmboe ES,Wang Y,Tate JP,Meehan TP

    更新日期:2006-12-01 00:00:00

  • Predicting hospital charge and stay variation. The role of patient teaching status, controlling for diagnosis-related group, demographic characteristics, and severity of illness.

    abstract::Teaching hospitals have higher charges than nonteaching hospitals, and teaching patients within a single institution incur higher charges than do private patients. Teaching hospitals claim that these higher charges are due to caring for patients with more complex illnesses. Critics claim that the increased charges are...

    journal_title:Medical care

    pub_type: 杂志文章


    authors: Jones KR

    更新日期:1985-03-01 00:00:00

  • Dimensions and correlates of physician work satisfaction in a midwestern city.

    abstract:OBJECTIVES:The purpose of this study was to examine the dimensions of physician work satisfaction across a variety of medical specialties and practice settings. METHODS:A modified version of the Scheckler et al survey instrument was mailed to all physicians in Marion County, Indiana. Forty-two percent (777) of the eli...

    journal_title:Medical care

    pub_type: 杂志文章


    authors: Bates AS,Harris LE,Tierney WM,Wolinsky FD

    更新日期:1998-04-01 00:00:00

  • Predictors of patients' perceived need for medication to prevent fracture.

    abstract:BACKGROUND:Adherence with medications to prevent fractures is suboptimal. Patients' perceived need for medication is an important predictor of medication-use behavior. OBJECTIVE:Estimate the associations of patients' perceived need of medication for fracture prevention with objective indicators of fracture risk, patie...

    journal_title:Medical care

    pub_type: 杂志文章


    authors: Schousboe JT,Davison ML,Dowd B,Thiede Call K,Johnson P,Kane RL

    更新日期:2011-03-01 00:00:00

  • Children's health care and the changing role of women.

    abstract::The pivotal role of women as wife, mother or adult daughter in performing health-related activities for family members has received little attention from health researchers or policymakers. Yet the majority of health problems do not reach the medical care system, but are dealt with informally or through other social s...

    journal_title:Medical care

    pub_type: 杂志文章


    authors: Carpenter ES

    更新日期:1980-12-01 00:00:00

  • An index of insurance adequacy for fertility-related health care.

    abstract::Health insurance plans are evaluated here in terms of ability to guarantee financial access to a set of basic fertility-related health services. Extent of coverage is determined by whether a service is a contract benefit, its market cost, and how often it is used in a given population in one year. Comprehensive covera...

    journal_title:Medical care

    pub_type: 杂志文章


    authors: Muller C,Krasner M,Jaffe FS

    更新日期:1975-01-01 00:00:00

  • Measuring teamwork in health care settings: a review of survey instruments.

    abstract:BACKGROUND:Teamwork in health care settings is widely recognized as an important factor in providing high-quality patient care. However, the behaviors that comprise effective teamwork, the organizational factors that support teamwork, and the relationship between teamwork and patient outcomes remain empirical questions...

    journal_title:Medical care

    pub_type: 杂志文章,评审


    authors: Valentine MA,Nembhard IM,Edmondson AC

    更新日期:2015-04-01 00:00:00

  • Overall quality of life and difficulty paying for ostomy supplies in the Veterans Affairs ostomy health-related quality of life study: an exploratory analysis.

    abstract:PURPOSE:To explore whether there was a significant relationship between difficulty paying for ostomy supplies and overall quality of life among a sample of ostomates receiving care from the Veterans Health Administration (VHA). METHODS:The data were collected as part of the Veterans Affairs (VA) Ostomy Health-Related ...

    journal_title:Medical care

    pub_type: 杂志文章


    authors: Coons SJ,Chongpison Y,Wendel CS,Grant M,Krouse RS

    更新日期:2007-09-01 00:00:00

  • Physician integration strategies and hospital output. A comparison of rural and urban institutions.

    abstract::Physician integration strategies are attempts to bring physicians into hospital administration by giving them a role on the hospital board, employing them in administrative or clinical capacities, or expanding the administration issues dealt with by medical staff committees. This study used a production function model...

    journal_title:Medical care

    pub_type: 杂志文章


    authors: Morrisey MA,Alexander JA,Ohsfeldt RL

    更新日期:1990-07-01 00:00:00

  • A study of central-city hospital changes.

    abstract::This study was initiated to determine the extent of hospital capacity reduction in large U.S. cities. In addition, hospital bed and service additions were analyzed. Study data indicate that between 1976 and 1978 more than 5,000 beds were closed in the 36 cities surveyed. This constitutes 2.7% of total hospital beds in...

