RT Journal Article
SR Electronic
T1 Rural Clinician Evaluation of Children's Health Care Quality Measures: An Oregon Rural Practice-based Research Network (ORPRN) Study
JF The Journal of the American Board of Family
                Medicine
JO J Am Board Fam Med
FD American Board of Family Medicine
SP 595
OP 604
DO 10.3122/jabfm.2015.05.140225
VO 28
IS 5
A1 Lyle J. Fagnan
A1 LeAnn Michaels
A1 Katrina Ramsey
A1 Stefan Shearer
A1 Oliver Droppers
A1 Charles Gallia
YR 2015
UL http://www.jabfm.org/content/28/5/595.abstract
AB Background: Responding to quality metrics is an accepted and expected component of the current health care environment. Little is known about which measures physicians identify as a priority when reporting the quality of care to their patients, especially the care of children in rural settings. The objective of this study is for physicians caring for children in rural communities to identify which of the initial core sets of 24 child health quality measures are useful and are a priority for reporting and improving care.Methods: A survey was sent to rural Oregon physicians who provide care to children.Results: Of 955 eligible physicians, 172 (18%) completed the survey. The majority of respondents were family physicians (84%), and most respondents (58%) were in private practice. The child health measures stratified into 3 priority tiers: high, medium, and low priority. The top-tier priority measures included childhood immunization status, well-child visits, adolescent immunization status, body mass index assessment, and developmental screening. Dental treatment services, adequate prenatal care, and lower-birth-weight infants were among the lower-tier measures.Conclusions: The priority measures identified by rural family physicians reflect the relevance of the selected measures to their daily practice responsibilities, with missed opportunities to improve community health.