ArticleHealth services research2010
Case-mix adjustment and the comparison of community health center performance on patient experience measures.
Article in Health services research, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- The impact of integrating medical assistants and community health workers on diabetes care management in community health centers.BMC health services research · 2018Trial
- Case-mix adjustments of patient reported experience measures in general practice: variations between Norwegian municipalities.Scandinavian journal of primary health care · 2026Article
- Case-mix adjustments for patient reported experience and outcome measures in primary care: an empirical approach to identify patient characteristics as case-mix adjusters based on a secondary analysis of an international survey among patients and their general practitioners in 34 countries.Journal of patient-reported outcomes · 2023Article
- Case-mix adjustment of patient-reported experience measures in National Regional Center for Pediatric.Pediatric research · 2023Article
- Article
- Perceptions of Patients With Breast and Colon Cancer of the Management of Cancer-Related Pain, Fatigue, and Emotional Distress in Community Oncology.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2019Article
- Disparities in Diabetes Care Quality by English Language Preference in Community Health Centers.Health services research · 2018Article
- Evaluating patient experiences in decentralised acute care using the Picker Patient Experience Questionnaire; methodological and clinical findings.BMC health services research · 2017Article
- The development and acceptability of symptom management quality improvement reports based on patient-reported data: an overview of methods used in PROSSES.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2016Article
- Examining multiple sources of differential item functioning on the Clinician & Group CAHPS® survey.Health services research · 2011Article
- The association between demographic factors, user reported experiences and user satisfaction: results from three casualty clinics in Norway.BMC family practice · 2010Article
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo assess the effect of case-mix adjustment on community health center (CHC) performance on patient experience measures. DATA SOURCES: A Medicaid-managed care plan in Washington State collected patient survey data from 33 CHCs over three fiscal quarters during 2007-2008. The survey included three composite patient experience measures (6-month reports) and two overall ratings of care. The analytic sample includes 2,247 adult patients and 2,859 adults reporting for child patients. STUDY
designWe compared the relative importance of patient case-mix adjusters by calculating each adjuster's predictive power and variability across CHCs. We then evaluated the impact of case-mix adjustment on the relative ranking of CHCs. PRINCIPAL
findingsImportant case-mix adjusters included adult self-reported health status or parent-reported child health status, adult age, and educational attainment. The effects of case-mix adjustment on patient reports and ratings were different in the adult and child samples. Adjusting for race/ethnicity and language had a greater impact on parent reports than adult reports, but it impacted ratings similarly across the samples. The impact of adjustment on composites and ratings was modest, but it affected the relative ranking of CHCs.
conclusionsTo ensure equitable comparison of CHC performance on patient experience measures, reports and ratings should be adjusted for adult self-reported health status or parent-reported child health status, adult age, education, race/ethnicity, and survey language. Because of the differential impact of case-mix adjusters for child and adult surveys, initiatives should consider measuring and reporting adult and child scores separately.
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