Article Figures & Data
Figures
- Figure 1.
This conceptual framework links the patient-centered medical home as the main predictor of child patient experience and includes important patient-level characteristics and practice type tested as both a confounder and as a moderator.
Tables
- Table 1. Sample Sizes, Means, and Proportions of Consumer Assessment of Health Care Providers and Systems Child Composite Measures and Covariates, By National Committee on Quality Assurance Patient-centered Medical Home Recognition Status and Practice Type
All Practices (R = 25.5%) Family Medicine (R = 24.1%) Pediatrics (R = 27.8%) PCMH (n = 21; R = 24.6%) Non-PCMH (n = 8; R = 27.9%) PCMH (n = 14; R = 22.7%) Non-PCMH (n = 4; R = 29.1%) PCMH (n = 7; R = 28.5%) Non-PCMH (n = 4; R = 26.6%) Continuous variables* Child development score 1856 0.62 743 0.63 1160 0.57 325 0.61 696 0.71 418 0.65 Child prevention score 1853 0.62 743 0.66 1159 0.56 325 0.64 694 0.73 418 0.66 Patient age (years) 1923 8.70 771 8.33 1202 9.18 340 9.16 721 7.91 431 7.68 Patient health rating† 1944 1.54 778 1.48 1212 1.57 343 1.44 732 1.49 435 1.50 Dichotomous variables‡ Pediatric practice 1944 0.33 778 0.58 — — — — — — — — Female patient 1937 0.48 775 0.47 1208 0.47 341 0.49 729 0.50 434 0.46 Parent is a college graduate 1904 0.53 753 0.57 1189 0.51 330 0.62 715 0.56 423 0.54 In the column headings, n represents the number of practices and R represents the response rate on the Consumer Assessment of Health care Providers and Systems (CAHPS) survey.
↵* Data for the continuous variables are presented as n (mean).
↵† Excellent = 1, poor = 5.
↵‡ Data for the dichotomous variables are presented as n (%).
PCMH, patient-centered medical home.
- Table 2. Mean Difference in Percentages Responding Yes on the Consumer Assessment of Health Care Providers and Systems Child Development and Child Prevention Composite Measures, By Provider and Patient Characteristics
Covariates Mean Difference in Percentage Responding Yes* 95% Confidence Interval Outcome 1: CAHPS composite child development PCMH recognition (yes = 1, no = 0) 1.98 −0.85 to 4.81 Pediatric practice (yes/no) 9.80 7.18–12.41 Patient's age (years) −1.46 −1.71 to −1.20 Female patient (yes/no) −2.11 −4.66 to 0.44 Parent is a college graduate (yes/no) 3.56 0.97–6.16 Patient's health (excellent = 1, poor = 5) −1.77 −3.66 to 0.11 Outcome 2: CAHPS composite child prevention PCMH recognition (yes/no) −0.07 −2.94 to 2.80 Pediatric practice (yes/no) 11.54 8.91–14.17 Patient's age (years) −0.62 −0.87 to −0.36 Female patient (yes/no) −0.74 −3.32 to 1.84 Parent is a college graduate (yes/no) 5.17 2.55–7.79 Patient's health (excellent = 1, poor = 5) −3.23 −5.14 to −1.32 ↵* The β coefficient from linear mixed model regression output × 100 results in the mean difference in the composite scores as a percentage of a 1-unit change in each predictor variable, adjusting for all other variables in the model. A positive value indicates that respondents answered yes to more questions as the value of the predictor increased.
CAHPS, Consumer Assessment of Health Care Providers and Systems; PCMH, patient-centered medical home.
- Table 3. Mean Difference in Consumer Assessment of Health Care Providers and Systems Child Development and Child Prevention Composite Measures, By Provider and Patient Characteristics Stratified By Practice Type
Covariates Outcome 1: CAHPS Composite Child Development Outcome 2: CAHPS Composite Child Prevention Mean Difference in Percentage Responding Yes* 95% Confidence Interval Mean Difference in Percentage Responding Yes 95% Confidence Interval Pediatrics only PCMH recognition 7.71 4.02 to 11.41 7.15 3.35 to 10.96 Patient's age −1.13 −1.50 to −0.76 −0.45 −0.83 to −0.08 Female patient (yes = 1, no = 0) −3.17 −6.76 to 0.42 −1.24 −4.90 to 2.42 Parent is a college graduate (yes/no) 2.38 −1.28 to 6.04 6.18 2.45 to 9.92 Patient's health (excellent = 1, poor = 5) −1.62 −4.34 to 1.11 −2.48 −5.26 to 0.30 Family medicine only PCMH recognition −7.35 −0.117 to −0.030 −11.04 −15.28 to −6.80 Patient's age −1.74 −0.021 to −0.014 −0.77 −1.11 to −0.43 Female patient (yes/no) −1.31 −0.049 to 0.023 −0.84 −4.41 to 2.74 Parent college graduate (yes/no) 4.13 0.005 to 0.078 3.37 −0.27 to 7.02 Patient's health (excellent = 1, poor = 5) −1.48 −0.041 to 0.011 −3.37 −5.97 to −0.77 ↵* The β coefficient from linear mixed model regression output × 100 results in the mean difference in the composite scores as a percentage of a 1-unit change in each predictor variable, adjusting for all other variables in the model. A positive value indicates that respondents answered yes to more questions as the value of the predictor increased.
CAHPS, Consumer Assessment of Health Care Providers and Systems; PCMH, patient-centered medical home.
