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<p><strong>You Are Here:</strong> <span class="crumb_link"><a href="/" class="crumb_link">AHRQ Archive Home</a> > <a href="/research/resarch.htm" class="crumb_link"><em>Research Activities</em> Archive</a> > <a href="." class="crumb_link">June 1996</a>
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<tr>
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<td><h1><a name="h1" id="h1"></a>Quality of Care </h1>
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<td><div id="centerContent"><div class="headnote">
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<p>This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: <a href="https://info.ahrq.gov/">https://info.ahrq.gov</a>. Let us know the nature of the problem, the Web address of what you want, and your contact information. </p>
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<p>Please go to <a href="https://www.ahrq.gov/">www.ahrq.gov</a> for current information.</p></div>
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<a name="head1"></a>
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<h2>Consumers need help in understanding health care report
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cards</h2>
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<p>Although consumers are very interested in having access to
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quality-of-care information about health plans, physicians, and
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hospitals, many of them do not understand some of the indicators
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appearing in health care report cards, according to the findings
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of a project supported by the Agency for Health Care Policy and
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Research (HS08231).</p><p>
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Consumers are unsure what some of the quality indicators mean and
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are more apt to rely on patient ratings of quality than objective
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(clinically based) measures of quality. Moreover, many
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individuals do not understand how managed care plans can affect
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quality of care. For health care report cards to be useful,
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consumers need to be educated about the meaning of quality
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indicators and how health plans influence quality of care. These
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indicators should be accompanied by explanations on the report
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cards, explain Judith H. Hibbard, Dr.P.H., and Jacquelyn Jewett,
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Ph.D., of the Oregon Research Institute.</p>
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<p>They conducted 15 focus groups (104 participants) and surveyed
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privately insured, publicly insured, and uninsured individuals to
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explore consumer understanding of health care quality indicators.
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The focus groups showed that consumers had little understanding
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about the meaning of some quality indicators, for example, that
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high rates of hospitalization for pediatric asthma represent poor
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patient management and low birthweight babies often represent
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poor prenatal care. Many also did not understand that plans can
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influence how many members have mammograms or other preventive
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screening tests. Uninsured and Medicaid beneficiaries tended to
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have lower understanding than privately insured persons.</p><p>
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Understanding the health plan's role in influencing quality of
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care and affecting the health of its enrolled populations are
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important concepts for consumers. Indeed, they underlie the whole
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rationale for report cards, according to the researchers. Plan
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performance measures are designed to show how well a system is
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caring for and maintaining the health of a defined population as
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opposed to individual plan members. This population-based
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definition of quality is a foreign concept to consumers whose
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experience has been largely with fee-for-service care, conclude
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the researchers.</p>
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<p class="size2"><a href=".">Return to Contents</a><br />
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<a href="dept6.htm">Proceed to Next Section</a></p>
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<p> The information on this page is archived and provided for reference purposes only.</p></div>
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