Evaluating the physician office visit: in pursuit of a valid and reliable measure of quality improvement efforts.
In an effort to develop a patient questionnaire with sufficient validity and reliability to be used to measure patient perceptions of quality, over 30,000 patients from 178 solo and group practices completed the Physician Office Quality of Care Monitor (QCM). The study found strong evidence of construct validity, predictive validity, and internal consistency for the questionnaire. Physician interactions were the most important aspect of office care while coordination of care over time was found to be the best issue to differentiate patients likely to recommend a practice from those less likely to recommend. An inverse relationship was found between practice size and patient satisfaction. Health maintenance organization (HMO) patients reported lower satisfaction, as did younger patients.
Seibert
J H
JH
Parkside Associates, Inc., Park Ridge, IL, USA.
Strohmeyer
J M
JM
Carey
R G
RG
D005163:Factor Analysis, Statistical; D006123:Group Practice / Q000592:standards / Q000706:statistics & numerical data; D006302:Health Services Research / Q000379:methods* / Q000706:statistics & numerical data; D009819:Office Visits; D017060:Patient Satisfaction / Q000706:statistics & numerical data*; D010817:Physician-Patient Relations; D011216:Practice Management, Medical / Q000592:standards*; D011787:Quality of Health Care / Q000592:standards* / Q000706:statistics & numerical data; D015203:Reproducibility of Results; D011795:Surveys and Questionnaires; D014481:United States