    journal_title:Medical care

    pub_type: 杂志文章


    authors: Ermann D,Aronoff R

    更新日期:1980-07-01 00:00:00

  • Sociodemographic and health characteristics, rather than primary care supply, are major drivers of geographic variation in preventable hospitalizations in Australia.

    abstract:BACKGROUND:Geographic rates of preventable hospitalization are used internationally as an indicator of accessibility and quality of primary care. Much research has correlated the indicator with the supply of primary care services, yet multiple other factors may influence these admissions. OBJECTIVE:To quantify the rel...

    journal_title:Medical care

    pub_type: 杂志文章


    authors: Falster MO,Jorm LR,Douglas KA,Blyth FM,Elliott RF,Leyland AH

    更新日期:2015-05-01 00:00:00

  • Evaluating long-term care demonstrations in real time with study design and plan performance interactions.

    abstract::The evaluation of long-term care demonstrations has to deal with complex organizational entities, with large, heterogeneous client populations that, during the course of study, may have to change features of their organization or operation. The implications of such "real-time" changes are discussed for analyses of the...

    journal_title:Medical care

    pub_type: 杂志文章


    authors: Manton KG,Newcomer R,Lowrimore GR,Vertrees JC,Harrington C

    更新日期:1995-12-01 00:00:00

  • Factors associated with the time nurses spend at the bedsides of seriously ill patients with poor prognoses.

    abstract:BACKGROUND:Little is known about the time health professionals spend with inpatients that are close to the end of life. SUBJECTS AND METHODS:We asked day-shift nurses to use a standardized log sheet to record how much time they spent in various categories of activity for 146 seriously ill medical inpatients with poor ...

    journal_title:Medical care

    pub_type: 杂志文章


    authors: Sulmasy DP,Sood JR

    更新日期:2003-04-01 00:00:00

  • The impact of symptoms and impairments on overall health in US national health data.

    abstract:OBJECTIVE:To assess the effects on overall self-rated health of the broad range of symptoms and impairments that are routinely asked about in national surveys. DATA:We use data from adults in the nationally representative Medical Expenditure Panel Survey (MEPS) 2002 with validation in an independent sample from MEPS 2...

    journal_title:Medical care

    pub_type: 杂志文章


    authors: Stewart ST,Woodward RM,Rosen AB,Cutler DM

    更新日期:2008-09-01 00:00:00

  • Improving the precision of primary care physician self-report of antidepressant prescribing.

    abstract:BACKGROUND:Methods to select physicians most likely to benefit from educational interventions to improve the outcome of depression have not been adequately developed. OBJECTIVE:The purpose of this study was to identify a combination of primary care provider (PCP) self-report questions to improve the precision of PCP e...

    journal_title:Medical care

    pub_type: 杂志文章


    authors: Oxman TE,Korsen N,Hartley D,Sengupta A,Bartels S,Forester B

    更新日期:2000-07-01 00:00:00

  • Utilization of hospital resources.

    abstract::A population-based approach was used to analyze the utilization patterns of hospital care by Manitoba residents during the fiscal year 1991/1992. Patterns were analyzed for eight administrative regions, with use assigned to the patient's region of residence, regardless of the location of the hospitalization. Regional ...

    journal_title:Medical care

    pub_type: 杂志文章


    authors: Black CD,Roos NP,Burchill CA

    更新日期:1995-12-01 00:00:00

  • Racial variations in postoperative outcomes of carotid endarterectomy: evidence from the Veterans Affairs National Surgical Quality Improvement Program.

    abstract:CONTEXT:Black patients and Hispanic patients receive carotid endarterectomy (CEA) at lower rates than white patients. It is unclear whether worse surgical outcomes are influencing clinical decision-making regarding use of the operation among minority group patients. OBJECTIVE:To determine if there are racial differenc...

    journal_title:Medical care

    pub_type: 杂志文章


    authors: Horner RD,Oddone EZ,Stechuchak KM,Grambow SC,Gray J,Khuri SF,Henderson WG,Daley J

    更新日期:2002-01-01 00:00:00

  • Enhancing protections for human participants in clinical and health services research: a continuing process.

    abstract::The authors provide brief information about the Department of Veterans Affairs (VA) and the Veterans Health Administration, to establish an understanding of this large, multifaceted organization. They then offer an overview of the VA's Office of Research and Development, with particular emphasis on recent and ongoing ...

    journal_title:Medical care

    pub_type: 杂志文章


    authors: Feussner JR,Burris JF,McGlynn G,Lavori PW

    更新日期:2002-09-01 00:00:00

  • Health Insurance Portability and Accountability Act of 1996: lessons from the States.

