Surveying consumer satisfaction to assess managed-care quality: current practices

M Gold, J Wooldridge, M Gold, J Wooldridge

Abstract

Growing interest in using consumer satisfaction information to enhance quality of care and promote informed consumer choice has accompanied recent expansions in managed care. This article synthesizes information about consumer satisfaction surveys conducted by managed-care plans, government and other agencies, community groups, and purchasers of care. We discuss survey content, methods, and use of consumer survey information. Differences in the use of consumer surveys preclude one instrument or methodology from meeting all needs. The effectiveness of plan-based surveys could be enhanced by increased information on alternative survey instruments and methods and new methodological studies, such as ones developing risk-adjustment methods.

Figures

Figure 1. Varying Features of Samples for…
Figure 1. Varying Features of Samples for Consumer Satisfaction Surveys of Managed-Care Plans

References

    1. Agency for Health Care Policy and Research. Conference Summary: Consumer Survey Information in a Reformed Health Care System. 1995. Public Health Service. AHCPR Pub. No. 950083. Forthcoming.
    1. Allen HM. Consumer Assessment of Health and Health Care: The Central Iowa Pilot Study. Boston: The Health Institute, New England Medical Center; Jun, 1993.
    1. Allen H, Darling H, McNeill D, et al. The Employee Health Care Value Survey: Round One. Boston: The Health Institute, New England Medical Center; Jun, 1994.

    1. Bank of America/Bay Area Business Group on Health: Personal communication. August 1994.

    1. Berwick DM. Continuous Improvement as an Ideal in Health Care. New England Journal of Medicine. 1989 Jan;320(1):53–56.
    1. Brown RS, Bergeron JW, Clement DG, et al. The Medicare Risk Program for HMOs—Final Summary Report on Findings From the Evaluation. Princeton: Mathematica Policy Research, Inc.; Feb, 1993. Prepared for the Health Care Financing Administration.
    1. Cleary P, McNeil BJ. Patient Satisfaction as an Indicator of Quality of Care. Inquiry. 1988 Spring;25:25–36.
    1. Consumers Union. Health Care in Crisis: Are HMOs the Answer? Consumer Reports. 1992 Aug;:519–531.
    1. Davies A, Ware JE., Jr Involving Consumers in Quality of Care Assessment. Health Affairs. 1988 Spring;:33–48.
    1. Davies A, Ware JE, Jr, Brook RH, et al. Consumer Acceptance of Prepaid and Fee-for-Service Medical Care: Results From a Randomized Controlled Trial. HSR: Health Services Research. 1986 Aug;21(3):429–452.
    1. Davies A, Ware JE. GHAA's Consumer Satisfaction Survey and User's Manual. Second. Washington, DC.: Group Health Association of America; 1991.
    1. Delmarva Foundation for Medical Care Inc. External Review Performance Measurement of Medicare HMOs/CMPs. Easton, MD.: Aug, 1994. Prepared for the Health Care Financing Administration.
    1. Felt S. The First Twenty Months of the Quality Assurance Reform Initiative (QARI) Demonstration for Medicaid Managed Care: Interim Evaluation Report. Washington, DC.: Mathematica Policy Research, Inc.; Mar, 1995. Prepared for the Health Care Financing Administration.
    1. Francis W Center for the Study of Services. Checkbook's Guide to 1995 Plans for Federal Employees. Washington, DC.: 1994.
    1. Gabel J, Listen D, Jensen G, Marsteller J. The Health Insurance Picture in 1993: Some Rare Good News. Health Affairs. 1994;13(1):327–336.
    1. Gold M, Burnbauer L, Chu K. Half Empty or Half Full: The Capacity of State Data to Support Health Reform. Washington, DC.: Mathematica Policy Research, Inc.; Jan, 1995.
    1. Gold M, Hurley R, Lake T, et al. Arrangements Between Managed Care Plans and Physicians: Results from a 1994 Survey of Managed Care Plans. Washington, DC.: Physician Payment Review Commission; Feb, 1995. (Selected External Research Series Number 3).
    1. Goldfield N, Pine M, Pine J. Measuring and Managing Health Care Quality: Procedures, Techniques, and Protocols. Gaithersburg, MD.: Aspen Publishers; 1991 and 1992.
    1. Group Health Association of America. HMO Industry Profile. Washington, DC.: 1993.
    1. Group Health Association of America. HMO Industry Profile. Washington, DC.: 1992.
    1. HMO Managers Letter: BCBSA/Gallup Survey: HMO Member Satisfaction Tops 90 Percent for 3rd Straight Year. May, 1992a. p. 5.
    1. HMO Managers Letter: Recent Surveys Find Managed Care's Popularity With Employer on the Rise. Jul, 1992b. p. 5.
    1. HMO Managers Letter: Towers Perrin Survey Shows HMO Members as Satisfied as Members of Other Health Plans. Apr, 1994. p. 4.163.
    1. Inguanzo JM. Taking a Serious Look at Patient Expectations. Hospitals. 1992 Sep;
    1. James V. Quality Assurance: The Cornerstone of Managed Care. Presented at Understanding Managed Care: An Introductory Program for New Managers in HMOs; Washington, DC.. Group Health Association of America; Feb, 1994.
    1. Kritchevsky SB, Simmons BP. Continuous Quality Improvement: Concepts and Applications for Physician Care. Journal of the American Medical Association. 1991 Oct;266(13):1817–1823.
    1. Kongstevdt PR. Member Services and Consumer Affairs. In: Kongstevdt PR, editor. The Managed Health Care Handbook. Second. Gaithersburg, MD.: Aspen Publishers, Inc.; 1993.
    1. Lubalin J, Schnaier J, Gibbs D, et al. Design of a Survey to Monitor Consumers' Access to Care, Use of Health Services, Health Outcomes, and Patient Satisfaction Questionnaire and Survey Materials, Draft 2. Research Triangle Park, North Carolina: Research Triangle Institute; Jan, 1995. Prepared for the Agency for Health Care Policy and Research.
    1. Marshall GN, Hays RD, Sherbourne CD, Wells KB. The Structure of Patient Satisfaction with Outpatient Medical Care. Psychological Assessment. 1993;5(4):477–483.
    1. Meterko M, Nelson EC, Rubin HR. Patient Judgments of Hospital Quality: A Taxonomy. Medical Care. 1990;28(Supplement)(9):S10–S14.
    1. Miller RH, Luft HS. Managed Care Plan Performance Since 1980: A Literature Analysis. Journal of the American Medical Association. 1994 May;271(19):1512–1519.
    1. Morain C. HMOs Try to Measure (and Reward) ‘Doctor Quality’. Medical Economics. 1992 Apr;69(7):206–215.
    1. National Committee for Quality Assurance. Health Plan Employee Data and Information Set, HEDIS 2.0. Washington, DC.: 1993.
    1. National Committee for Quality Assurance. Report Care Pilot Project, Technical Report. Washington, DC.: 1995.
    1. National Research Corporation. Satisfaction Report Card: National Results. Lincoln, NE.: 1994.
    1. Office of the Inspector General. A Review of HMO Quality Assurance Standards Required by Medicaid Agencies. Washington, DC.: Department of Health and Human Services; Sep, 1992.
    1. Packer-Tursman J. Keeping Members. HMO Magazine. 1994 Mar-Apr;35(2):39–43.
    1. Porell FW, Cocotas C, Perales PJ, et al. Factors Associated with Disenrollment From Medicare HMOs: Findings From a Survey of Disenrollees. Waltham, MA.: Brandeis University; Jul, 1992.
    1. Press I. The Last Word. Hospitals and Health Networks. 1994a Mar;

