Assessing Cultural Perspectives on Healthcare Quality

详细信息    查看全文

• 作者：Ann D. Bagchi (1)
  Raquel af Ursin (2)
  Alicia Leonard (2)
  
• 关键词：CAHPS? ; Race/ethnicity ; Quality ; Cultural competency
• 刊名：Journal of Immigrant and Minority Health
• 出版年：2012
• 出版时间：February 2012
• 年：2012
• 卷：14
• 期：1
• 页码：175-182
• 全文大小：203KB
• 参考文献：1. Agency for Healthcare Research and Quality. 2009. CAHPS^? Surveys and tools to advance patient-centered care. Available at: cahps.ahrq.gov/default.asp." class="a-plus-plus">https://www.cahps.ahrq.gov/default.asp. Accessed October 4, 2009.
  2. Morales LS, Weech-Maldonado R, Elliott MN, et al. Psychometric properties of the Spanish Consumer Assessment of Health Plans Survey (CAHPS). Hisp J Behav Sci. 2003;25:386-09. CrossRef
  3. Becker D, Tsui A. Reproductive health service preferences and perceptions of quality among low-income women: racial, ethnic and language group differences. Perspect Sex Reprod Health. 2008;40:202-1. CrossRef
  4. Fongwa MN, Sayre MM, Anderson NLR. Quality indicator themes among African Americans, Latinos, and whites. J Nurs Care Qual. 2008;23:50-. CrossRef
  5. Weech-Maldonado R, Elliott M, Morales LS, et al. Health plan effects on patient assessments of medicaid managed care among racial/ethnic minorities. J Gen Intern Med. 2004;19:136-5. CrossRef
  6. Lake T, Kvam C, Gold M. Literature review: using quality information for health care decisions and quality improvement. Cambridge, MA: Mathematica Policy Research; 2005.
  7. Goldstein E, Farquhar M, Crofton C, et al. Measuring hospital care from the patients-perspective: an overview of the CAHPS^? hospital survey development process. Health Serv Res. 2005;40:1977-5. CrossRef
  8. Hurtado MP, Angeles J, Blahut SA, et al. Assessment of the equivalence of the Spanish and English versions of the CAHPS^? hospital survey on the quality of inpatient care. Health Serv Res. 2005;40:2140-1. CrossRef
  9. Weidmer B, Brown J, Garcia L. Translating the CAHPS^? 1.0 survey instruments into Spanish. Med Care. 1999;37:MS89-6. CrossRef
  10. Bann CM, Iannacchoine VG, Sekscenski ES. Evaluating the effect of translation on Spanish speakers-ratings of Medicare. Health Care Financ Rev. 2005;26:51-5.
  11. Fongwa MN, Cunningham W, Weech-Maldonado R, et al. Comparison of data quality for reports and ratings of ambulatory care by African American and white medicare managed care enrollees. J Aging Health. 2006;18:707-1. CrossRef
  12. Ngo-Metzger Q, Telfair J, Sorkin DH, et al. Cultural competency and quality of care: obtaining the patient’s perspective. New York, NY: The Commonwealth Fund; 2006.
  13. Bethell C, Carter K, Lansky D, et al. Measuring and interpreting health care quality across culturally-diverse populations: a focus on consumer-reported indicators of health care quality. Portland, OR: Foundation for Accountability; 2003.
  14. The National Forum. Improving healthcare quality for minority patients: workshop proceedings. Washington, DC: National Quality Forum; 2002.
  15. Stewart AL, Nápoles-Springer AM. Advancing health disparities research: can we afford to ignore measurement issues? Med Care. 2003;41:1207-0. CrossRef
  16. Nápoles-Springer AM, Santoyo J, Houston K, et al. Patients-perceptions of cultural factors affecting the quality of their medical encounters. Health Expect. 2005;8:4-7. CrossRef
  17. Herdman M, Fox-Rushby J, Badia X. ‘Equivalence-and the translation and adaptation of health-related quality of life questionnaires. Qual Life Res. 1997;6:237-7. CrossRef
  18. Weech-Maldonado R, Weidmer BO, Morales LS, et al. Cross-cultural adaptation of survey instruments: the CAHPS^? experience. In: Cynamon ML, Kulka R, editors. Seventh Conference on health survey research methods. Hyattsville, MD: Department of Health and Human Services; 2001.
  19. Donabedian A. Explorations in quality assessment and monitoring. Volume 1: the definition of quality and approaches to its assessment. Ann Arbor, MI: Health Administration Press; 1980.
