Evidence map›Paper›PMID 19114573›Full record

ArticlePsychiatric services (Washington, D.C.)2009

Are comparisons of consumer satisfaction with providers biased by nonresponse or case-mix differences?

Gregory Simon, Carolyn Rutter, Marlan Crosier, Jennifer Scott, Belinda H Operskalski, Evette Ludman

Abstract read
In one paragraph

Article in Psychiatric services (Washington, D.C.), 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. Nonresponse Bias on Inpatient Rehabilitation Hospitals' Experience of Care Quality Measure Scores.Archives of rehabilitation research and clinical translation · 2024
    Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Is dropout after a first psychotherapy visit always a bad outcome?Psychiatric services (Washington, D.C.) · 2012
    Article
  7. Improving satisfaction in patients receiving mental health care: a case study.The journal of behavioral health services & research · 2012
    Article
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Gregory SimonCenter for Health Studies, Group Health Cooperative, 1730 Minor Ave., Suite 1600, Seattle, WA 98101-1448, USA. simon.g@ghc.org
Carolyn Rutter
Marlan Crosier
Jennifer Scott
Belinda H Operskalski
Evette Ludman

Funding

PRINCIPAL RESEARCH COREP20MH068572 · NIMH · KAISER FOUNDATION HEALTH PLAN OF WASHINGTON · PI SIMON, GREGORY E. · 2005 to 2009
$2.3M
NIMH NIH HHS P20 MH068572NIMH NIH HHS P20-MH068572
6 · The paper itself

Abstract

objectiveThis study examined how consumer satisfaction ratings differ between mental health care providers to determine whether comparison of ratings is biased by differences in survey response rates or consumer characteristics.

methodsConsumer satisfaction surveys mailed by a mixed-model prepaid health plan were examined. Survey data were linked to computerized records regarding consumers' demographic (age, sex, and type of insurance coverage) and clinical (primary diagnosis and initial versus return visit) characteristics. Statistical models examined probabilities of returning the survey (N=8,025 returned surveys) and of giving an excellent satisfaction rating. Variability was separated into within-provider effects and between-provider effects.

resultsThe overall response rate was 33.8%, and 49.9% of responders reported excellent satisfaction. Neither response rate nor satisfaction rating was related to primary diagnosis. Within the practices of individual providers, response rate and receiving an excellent rating were significantly associated with female sex, older age, longer enrollment in the health plan, and making a return visit. Analyses of between-provider effects, however, found that only a higher proportion of return visitors was significantly associated with higher response rates and higher satisfaction ratings.

conclusionsThere was little evidence that differences in response rate or in consumers served biased comparison of satisfaction ratings between mental health providers. Bias might be greater in a setting with more heterogeneous consumers or providers. Returning consumers gave higher ratings than first-time visitors, and analyses of satisfaction ratings may need to account for this difference. Extremely high or low ratings should be interpreted cautiously, especially for providers with a small number of surveys.

Indexed as

BiasConsumer BehaviorDiagnosis-Related GroupsHealth PersonnelAdultFemaleHealth Care SurveysHumansIdahoMaleMental Health ServicesMiddle AgedWashington

Identifiers

PMID19114573
PMCPMC2804850

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.