|
|
| |
Evaluating Differences in Health Care Quality Ratings in Children Based on the Level of Proxy Respondent Involvement with Child’s Care |
| | Abstract | Word Stems | Keywords | Association | Citation | Get this Document | Similar Titles |
|
|
Abstract:
| Use of proxies can be a valuable and necessary approach to assess the quality of health care provided to children. Some suggest that the accuracy of parent proxy response is higher for younger than older children. Although this issue has received little empirical attention different standards exist for including children 13-17 in consumer surveys via proxy response. The National Committee for Quality Assurance excludes 13-17 year olds in the CAHPS 3.0H survey sampling protocol for health plan accreditation. This practice is based on the assumption that parents cannot accurately reflect the health care experiences of their older children because they rarely accompany older children to the clinic, and when they do, they may not accompany the child into the examination room. By contrast, the CAHPS Research Consortium and the National CAHPS Benchmarking Database allow parents to respond for their teens up to age 17.
This study evaluates differences in proxy responses to selected quality of care items based on how often responding parents of older children (aged 13-17) accompany them to the clinic and/or physical examination room. We use data from a statewide survey (mail with telephone follow-up) of Minnesota’s public health care program (e.g., Medicaid) enrollees (AAPOR response rate #4=54%).
The results indicate that the level of parental accompaniment to the clinic and/or examination room falls precipitously with age resulting in concomitant differences in health care ratings. Moreover, the findings suggest that health care ratings are more affected by whether the parent accompanies the child into the examination room than just going with them to the clinic. Specifically, we found that parents who almost always accompany children into the examination room gave significantly higher ratings of overall health care, how well the provider listens, and how well the provider explains things than those accompanying the child less often. |
Author's Keywords:
| Proxy responses, quality of proxy responses, consumer surveys, patient surveys |
|  | Convention | | Submission, Review, and Scheduling! All Academic Convention can help with all of your abstract management needs and many more. Contact us today for a quote! |  | Submission - Custom fields, multiple submission types, tracks, audio visual, multiple upload formats, automatic conversion to pdf. |  | Review - Peer Review, Bulk reviewer assignment, bulk emails, ranking, z-score statistics, and multiple worksheets! |  | Reports - Many standard and custom reports generated while you wait. Print programs with participant indexes, event grids, and more! |  | Scheduling - Flexible and convenient grid scheduling within rooms and buildings. Conflict checking and advanced filtering. |  | Communication - Bulk email tools to help your administrators send reminders and responses. Use form letters, a message center, and much more! |  | Management - Search tools, duplicate people management, editing tools, submission transfers, many tools to manage a variety of conference management headaches! | | Click here for more information. |
|
|
Association:
Name: American Association For Public Opinion Association
URL: http://www.aapor.org
| Citation:
|
MLA Citation:
| Beebe, Timothy., Suarez, Walter. and Thiede Call, Kathleen . "Evaluating Differences in Health Care Quality Ratings in Children Based on the Level of Proxy Respondent Involvement with Child’s Care" Paper presented at the annual meeting of the American Association For Public Opinion Association, Fontainebleau Resort, Miami Beach, FL, <Not Available>. 2008-09-05 <http://www.allacademic.com/meta/p16955_index.html> |
APA Citation:
| Beebe, T. , Suarez, W. and Thiede Call, K. "Evaluating Differences in Health Care Quality Ratings in Children Based on the Level of Proxy Respondent Involvement with Child’s Care" Paper presented at the annual meeting of the American Association For Public Opinion Association, Fontainebleau Resort, Miami Beach, FL <Not Available>. 2008-09-05 from http://www.allacademic.com/meta/p16955_index.html |
Publication Type: Paper/Poster Proposal
Abstract: Use of proxies can be a valuable and necessary approach to assess the quality of health care provided to children. Some suggest that the accuracy of parent proxy response is higher for younger than older children. Although this issue has received little empirical attention different standards exist for including children 13-17 in consumer surveys via proxy response. The National Committee for Quality Assurance excludes 13-17 year olds in the CAHPS 3.0H survey sampling protocol for health plan accreditation. This practice is based on the assumption that parents cannot accurately reflect the health care experiences of their older children because they rarely accompany older children to the clinic, and when they do, they may not accompany the child into the examination room. By contrast, the CAHPS Research Consortium and the National CAHPS Benchmarking Database allow parents to respond for their teens up to age 17.
This study evaluates differences in proxy responses to selected quality of care items based on how often responding parents of older children (aged 13-17) accompany them to the clinic and/or physical examination room. We use data from a statewide survey (mail with telephone follow-up) of Minnesota’s public health care program (e.g., Medicaid) enrollees (AAPOR response rate #4=54%).
The results indicate that the level of parental accompaniment to the clinic and/or examination room falls precipitously with age resulting in concomitant differences in health care ratings. Moreover, the findings suggest that health care ratings are more affected by whether the parent accompanies the child into the examination room than just going with them to the clinic. Specifically, we found that parents who almost always accompany children into the examination room gave significantly higher ratings of overall health care, how well the provider listens, and how well the provider explains things than those accompanying the child less often. |
Get this Document:
Find this citation or document at one or all of these locations below. The links below may have the citation or the entire document for free or you may purchase access to the document. Clicking on these links will change the site you're on and empty your shopping cart.
Similar Titles:
Quality versus Quantity of Care: The Effect of Maternal Time, Employment and Quality of Care on Children's Cognitive Outcomes
Are Lower Response Rates Hazardous for Your Health? Do Higher Response Rates Translate Into Better Estimates of Health Insurance Coverage and Access to Care?
Why Those Baby Blues? Changes in Strains from Child Care Arrangements and in Levels of Depression Among Employed Mothers of Young Children
|
|
