title: Patient experience of care in the safety net: current efforts and challenges.
abstract: Measuring patient experience of care fosters the delivery of patient-centered services and increases health care quality. Most pay-for-performance and public reporting programs focus on care provided to insured populations, excluding the uninsured. Using qualitative research methods, we interviewed leaders of California safety-net practices to assess how they measure patient experience of care and the measurement barriers they encounter. Most had unmet needs for assistance with data collection and quality improvement strategies for their patient population. Tailored measurement and quality improvement resources, coupled with policy mandates to give all patients a voice, would improve the quality of patient-centered care in safety-net organizations.
authors.affiliation: Division of General Pediatrics and Child and Adolescent Health Measurement Initiative, Oregon Health & Science University, 707 SW Gaines Street, Portland, OR 97239, USA. zuckerma@ohsu.edu
authors.forename: Katharine E
authors.initials: KE
authors.lastname: Zuckerman
authors.forename: Alicia
authors.initials: A
authors.lastname: Wong
authors.forename: Stephanie
authors.initials: S
authors.lastname: Teleki
authors.forename: Susan
authors.initials: S
authors.lastname: Edgman-Levitan
mesh_terms: D002140:California; D003625:Data Collection / Q000379:methods; D006801:Humans; D007407:Interviews as Topic; D008484:Medicaid / Q000706:statistics & numerical data; D017057:Medically Uninsured / Q000706:statistics & numerical data; D018802:Patient-Centered Care / Q000458:organization & administration*; D010361:Patients / Q000523:psychology*; D036301:Qualitative Research; D058996:Quality Improvement; D014481:United States; D035862:Vulnerable Populations / Q000706:statistics & numerical data*