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Randomized Controlled Trial
. 2010 Oct;45(5 Pt 1):1345-59.
doi: 10.1111/j.1475-6773.2010.01129.x.

A randomized trial comparing mail versus in-office distribution of the CAHPS Clinician and Group Survey

Michael P Anastario  1 , Hector P Rodriguez, Patricia M Gallagher, Paul D Cleary, Dale Shaller, William H Rogers, Karen Bogen, Dana Gelb Safran
Affiliations
Randomized Controlled Trial

A randomized trial comparing mail versus in-office distribution of the CAHPS Clinician and Group Survey

Michael P Anastario et al. Health Serv Res. 2010 Oct.

Abstract

Objective: To assess the effect of survey distribution protocol (mail versus handout) on data quality and measurement of patient care experiences.

Data sources/study setting: Multisite randomized trial of survey distribution protocols. Analytic sample included 2,477 patients of 15 clinicians at three practice sites in New York State.

Data collection/extraction methods: Mail and handout distribution modes were alternated weekly at each site for 6 weeks.

Principal findings: Handout protocols yielded an incomplete distribution rate (74 percent) and lower overall response rates (40 percent versus 58 percent) compared with mail. Handout distribution rates decreased over time and resulted in more favorable survey scores compared with mailed surveys. There were significant mode-physician interaction effects, indicating that data cannot simply be pooled and adjusted for mode.

Conclusions: In-office survey distribution has the potential to bias measurement and comparison of physicians and sites on patient care experiences. Incomplete distribution rates observed in-office, together with between-office differences in distribution rates and declining rates over time suggest staff may be burdened by the process and selective in their choice of patients. Further testing with a larger physician and site sample is important to definitively establish the potential role for in-office distribution in obtaining reliable, valid assessment of patient care experiences.

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References

    1. Agency for Healthcare Research and Quality, American Institutes for Research, Harvard Medical School, and RAND Corporation. 2006. “Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Clinician and Group Survey: Submission to National Quality Forum.” 2006. [accessed June 10]. Available at http://www.aqaalliance.org/October24Meeting/PerformanceMeasurement/CAHPS....
    1. de Vries H, Elliott MN, Hepner KA, Keller SD, Hays RD. Equivalence of Mail and Telephone Responses to the CAHPS Hospital Survey. Health Services Research. 2005;40(6, part 2):2120–39. - PMC - PubMed
    1. Elliott MN, Zaslavsky AM, Goldstein E, Lehrman W, Hambarsoomians K, Beckett MK, Giordano L. Effects of Survey Mode, Patient Mix, and Nonresponse on CAHPS Hospital Survey Scores. Health Services Research. 2009;44(2, part 1):501–18. - PMC - PubMed
    1. Gribble RK, Haupt L. Quantitative and Qualitative Differences between Handout and Mailed Patient Satisfaction Surveys. Medical Care. 2005;43(3):276–81. - PubMed
    1. Kinnersley P, Stott N, Peters T, Harvey I, Hackett P. A Comparison of Methods for Measuring Patient Satisfaction with Consultations in Primary Care. Family Practice. 1996;13(1):41–51. - PubMed

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