title: Is patient assessment of asthma care delivery associated with publicly reported performance measures?
abstract: OBJECTIVE
  To determine the association between patient assessment of healthcare delivery and publicly reported asthma performance measures.
  
  
  METHODS
  We identified individuals 5-50 years old who had asthma quality measures reported to the Minnesota Community Measurement© (MCM©) by their clinic and sent them a postal survey which included within it the Patient Assessment of Chronic Illness care (PACIC), a validated measure of patient perception of the quality of healthcare delivery. We performed a multivariable analysis to examine the association between PACIC scores and achievement of asthma care quality measures.
  
  
  RESULTS
  The response rate for the ACS was 102/367 (28%); a non-response bias analysis revealed no differences between responders and non-responders for age, gender and asthma control. Most responders (73%) reported taking asthma medications daily and most (71%) had poorly controlled asthma. The PACIC score was not associated with any of the asthma quality measures based on the data reported to MCM© by the clinic. A higher PACIC score was, however, associated with having an asthma action plan based on patient-reported data in the ACS (p < 0.0001) but not with patient-reported asthma control or emergency department/hospitalizations for asthma.
  
  
  CONCLUSIONS
  Patient assessment of high quality asthma care delivery was associated with patient self-report of having an asthma action plan but was not associated with any of the publicly reported asthma performance measures.
authors.affiliation: Division of Allergy, Asthma, and Clinical Immunology, Mayo Clinic, Scottsdale , AZ , USA .
authors.forename: Matthew A
authors.initials: MA
authors.lastname: Rank
authors.forename: Jeanette Y
authors.initials: JY
authors.lastname: Ziegenfuss
authors.forename: Kunal M
authors.initials: KM
authors.lastname: Shah
authors.forename: Sarah M
authors.initials: SM
authors.lastname: Jenkins
authors.forename: Kandace A
authors.initials: KA
authors.lastname: Lackore
authors.forename: David T
authors.initials: DT
authors.lastname: Eton
authors.forename: Nilay D
authors.initials: ND
authors.lastname: Shah
mesh_terms: D000293:Adolescent; D000328:Adult; D001249:Asthma / Q000503:physiopathology* / Q000523:psychology; D002648:Child; D002675:Child, Preschool; D003430:Cross-Sectional Studies; D003695:Delivery of Health Care / Q000592:standards*; D005260:Female; D006801:Humans; D016014:Linear Models; D008297:Male; D008875:Middle Aged; D008910:Minnesota; D015999:Multivariate Analysis; D017060:Patient Satisfaction; D011795:Surveys and Questionnaires; D055815:Young Adult