The Primary Care Assessment Survey

Safran, Dana Gelb; Kosinski, Mark; Tarlov, Alvin R.; Rogers, William H.; Taira, Deborah A.; Lieberman, Naomi; Ware, John E.

doi:10.1097/00005650-199805000-00012

Cited by 559 publications

(174 citation statements)

References 23 publications

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“…The majority, 25 of the instruments, are completed by patients and/or families [3160616263646566676869707172737475767778798081828384], the rest are completed by physicians or other health care professionals [8586878889], or by both, patients and physicians [909192]. The 30-item Kim Alliance Scale (KAS) [72] was revised (KAS-R) to create a shorter 16-item questionnaire with the same scales [93].…”

Section: Resultsmentioning

confidence: 99%

Indicators and Measurement Tools for Health Systems Integration: A Knowledge Synthesis

Suter¹,

Oelke²,

Lima³

et al. 2017

Int J Integr Care

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Background:Despite far reaching support for integrated care, conceptualizing and measuring integrated care remains challenging. This knowledge synthesis aimed to identify indicator domains and tools to measure progress towards integrated care.Methods:We used an established framework and a Delphi survey with integration experts to identify relevant measurement domains. For each domain, we searched and reviewed the literature for relevant tools.Findings:From 7,133 abstracts, we retrieved 114 unique tools. We found many quality tools to measure care coordination, patient engagement and team effectiveness/performance. In contrast, there were few tools in the domains of performance measurement and information systems, alignment of organizational goals and resource allocation. The search yielded 12 tools that measure overall integration or three or more indicator domains.Discussion:Our findings highlight a continued gap in tools to measure foundational components that support integrated care. In the absence of such targeted tools, “overall integration” tools may be useful for a broad assessment of the overall state of a system.Conclusions:Continued progress towards integrated care depends on our ability to evaluate the success of strategies across different levels and context. This study has identified 114 tools that measure integrated care across 16 domains, supporting efforts towards a unified measurement framework.

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Section: Resultsmentioning

confidence: 99%

Indicators and Measurement Tools for Health Systems Integration: A Knowledge Synthesis

Suter¹,

Oelke²,

Lima³

et al. 2017

Int J Integr Care

View full text Add to dashboard Cite

show abstract

“…Validated scales were used, including the Mental Adjustment to Cancer Scale, 15 the trust domain of the Primary Care Assessment Survey, 16 and the Short Form 12 (SF-12) Health Survey. 17 …”

Section: Methodsmentioning

confidence: 99%

Factors Associated With Decisions to Undergo Surgery Among Patients With Newly Diagnosed Early-Stage Lung Cancer

Cykert¹

2010

JAMA

236

181

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Context Lung cancer is the leading cause of cancer death in the United States. Surgical resection for stage I or II non–small cell cancer remains the only reliable treatment for cure. Patients who do not undergo surgery have a median survival of less than 1 year. Despite the survival disadvantage, many patients with early-stage disease do not receive surgical care and rates are even lower for black patients. Objectives To identify potentially modifiable factors regarding surgery in patients newly diagnosed with early-stage lung cancer and to explore why blacks undergo surgery less often than whites. Design, Setting, and Patients Prospective cohort study with patients identified by pulmonary, oncology, thoracic surgery, and generalist practices in 5 communities through study referral or computerized tomography review protocol. A total of 437 patients with biopsy-proven or probable early-stage lung cancer were enrolled between December 2005 and December 2008. Before establishment of treatment plans, patients were administered a survey including questions about trust, patient-physician communication, attitudes toward cancer, and functional status. Information about comorbid illnesses was obtained through chart audits. Main Outcome Measure Lung cancer surgery within 4 months of diagnosis. Results A total of 386 patients met full eligibility criteria for lung resection surgery. The median age was 66 years (range, 26–90 years) and 29% of patients were black. The surgical rate was 66% for white patients (n=179/273) compared with 55% for black patients (n=62/113; P=.05). Negative perceptions of patient-physician communication manifested by a 5-point decrement on a 25-point communication scale (odds ratio [OR], 0.42; 95% confidence interval [CI], 0.32–0.74) and negative perception of 1-year prognosis postsurgery (OR, 0.27; 95% CI, 0.14–0.50; absolute risk, 34%) were associated with decisions against surgery. Surgical rates for blacks were particularly low when they had 2 or more comorbid illnesses (13% vs 62% for <2 comorbidities; OR, 0.04 [95% CI, 0.01–0.25]; absolute risk, 49%) and when blacks lacked a regular source of care (42% with no regular care vs 57% with regular care; OR, 0.20 [95% CI, 0.10–0.43]; absolute risk, 15%). Conclusions A decision not to undergo surgery by patients with newly diagnosed lung cancer was independently associated with perceptions of communication and prognosis, older age, multiple comorbidities, and black race. Interventions to optimize surgery should consider these factors.

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“…Nonetheless, our question on trusting the doctor's judgment in managing opioid pain medicine is quite similar in format to more general questions on several scales. [43][44][45][46] This was a cross-sectional study. We cannot know whether perceptions of doctor-patient trust among the intervention clinic patients were present before the opioid initiatives or developed as a result of these initiatives.…”

Section: Discussionmentioning

confidence: 99%

Doctor-Patient Trust Among Chronic Pain Patients on Chronic Opioid Therapy after Opioid Risk Reduction Initiatives: A Survey

et al. 2018

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Objective: This analysis examined patients' perceptions about trust within the doctor-patient relationship related to managing opioid pain medications. We compared perceptions among chronic opioid therapy (COT) patients who were and were not exposed to opioid risk reduction initiatives. A good doctor-patient relationship is an important goal of patient-centered care and is associated with better outcomes for many medical conditions.

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The Primary Care Assessment Survey

Cited by 559 publications

References 23 publications

Indicators and Measurement Tools for Health Systems Integration: A Knowledge Synthesis

Indicators and Measurement Tools for Health Systems Integration: A Knowledge Synthesis

Factors Associated With Decisions to Undergo Surgery Among Patients With Newly Diagnosed Early-Stage Lung Cancer

Doctor-Patient Trust Among Chronic Pain Patients on Chronic Opioid Therapy after Opioid Risk Reduction Initiatives: A Survey

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