Abstract:
BACKGROUND:Conceptual equivalence of measures is essential in research that compares health across diverse racial/ethnic groups. Cognitive interviews are pretest methods to explore the conceptual equivalence of survey items. Systematic approaches for using these methods are emerging. OBJECTIVE:We describe an interaction analysis (IA) approach using qualitative data analysis software to analyze transcripts of cognitive interviews in a study to develop a survey instrument of the quality of interpersonal processes of care of diverse patients. Cognitive interviews included standard administration of the survey followed by retrospective probes for selected items. SUBJECTS:Interviews were completed with 48 Latino, black, and non-Latino white respondents 18 years of age or older with at least one doctor's visit in the past 12 months. Participants averaged 45.8 years in age (standard deviation [SD] = 18.4), 58% were women, and mean education was 14.7 years (SD = 4.0). RESULTS:Problems were identified in 126 of 159 items (79%). Behavior coding identified 32 problematic items (20%). IA of the transcript of the survey and retrospective probes identified 94 additional problematic items (59%). IA often revealed the nature of the problems, enabling decisions to modify or drop items based on respondents' comments. Behavior coding and IA identified ethnic and language similarities and differences in the use of response sets and the interpretation of items. CONCLUSIONS:IA and behavior coding of cognitive interview transcripts can identify efficiently problems with items and their source to increase the likelihood of the revised items being conceptually equivalent across ethnic groups.
journal_name
Med Carejournal_title
Medical careauthors
Nápoles-Springer AM,Santoyo-Olsson J,O'Brien H,Stewart ALdoi
10.1097/01.mlr.0000245425.65905.1dsubject
Has Abstractpub_date
2006-11-01 00:00:00pages
S21-30issue
11 Suppl 3eissn
0025-7079issn
1537-1948pii
00005650-200611001-00007journal_volume
44pub_type
杂志文章相关文献
MEDICAL CARE文献大全abstract::Current efforts to contain health care costs include a variety of strategies aimed at the users of health services. These approaches attempt to encourage users to be more cost-conscious and to shop for lower-cost services and more efficient health care plans. The primary method for achieving this is by increasing the ...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-198711000-00001
更新日期:1987-11-01 00:00:00
abstract: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 affecti...
journal_title:Medical care
pub_type: 社论
doi:10.1097/MLR.0000000000001134
更新日期:2019-12-01 00:00:00
abstract:OBJECTIVE:To demonstrate a rigorous methodology that optimally balanced internal validity with generalizability to evaluate a statewide collaborative that implemented an evidence-based, collaborative care model for depression management in primary care. STUDY DESIGN AND SETTING:Several operational features of the DIAM...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0b013e318249d8a4
更新日期:2013-09-01 00:00:00
abstract::Between 1989 and 1992, the Agency for Health Care Policy and Research (AHCPR) awarded funding to 14 special projects known as Patient Outcomes Research Teams (PORTs). These large, complex projects form the centerpiece of the first generation of research under the Medical Treatment Effectiveness Program. In carrying ou...
journal_title:Medical care
pub_type: 杂志文章
doi:
更新日期:1994-07-01 00:00:00
abstract::To test the hypothesis that the ability of physicians to speak the same language as asthmatic patients promotes patient compliance and the use of scheduled office appointments in preference to emergency services, the charts of 96 Spanish-speaking patients with asthma were reviewed. Of these patients, 65 were cared for...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-198812000-00003
更新日期:1988-12-01 00:00:00
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
doi:10.1097/MLR.0b013e31815f537f
更新日期:2008-05-01 00:00:00
abstract:BACKGROUND:Without advanced preparation of legal documents, state law determines who may serve as a surrogate decision maker for patients in hospitals. OBJECTIVES:To examine the relationship characteristics associated with traditional versus nontraditional health care surrogates who are making medical decisions for pa...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0000000000000890
更新日期:2018-04-01 00:00:00
abstract:BACKGROUND:Millions of Americans are burdened by out-of-pocket prescription costs. Although many survey measures have been developed to assess this burden, the construct validity and the factor structure of these instruments have not been rigorously assessed. OBJECTIVES:To characterize the factor structure and the con...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0000000000000286
更新日期:2015-02-01 00:00:00
abstract:BACKGROUND:Spinal mobilization and manipulation are 2 therapies found to be generally safe and effective for chronic low back pain (CLBP). However, the question remains whether they are appropriate for all CLBP patients. RESEARCH DESIGN:An expert panel used a well-validated approach, including an evidence synthesis an...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0000000000001108
更新日期:2019-05-01 00:00:00
abstract:BACKGROUND:Utility techniques are the most commonly used means to assess patient preferences for health outcomes. However, whether utility techniques produce valid measures of preference has been difficult to determine in the absence of a gold standard. OBJECTIVE:To introduce and demonstrate two methods that can be us...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-199906000-00007
更新日期:1999-06-01 00:00:00
abstract::The cost of obstetric care delivered in a cooperative care unit was compared with the cost for similar patients treated in a traditional inpatient maternity unit. The study sample contained 1,683 consecutive patients representing 23 diagnosis categories. The analysis indicates that cooperative care patients had signif...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-198806000-00008
更新日期:1988-06-01 00:00:00
abstract:BACKGROUND:Millions of traumatized refugees worldwide have resettled in the United States. For one of the largest, the Cambodian community, having their mental health needs met has been a continuing challenge. A multicomponent health information technology screening tool was designed to aid provider recognition and tre...
