Abstract:
OBJECTIVES:Patient perceptions are increasingly used to measure quality of care in a diversity of health-care delivery settings. The goals of this article are to review the current use of patient perceptions and to review what is known about the sensitivity of patient perceptions for discerning variations in care across delivery systems. METHODS:This article first provides a rationale for using patient perceptions to evaluate delivery systems and reviews proposed frameworks for measuring perceptions. It then reviews illustrative studies that have used patient perceptions to compare delivery systems or that have examined associations between patient perceptions and other health-care indicators. RESULTS:Although the results of these studies suggest some general relations between patient perceptions and characteristics of delivery systems, findings are often inconsistent across individual studies. These inconsistencies may be related to several potential methodological limitations, including failure to account for the impact of patient mix, ceiling effects of patient responses, nonresponse bias, differences in data collection methods and timing of surveys, use of proxy respondents, and differences in survey instruments. CONCLUSIONS:The discussion concludes with five conceptual challenges and recommendations for further research: (1) to establish the sensitivity of patient perceptions for discerning differences across delivery systems; (2) to establish relations between alternative frameworks for measuring patient perceptions; (3) to standardize the measurement of patient perceptions; (4) to define optimal ways of presenting patient perceptions data to users; and (5) to broaden the "patient" populations in which perceptions of care have been measured.
journal_name
Med Carejournal_title
Medical careauthors
Rosenthal GE,Shannon SEdoi
10.1097/00005650-199711001-00007subject
Has Abstractpub_date
1997-11-01 00:00:00pages
NS58-68issue
11 Suppleissn
0025-7079issn
1537-1948journal_volume
35pub_type
杂志文章,评审相关文献
MEDICAL CARE文献大全abstract:BACKGROUND:Latino populations have disproportionately moved to areas in the Southeast and Midwest (emerging destinations), outside traditional Latino enclaves, in recent years. OBJECTIVE:To examine whether health care experiences differ between traditional and emerging destinations for Latino children. RESEARCH DESIG...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0000000000000504
更新日期:2016-05-01 00:00:00
abstract:OBJECTIVES:The authors compare two generic measures of health status with disease-specific measures in a randomized controlled trial of transurethral resection of the prostate with laser vaporization prostatectomy for benign prostatic hypertrophy. METHODS:Patients entered into the trial completed the following questio...
journal_title:Medical care
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1097/00005650-199711000-00003
更新日期:1997-11-01 00:00:00
abstract:OBJECTIVES:The economic impact of trauma in older persons is a matter of increasing concern to public health practitioners and planners, yet it is an issue that has not been widely studied. Available evidence does suggest, however, that falls are the costliest category of injury among older persons. METHODS:This study...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-199808000-00006
更新日期:1998-08-01 00:00:00
abstract::The study determined the intrarelationships and interrelationships of two sets of physician performance measures: technical quality and utilization of medical resources. The performance measures were based on 2,431 episodes in 15 diagnostic categories involving 454 physicians. A series of correlations were used to det...
journal_title:Medical care
pub_type: 杂志文章
doi:
更新日期:1978-06-01 00:00:00
abstract::This prospective study was conducted to determine the influence of primary care patients' health perceptions on their utilization of health care services. Patients' health perceptions were measured using the RAND Corporation's General Health Perceptions Questionnaire. Physicians provided scores of how they thought the...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-198903001-00009
更新日期:1989-03-01 00:00:00
abstract::A clustering method for the analysis of ambulatory morbidity data is presented. This approach reduces spurious variations resulting from idiosyncratic diagnosis labeling and coding habits of physicians and facilitates the analysis of the content of ambulatory medical care through the use of aggregate morbidity data. T...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-198301000-00008
更新日期:1983-01-01 00:00:00
abstract:BACKGROUND:Personal health records offer patients access to view their own health information and to manage their care online through secure patient portal tools. Little is known about the patient-reported experience in using health portals to manage chronic conditions. OBJECTIVE:In a patient-centered research study, ...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0000000000001178
更新日期:2019-10-01 00:00:00
abstract:BACKGROUND:Adherence to medication treatment plans is important for chronic disease (CD) management. Cost-related nonadherence (CRN) puts patients at risk for complications. Native Hawaiians and Pacific Islanders (NHPI) suffer from high rates of CD and socioeconomic disparities that could increase CRN behaviors. OBJEC...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0000000000000887
更新日期:2018-04-01 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:STUDY OBJECTIVES:To assess the feasibility of using the SF-36v2 mental health (MH) and mental component summary (MCS) scores for classification of risk for major depressive disorder (MDD), and to determine cut-off scores based on the sensitivity and specificity in a general US representative sample, and a chronic pain ...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0000000000000617
更新日期:2017-02-01 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::As part of a comprehensive evaluation of care received by enrollees in a prepaid community health care project, we studied the process of care for enrollees reported to have a urinary tract infection. The care given to 98 patients enrolled in a large prepaid group practice (PGP) and 69 patients seen by 45 physicians i...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-197806000-00005
更新日期:1978-06-01 00:00:00
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
doi:10.1097/00005650-200004000-00005
更新日期:2000-04-01 00:00:00
abstract:BACKGROUND:By shifting a greater share of out-of-pocket medical costs to consumers, high-deductible health plans (HDHP) might discourage use of essential outpatient services. OBJECTIVE:The objective of the study was to examine the impact of an HDHP on outpatient visits and associated laboratory and radiology tests. R...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0000000000000008
更新日期:2014-01-01 00:00:00
abstract::The application of health status measures in policy research relies considerably on patterns of mortality, life expectancy, and health status indicators, such as hospital readmission and institutionalization rates. In recent years the state of the art in health status measurement has advanced substantially with the de...
