Relationship Between Adolescent Report of Patient-Centered Care and of Quality of Primary Care

Sara L. Toomey; Marc N. Elliott; David C. Schwebel; Susan R. Tortolero; Paula M. Cuccaro; Susan L. Davies; Vinay Kampalath; Mark A. Schuster

doi:10.1016/j.acap.2016.01.006

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Relationship Between Adolescent Report of Patient-Centered Care and of Quality of Primary Care

Journal article

Peer reviewed

Relationship Between Adolescent Report of Patient-Centered Care and of Quality of Primary Care

Sara L. Toomey, Marc N. Elliott, David C. Schwebel, Susan R. Tortolero, Paula M. Cuccaro, Susan L. Davies, Vinay Kampalath and Mark A. Schuster

Academic pediatrics, Vol.16(8), pp.770-776

11/01/2016

DOI: 10.1016/j.acap.2016.01.006

PMCID: PMC4958046

PMID: 26802684

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Abstract

Few studies have examined adolescent self-report of patient-centered care (PCC). We investigated whether adolescent self-report of PCC varied by patient characteristics and whether receipt of PCC is associated with measures of adolescent primary care quality. We analyzed cross-sectional data from Healthy Passages, a population-based survey of 4105 10th graders and their parents. Adolescent report of PCC was derived from 4 items. Adolescent primary care quality was assessed by measuring access to confidential care, screening for important adolescent health topics, unmet need, and overall rating of health care. We conducted weighted bivariate analyses and multivariate logistic regression models of the association of PCC with adolescent characteristics and primary care quality. Forty-seven percent of adolescents reported that they received PCC. Report of receiving PCC was associated with high quality for other measures, such as having a private conversation with a clinician (adjusted odds ratio [aOR] 2.2; 95% confidence interval [CI] [1.9, 2.6]) and having talked about health behaviors (aOR 1.6; 95% CI 1.4, 1.8); it was also associated with lower likelihood for self-reported unmet need for care (aOR 0.8; 95% CI 0.7, 0.9) and having a serious untreated health problem (aOR 0.4; 95% CI 0.3, 0.5). Many adolescents do not report receiving PCC. Adolescent-reported PCC positively correlates with measures of high-quality adolescent primary care. Our study provides support for using adolescent-report of PCC as a measure of adolescent primary care quality.

adolescents

patient-centered care

primary care

quality measurement

Details

Title: Subtitle: Relationship Between Adolescent Report of Patient-Centered Care and of Quality of Primary Care
Creators: Sara L. Toomey - Harvard University
Marc N. Elliott - RAND Corporation
David C. Schwebel - University of Alabama at Birmingham
Susan R. Tortolero - The University of Texas Health Science Center at Houston
Paula M. Cuccaro - The University of Texas Health Science Center at Houston
Susan L. Davies - University of Alabama at Birmingham
Vinay Kampalath - Boston Children's Hospital
Mark A. Schuster - Harvard University
Resource Type: Journal article
Publication Details: Academic pediatrics, Vol.16(8), pp.770-776
DOI: 10.1016/j.acap.2016.01.006
PMID: 26802684
PMCID: PMC4958046
NLM abbreviation: Acad Pediatr
ISSN: 1876-2859
eISSN: 1876-2867
Publisher: Elsevier Inc
Number of pages: 7
Language: English
Date published: 11/01/2016
Academic Unit: Research Administration
Record Identifier: 9984949203602771

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