    1. Press, I.: Personal communication. Press Ganey Associates, Inc., July 1994b.

    1. Press I, Ganey R, Malone M. Patient Satisfaction: Where Does it Fit in the Quality Picture. Trustee. 1992 Apr;
    1. Research Triangle Institute. Information Needs for Consumer Choice. Research Triangle Park, North Carolina: 1994. Prepared for the Health Care Financing Administration under Contract Number 55-94-0047.
    1. Ribner S, Stewart J. 1993 Novalis National Health Care Survey: Consumer Ratings of Managed Care, A Special Report. Albany: Novalis Corporation; Oct, 1993.
    1. Rubin HR, Gandek B, Rogers WH, et al. Patients' Ratings of Outpatient Visits in Different Practice Settings: Results From the Medical Outcomes Study. Journal of the American Medical Association. 1993 Aug;270(7):835–840.
    1. State of Minnesota Joint Labor-Management Committee on Health Plans. Health Plans and Medical Care: What Employees Think. 1993a.
    1. State of Minnesota Joint Labor-Management Committee on Health Plans. 1993 Survey of Employees on Health Plans and Medical Care. 1993b.
    1. Ware JE, Jr, Curbow B, Davies AR, Robbins B. Medicaid Satisfaction Surveys Research (1977-1980): A Report of the Prepaid Health Research, Evaluation, and Development Project. Sacramento: California State Department of Health Services; 1981.
    1. Ware JE, Jr, Hays RD. Methods for Measuring Patient Satisfaction With Specific Medical Encounters. Medical Care. 1988 Apr;26(4):393–402.
    1. Ware JE, Jr, Sherbourne CD. The MOS 36-Item Short-Form Health Survey (SF-36): I. Conceptual Framework and Item Selection. Medical Care. 1992 Jun;30(6):473–483.
    1. Ware JE, Jr, Snow KK, Kosinski M, Gaudek B. SF-36 Survey Manual and Interpretation Guide. Boston: The Health Institute, New England Medical Center; 1993.
    1. Ware JE, Jr, Snyder MK. Dimensions of Patient Attitudes Regarding Doctors and Medical Care Services. Medical Care. 1975;13(8):669–682.
    1. Ware JE, Jr, Snyder MK, Wright WR, Davies AR. Defining and Measuring Patient Satisfaction With Medical Care. Evaluation and Program Planning. 1983;6:247–263.
    1. Winslow R. Health-Care Report Cards Are Getting Low Grades From Some Focus Groups. Wall Street Journal. 1994 May;:1. Section B.
    1. Zablocki E. Employer Report Cards. HMO Magazine. 1994 Mar-Apr;:26–32.

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