journal_title:Medical care
pub_type: 杂志文章,评审
doi:10.1097/00005650-198903001-00002
更新日期:1989-03-01 00:00:00
abstract:BACKGROUND:Incorporating patients' preferences into colorectal cancer (CRC) screening recommendations has been identified as a potential mechanism for increasing adherence. This study used conjoint analysis to describe variation in CRC screening preferences among racially/ethnically diverse primary care patients. METH...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0b013e31817d932e
更新日期:2008-09-01 00:00:00
abstract:BACKGROUND:Changes in the demographic, specialty, and employment sector composition of medicine have altered physicians' jobs, limiting autonomy and reducing morale. Because physician job satisfaction has been linked to clinical variables, better measurement might help to ameliorate conditions linked to medical disaffe...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-199911000-00010
更新日期:1999-11-01 00:00:00
abstract:BACKGROUND:Versus whites, blacks with diabetes have poorer control of hemoglobin A1c (HbA1c), higher systolic blood pressure (SBP), and higher low-density lipoprotein (LDL) cholesterol as well as higher rates of morbidity and microvascular complications. OBJECTIVE:To examine whether several mutable risk factors were m...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/mlr.0b013e318192609d
更新日期:2009-06-01 00:00:00
abstract:BACKGROUND:Indication bias is the major challenge in assessing treatment effectiveness in observational studies. We explored the potential advantages of using an instrumental variable approach in the context of primary androgen deprivation therapy (ADT) for prostate cancer. METHODS:We identified 31,930 men in the link...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0b013e318245a086
更新日期:2012-05-01 00:00:00
abstract::In a large randomized trial involving over 2,000 women with abnormal cervical cytology (pap smear), three clinic-based interventions were tested as strategies to increase return rates for screening follow-up: 1) a personalized follow-up letter and pamphlet; 2) a slide-tape program on pap smears; and 3) transportation ...
journal_title:Medical care
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1097/00005650-199203000-00004
更新日期:1992-03-01 00:00:00
abstract:OBJECTIVE:This study aimed to describe the self-reported health status of the general adult U.S. population using 3 multi-attribute preference-based measures: the EQ-5D, Health Utilities Index Mark 2 (HUI2), and Mark 3 (HUI3). METHODS:We surveyed the general adult U.S. population using a probability sample with oversa...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/01.mlr.0000182493.57090.c1
更新日期:2005-11-01 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:BACKGROUND:Efforts to identify hospital-acquired complications from claims data by applying exclusion rules to discharge diagnosis codes exhibit low positive predictive value (PPV). The PPV improves when a variable is added to each secondary diagnosis to indicate whether the condition was "present-on-admission" (POA) o...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0b013e3181589b92
更新日期:2008-02-01 00:00:00
abstract:BACKGROUND:The United States has a culturally and demographically diverse populace, and the aim of this study was to examine differences in health preferences by sex, age, ethnicity, and race. METHODS:We assessed preferences for health outcomes defined by the PROMIS-29 survey in a sample of the US population. On the b...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0000000000000066
更新日期:2014-04-01 00:00:00
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
doi:10.1097/MLR.0000000000000342
更新日期:2015-05-01 00:00:00
abstract:BACKGROUND:Information is limited regarding the effects of processes of care on cardiac surgical outcomes. Correspondingly, many recommended cardiac surgical processes of care are derived from animal experiments or clinical judgment. This report from the VA Cooperative Study in Health Services, "Processes, Structures, ...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/01.mlr.0000102295.08379.57
更新日期:2004-01-01 00:00:00
abstract:AIMS:There are situations in which patient self-reported health-related quality of life must be substituted by proxy assessments. Pickard and Knight recently delineated 2 proxy perspectives that may influence the nature of proxy measurements: the "proxy-patient" (the proxy's assessment from the patient's perspective) a...
journal_title:Medical care
pub_type: 杂志文章,随机对照试验
doi:10.1097/MLR.0b013e318158af13
更新日期:2008-02-01 00:00:00
abstract:OBJECTIVES:Most tests of the practice-makes-perfect hypothesis have used cross-sectional data, which reveal that patients receiving surgery in high-volume hospitals tend to experience better postsurgery outcomes. This study uses longitudinal data to explicitly examine whether any given hospital's patient outcomes chang...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-199806000-00012
更新日期:1998-06-01 00:00:00
abstract::One of the techniques adopted recently by certain hospitals to meet the competitive pressure for reducing costs is physician profiling. Profiling produces periodic reports that compare a physician's resource consumption to a benchmark figure. This study analyzes the effectiveness and implications of one hospital's int...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-199511000-00004
更新日期:1995-11-01 00:00:00
abstract::Cataract surgery is the most frequently performed surgical procedure on Medicare beneficiaries, with an annual cost to the Medicare program of more than $3.4 billion. In this study, the relationship between demographic, environmental, and provider-related factors, and the likelihood that cataract surgery will be perfo...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-199501000-00008
更新日期:1995-01-01 00:00:00