Patient Satisfaction in Quality of Managed Care
Aspect to be compared
Gender and Patient
Satisfaction in Managed Care, etc.
Stakeholder Perceptions of Quality in Managed Care Plans
Two Steps to Enhance Managed Care Quality
Author(s)/Date
Emily Weisman, MS
Martha Romans
Jacobs Institute of Women's Health
Washington, DC
Carolyn M. Clancy, MD
Paul L. Grimaldi, Ph.D.
To determine what the differences are and what variables might affect women patients' perceptions of the quality of managed care
To find out what attributes three different health care stakeholders, physicians, employers and consumers, value most in determining their assessments of the quality of managed care health plans
To explain the ramifications of two developments in managed care: the new application form for MCOs to become Medicare risk contractors, and the National Committee for Quality Assurance plan to begin performance-based accreditation.
Hypotheses
Determining what the differences between men's and women's perceptions of the quality of health care may mean to the outcome of care; hypothesis was that the differences were minor despite women's different patterns of visiting doctors.
The three stakeholder groups view quality differently; consumers want good care and good customer service; physicians want autonomy; employers want value at low cost and good work ethics and so on. Knowing the nature and extent of these differences would help managed care organizations better serve each group.
That the two steps enumerated will cause an increase in health care costs.
Subjects
The subjects were survey respondents of NCQA and contains 97,873 men and women aged 18 and over) who were enrolled in 206 commercial managed care health plans and completed the HEDIS/CAHPS survey administered between February and May 1999.
Focus groups of employees, physicians and consumers were used to develop information, which was followed up by a questionnaire.
None for this article per se; however, he identifies subject groups MCOs might survey vis-a-vis the two factors of managed care he is explaining
Location
Harrisonburg, Va. area
Equipment/Materials
As aggregate data was used from other studies, only computers and other data handling equipment would be needed.
Audiotape machines for the focus groups, as well as some means of transcription, and means of sending out questionnaires.
Virtually none.
Duration
Feb.-May 1999
Several phases, although specific length of time not given.
Procedure
Acquire data set from NQHA; decide which respondents' answers not to use; decide which...
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