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Is it all about Subjectivity?
By Brent Mefesel MD
Patient Satisfaction data [PSD] is a subjective measure of what the patient perceives in terms of the level of service quality and care provided by the clinician.
Many health plans consider patient satisfaction an important measure of physician quality. Although not a direct measure of clinical quality, many researchers link patient satisfaction to clinical outcomes.
Resource Intense
This PSD however, is also resource-intensive to collect and requires commitment on the part of the patient to fill out the forms and return them in the mail or on-line. Selection bias may also occur in terms of patient satisfaction data, in that patients who choose to fill out and return the forms may in some cases not be representative of the overall patient population for a physician.
Recent Evolution
More recently, the field has been moving from measuring “satisfaction” to elucidating a more validated and specific “patient experience of care”. The Consumer Assessment of Healthcare Providers and Systems (CAHPS®), funded and administered by the Agency for Healthcare Quality (AHRQ), is a part of a national initiative to measure, report on, and improve health care quality from the viewpoint of patients and other consumers. Separate surveys are used for evaluating ambulatory care and facility or hospital care.
More CAHPS®
In addition, the National CAHPS Benchmarking Database contains over 10 years of CAHPS survey data from commercial and Medicaid plans and is designed to facilitate comparative analysis of individual CAHPS survey results with benchmarks, including national or regional averages.
Assessment
The CAHPS program works closely with other public and private research agencies, known collectively as the CAHPS Consortium, for continued review and enhancement of the survey tools.
Conclusion
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Filed under: Book Reviews, Quality Initiatives | Tagged: Agency for Healthcare Quality, AHRQ, By Brent Mefesel MD, CAHPS®), Consumer Assessment of Healthcare Providers and Systems, Patient Satisfaction Data |
The Leading Business Education Network for Doctors, Financial Advisors and Health Industry Consultants 
Brent,
Well done.
The Real World Data & Health Outcomes meeting is in Boston 29th – 30th November. It will take a deep and strategic look at the ever growing opportunity for data to deliver the most robust evidence for the value of drugs.
http://www.eyeforpharma.com/real
Charles
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The Doctor-Patient Relationship – Is Over
Probably the hardest part of making the change from a traditional to a direct-care practice is the effect it has on relationships.
http://thehealthcareblog.com/blog/2012/09/17/the-doctor-patient-relationship-is-over/
This doctor is taking a maximum of 1000 patients (less at the start) and will be no longer accepting insurance.
Ann Miller RN MHA
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Data and Observation Bias
Observation bias is a particular variety of bias introduced into scientific studies when the method of observation used causes the results to be skewed in some nonrandom manner, leading to inaccurate results.
Although it can occur in any variety of study, correlational studies, in which there is no independent variable and all information is from observation, tend to be the most vulnerable.
Dr. Cranford
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