  20. Sofaer S, Firminger K. Patient perceptions of the quality of health services. Annu Rev Public Health. 2005;26:513-9. CrossRef
  21. Saha S, Komaromy M, Koepsell TD, et al. Patient-physician racial concordance and the perceived quality and use of health care. Arch Intern Med. 1999;159:997-004. CrossRef
  22. Fongwa MN. Exploring quality of care for African Americans. J Nurs Care Qual. 2001;15:27-9. CrossRef
  23. Ayanian JZ, Zaslavsky AM, Guadagnoli E, et al. Patients-perceptions of quality of care for colorectal cancer by race, ethnicity, and language. J Clin Oncol. 2005;23:6576-6. CrossRef
  24. Murray-García JL, Selby JV, Schmittdiel J, et al. Racial and ethnic differences in a patient survey: patients-values, ratings, and reports regarding physician primary care performance in a large health maintenance organization. Med Care. 2000;38:300-0. CrossRef
  25. Haviland MG, Morales LS, Reise SP, et al. Do health care ratings differ by race or ethnicity? Jt Comm J Qual Saf. 2003;29:134-5.
  26. Lurie N, Zhan C, Sangl J, et al. Variation in racial and ethnic differences in consumer assessments of health care. Am J Manag Care. 2003;9:502-.
  27. Weech-Maldonado R, Morales LS, Elliott M, et al. Race/ethnicity, language, and patients-assessments of care in Medicaid managed care. Health Serv Res. 2003;38:789-08. CrossRef
  28. Taira DA, Safran DG, Seto TB, et al. Do patient assessments of primary care differ by patient ethnicity? Health Serv Res. 2001;36:1059-1.
  29. Ngo-Metzger Q, Massagli MP, Clarridge BR, et al. Linguistic and cultural barriers to care: perspectives of Chinese and Vietnamese immigrants. J Gen Intern Med. 2003;18:44-2. CrossRef
  30. Agency for Healthcare Research and Quality. 2008a. ECHO^? Survey and Reporting Kit. Available at: cahps.ahrq.gov/cahpskit/ECHO/ECHOchooseQX1.asp" class="a-plus-plus">https://www.cahps.ahrq.gov/cahpskit/ECHO/ECHOchooseQX1.asp. Accessed October 4, 2009.
  31. Agency for Healthcare Research and Quality. 2008b. CAHPS^? Clinician & Group Survey: adult specialty care questionnaire 1.0. Available at: cahps.ahrq.gov/cahpskit/files/352a-4_AdultSpec_Eng_4pt_V1.pdf" class="a-plus-plus">https://www.cahps.ahrq.gov/cahpskit/files/352a-4_AdultSpec_Eng_4pt_V1.pdf. Accessed October 4, 2009.
  32. Darby C. Development of a CAHPS^? patient assessment of cultural competence. Agency of healthcare research and quality, 2007. Available at: www.iom.edu/File.aspx?ID=41947. Accessed October 4, 2009.
  33. Jackson JL, Chamberlin J, Kroenke K. Predictors of patient satisfaction. Soc Sci Med. 2001;52:609-0. CrossRef
  
• 作者单位：Ann D. Bagchi (1)
  Raquel af Ursin (2)
  Alicia Leonard (2)
  
  1. Research Division, Mathematica Policy Research, 600 Alexander Park, Princeton, NJ, 08540, USA
  2. Survey Division, Mathematica Policy Research, Princeton, NJ, USA
  

文摘

This study explores cultural differences in perceptions of quality of care and examines whether existing surveys, such as the Consumer Assessment of Healthcare Providers and Systems (CAHPS?) questionnaires, adequately capture conceptions of healthcare quality among members of racial/ethnic minority groups. Eight focus groups with African Americans, Asian Indians, Latinos, and whites were organized into two 45-minute segments. In one segment, participants rated the quality of care depicted in a video; in the other they discussed the concept of “healthcare quality.-We found that members of racial/ethnic minority groups are more likely than whites to identify cultural competency and providing a holistic approach to care as important to healthcare quality. Neither of these concepts is currently included in the core CAHPS? questionnaire. The CAHPS? and other quality surveys may not accurately capture concepts of healthcare quality that members of racial/ethnic minority groups deem most important.