Published online October 12, 2009
PEDIATRICS Vol. 124 No. 5 November 2009, pp. 1348-1354 (doi:10.1542/peds.2009-0495)
This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow E-mail this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My File Cabinet
Right arrow Download to citation manager
Right arrowRequest Permissions
Citing Articles
Right arrow Citing Articles via CrossRef
Google Scholar
Right arrow Articles by Gallagher, P.
Right arrow Articles by Cleary, P. D.
PubMed
Right arrow PubMed Citation
Right arrow Articles by Gallagher, P.
Right arrow Articles by Cleary, P. D.
Related Collections
Right arrow Office Practice
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Facebook   Add to Reddit   Add to Technorati   Add to Twitter  
What's this?

ARTICLE

Development of a New Patient-Based Measure of Pediatric Ambulatory Care

Patricia Gallagher, PhDa, Lin Ding, PhDb, Hazen P. Ham, PhDc, Edward L. Schor, MDd, Ron D. Hays, PhDe and Paul D. Cleary, PhDf

a Center for Survey Research, University of Massachusetts, Boston, Boston, Massachusetts
b Department of Health Care Policy, Harvard Medical School, Boston, Massachusetts
c American Board of Pediatrics, Chapel Hill, North Carolina
d Commonwealth Fund, New York, New York
e Rand Corporation, Santa Monica, California
f Yale School of Public Health, Yale School of Medicine, New Haven, Connecticut

OBJECTIVE: In 1995, the Agency for Health Care Policy and Research initiated the Consumer Assessments of Healthcare Providers and Systems (CAHPS) project to develop and evaluate survey protocols for collecting reliable and valid assessments of health care from consumers. CAHPS surveys are used throughout the United States for evaluating ambulatory and hospital care experiences, including a version for assessing pediatric ambulatory care; however, pediatric experts thought that the existing pediatric instruments did not adequately assess developmental and preventive care. The objective of this study was to develop and test an Ambulatory Pediatric CAHPS survey that focuses on clinicians and groups and includes measures of developmental and preventive care.

METHODS: To develop the survey, we conducted 2 focus groups and conducted 9 cognitive interviews. We conducted a telephone pretest with 20 parents and coded potential problems with the interview (behavioral coding). We conducted a dual-language field test of the instrument with 670 parents who reported about their children's ambulatory care. We used data from that survey to assess the reliability and validity of the measures.

RESULTS: Questions about developmental monitoring and preventive care were developed and tested. Two scales that were based on those new questions had good internal consistency (coefficient {alpha}) and inter-physician reliability. A consortium of CAHPS investigators and federal sponsors have approved the resulting instrument as a national measure of pediatric care.

CONCLUSIONS: A new instrument for assessing ambulatory pediatric care by clinicians and groups that includes questions about developmental and preventive care is now available for use.

Key Words: patient-centered care • surveys • CAHPS

Abbreviations: AHCPR—Agency for Health Care Policy and Research • CAHPS—Consumer Assessment of Healthcare Providers and Systems • NQF—National Quality Forum • MGPO—Massachusetts General Physicians Organization

Accepted Jun 5, 2009.


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Facebook Facebook   Add to Reddit Reddit   Add to Technorati Technorati   Add to Twitter Twitter    What's this?