journal_title:Medical care
pub_type: 杂志文章,随机对照试验
doi:10.1097/MLR.0000000000001036
更新日期:2019-06-01 00:00:00
abstract::Previous research has estimated the effect of children's health care needs on women's market and nonmarket roles. This article reports the results of a study on the impact of health care for disabled children on women's nonmarket work. (Effects on women's market work are reported elsewhere.) Data from 369 families of ...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-198306000-00004
更新日期:1983-06-01 00:00:00
abstract:OBJECTIVES:This study proposes methods for blending design components of clinical effectiveness and implementation research. Such blending can provide benefits over pursuing these lines of research independently; for example, more rapid translational gains, more effective implementation strategies, and more useful info...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0b013e3182408812
更新日期:2012-03-01 00:00:00
abstract:OBJECTIVE:A number of health care initiatives seek to improve health outcomes by increasing access to outpatient services while reducing preventable acute events. We evaluated disparities between American Indian and Alaska Native (AI/AN) and non-Hispanic white (white) Medicare enrollees in access to outpatient preventi...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0000000000000698
更新日期:2017-06-01 00:00:00
abstract:BACKGROUND:Self-care management is recognized as a key component of care for multimorbid older adults; however, the characteristics of those most likely to participate in Chronic Disease Self-Management (CDSM) programs and strategies to maximize participation in such programs are unknown. OBJECTIVES:To identify indivi...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0b013e318268abe7
更新日期:2012-12-01 00:00:00
abstract:BACKGROUND:As clinical data are increasingly collected and stored electronically, their potential use for comparative effectiveness research (CER) grows. Despite this promise, challenges face those wishing to leverage such data. In this paper we aim to enumerate some of the knowledge management and informatics issues c...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0b013e31829b1de1
更新日期:2013-08-01 00:00:00
abstract::The effectiveness of sharing medical records in improving physician-older patient communication was evaluated in 203 ambulatory chronically ill older patients (mean age, 70.1 years) by a randomized controlled trial. Ninety-five experimental group patients received copies of their physicians' progress notes 1 week afte...
journal_title:Medical care
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1097/00005650-198604000-00004
更新日期:1986-04-01 00:00:00
abstract:OBJECTIVE:We evaluated the association of medication refill adherence with demographic and prescription characteristics to determine whether such factors could guide intervention strategies in an indigent rural population. METHODS:The study was conducted at a University-based internal medicine practice serving an indi...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-200212000-00016
更新日期:2002-12-01 00:00:00
abstract:BACKGROUND:For limited English-proficient (LEP) patients, the digital divide has narrowed, creating a new population of Internet users. However, language-appropriate health information is difficult to find. Community health center (CHC) websites are health information resources and their homepages are critical access p...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0000000000001027
更新日期:2019-06-01 00:00:00
abstract::Hospital cost-containment programs should themselves be cost-effective, targeting high-cost physicians (which requires adjusting for case mix) and patients (which requires early identification). In this study, clinical data available within 24 hours of admission from an electronic medical record system were used to de...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-199501000-00001
更新日期:1995-01-01 00:00:00
abstract:OBJECTIVES:This study examined factors that affect access to Veterans Administration mental health services. METHODS:Data from national Veterans Affairs databases and the 1990 Decennial Census were used to estimate rates of Veterans Affairs mental health service use in each US county (n = 3,156) among all US veterans ...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-199804000-00006
更新日期:1998-04-01 00:00:00
abstract:BACKGROUND:Hospitalizations are costly for health insurers and society. OBJECTIVES:To develop and validate a predictive model for acute care hospitalization from administrative claims for a population including all age groups. RESEARCH DESIGN:We constructed a retrospective cohort study using a US health plan claims d...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0b013e3182353ceb
更新日期:2012-02-01 00:00:00
abstract::In recent years, employers, insurers, and government purchasers have paid increased attention to the measurement of patient outcomes and health status. Such interest is stimulated less by policy or quality concerns than by the need to reduce health care expenditures. Any expected benefits which might accrue from healt...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-199205001-00006
更新日期:1992-05-01 00:00:00
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
doi:10.1097/MLR.0b013e31817924e4
更新日期:2008-08-01 00:00:00
abstract:OBJECTIVE:The objective of this systematic review was to identify factors that consistently predict nursing home admission (NHA) in persons with dementia. METHODS:Studies published in English were retrieved by searching the MEDLINE (1966-2006), PSYCINFO (1950-2006), CINAHL (1982-2006), and Digital Dissertations (1950-...
journal_title:Medical care
pub_type: 杂志文章,评审
doi:10.1097/MLR.0b013e31818457ce
更新日期:2009-02-01 00:00:00
abstract:BACKGROUND:Medicaid preferred drug lists (PDLs) might reduce costs for Medicaid programs while creating costs to physicians. OBJECTIVES:To measure the costs from complying with Medicaid PDLs for primary care physicians and cardiologists, and to quantify the costs of a hypothetical PDL for Medicare Part D. RESEARCH DE...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0b013e31814b8245
更新日期:2008-01-01 00:00:00
abstract:BACKGROUND:Little is known about the medical care resources devoted to diagnosing and treating cancer-related symptoms before a definitive cancer diagnosis. Previous research using SEER-Medicare data to measure incremental costs and utilization associated with cancer started with the date of diagnosis. We hypothesized ...
journal_title:Medical care
pub_type: 杂志文章,随机对照试验
doi:10.1097/MLR.0b013e3182731277
更新日期:2013-04-01 00:00:00
abstract:BACKGROUND:Limited literacy has repeatedly been linked to problems comprehending health information, although the majority of studies to date have focused on reading various print health materials. We sought to investigate patients' ability to recall spoken medical instructions in the context of a hypothetical clinical...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0b013e318241e8e1
更新日期:2012-04-01 00:00:00
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
doi:10.1097/00005650-200007000-00009
更新日期:2000-07-01 00:00:00