    abstract:OBJECTIVES:To assess the likely effects of the 1996 Health Insurance Portability and Accessibility Act (HIPAA), based on small firms' experiences under state small group insurance reforms that were similar in design to HIPAA. METHODS:Data on 17,818 small businesses (range, 2-50 employees) nationwide from the 1994 Nati...

    journal_title:Medical care

    pub_type: 杂志文章


    authors: Hing E,Jensen GA

    更新日期:1999-07-01 00:00:00

  • Trends in mortality and medical spending in patients hospitalized for community-acquired pneumonia: 1993-2005.

    abstract:BACKGROUND:Community-acquired pneumonia (CAP) is the most common infectious cause of death in the United States. To understand the effect of efforts to improve quality and efficiency of care in CAP, we examined the trends in mortality and costs among hospitalized CAP patients. METHODS:Using the National Inpatient Samp...

    journal_title:Medical care

    pub_type: 杂志文章


    authors: Ruhnke GW,Coca-Perraillon M,Kitch BT,Cutler DM

    更新日期:2010-12-01 00:00:00

  • A national catalog of preference-based scores for chronic conditions in the United States.

    abstract:BACKGROUND:The variability in preferences used in quality-adjusted life-years estimation jeopardizes the comparability of cost-effectiveness analyses and has led the Panel on Cost-Effectiveness in Health and Medicine (the PCEHM) to call for a catalog of "off-the-shelf" preference weights associated with conditions that...

    journal_title:Medical care

    pub_type: 杂志文章


    authors: Sullivan PW,Lawrence WF,Ghushchyan V

    更新日期:2005-07-01 00:00:00

  • Can history and physical examination be used as markers of quality? An analysis of the initial visit note in musculoskeletal care.

    abstract:BACKGROUND:The medical record serves as an important source of information regarding the care process, but few studies have examined whether thoroughness of documentation is associated with outcomes. OBJECTIVE:The objectives of this study were to analyze the initial visit note for 513 patients presenting with acute mu...

    journal_title:Medical care

    pub_type: 杂志文章


    authors: Solomon DH,Schaffer JL,Katz JN,Horsky J,Burdick E,Nadler E,Bates DW

    更新日期:2000-04-01 00:00:00

  • Patient-centered communication during primary care visits for depressive symptoms: what is the role of physician personality?

    abstract:BACKGROUND:Patient-centered communication (PCC) is associated with more appropriate treatment of depression in primary care. Aside from patient presentation, little is known about other influences on PCC. We investigated whether PCC is influenced by personality dispositions of primary care providers, independent of pat...

    journal_title:Medical care

    pub_type: 杂志文章,多中心研究,随机对照试验


    authors: Chapman BP,Duberstein PR,Epstein RM,Fiscella K,Kravitz RL

    更新日期:2008-08-01 00:00:00

  • A comparison of the patients and practices of recent graduates of family practice and general internal medicine residency programs.

    abstract::This study compares the characteristics of the practices and patients of recent graduates of family practice and general internal medicine residency programs. National samples of 104 family physicians and 134 general internists completed questionnaires and provided log-diary data for more than 7,500 office visits and ...

    journal_title:Medical care

    pub_type: 杂志文章


    authors: Cherkin DC,Rosenblatt RA,Hart LG,Schleiter MK

    更新日期:1986-12-01 00:00:00

  • Placebo adherence, clinical outcomes, and mortality in the women's health initiative randomized hormone therapy trials.

    abstract:BACKGROUND:Medication adherence may be a proxy for healthy behaviors and other factors that affect outcomes. Prior studies of the association between placebo adherence and health outcomes have been limited primarily to men enrolled in clinical trials and cardiovascular disease outcomes. We examined associations between...

    journal_title:Medical care

    pub_type: 杂志文章,随机对照试验


    authors: Curtis JR,Larson JC,Delzell E,Brookhart MA,Cadarette SM,Chlebowski R,Judd S,Safford M,Solomon DH,Lacroix AZ

    更新日期:2011-05-01 00:00:00

  • Counter-Point: Early Warning Systems Are Imperfect, but Essential.

    abstract::Sequential analysis can be used as an early warning system about potential unintended consequences of health policy decisions, generating follow-up investigations, but it should not be used as causal evidence. ...

    journal_title:Medical care

    pub_type: 评论,杂志文章


    authors: Lu CY,Simon G,Soumerai SB,Kulldorff M

    更新日期:2018-05-01 00:00:00