التفاصيل البيبلوغرافية
| العنوان: |
Performance of the Medicare Consumer Assessment of Health Care Providers and Systems (CAHPS) Physical Functioning Items |
| المؤلفون: |
Hays, Ron D, Mallett, Joshua S, Gaillot, Sarah, Elliott, Marc N |
| المصدر: |
Medical Care, vol 54, iss 2 |
| بيانات النشر: |
eScholarship, University of California |
| سنة النشر: |
2016 |
| المجموعة: |
University of California: eScholarship |
| مصطلحات موضوعية: |
Allied Health and Rehabilitation Science, Health Services and Systems, Public Health, Health Sciences, Aging, Clinical Research, Good Health and Well Being, Activities of Daily Living, Adolescent, Adult, Aged, 80 and over, Chronic Disease, Educational Status, Female, Health Status Indicators, Humans, Insurance Claim Review, Male, Medicare, Middle Aged, Mobility Limitation, Reproducibility of Results, United States, Young Adult, self-reported health, CAHPS, physical functioning, Public Health and Health Services, Applied Economics |
| جغرافية الموضوع: |
205 - 209 |
| الوصف: |
BackgroundPhysical functioning is an important health domain for adults.ObjectiveEvaluate physical functioning items in Medicare beneficiaries.Research designSurvey data from the 2010 Consumer Assessment of Healthcare Providers and Systems Medicare survey.SubjectsThe 366,701 respondents were 58% female; 38% were 75 or older; 57% had high school education or less.MeasuresWalking, getting in or out of chairs, bathing, dressing, toileting, and eating assessed with 3 response choices: unable to do, have difficulty, do not have difficulty.ResultsPearson correlations among the 6 items ranged from 0.515 to 0.835 (coefficient α=0.92). A single factor categorical factor analytic model fit the data well (comparative fit index=0.998; root mean square error of approximation=0.083). The item with the highest percentage of respondents reporting no difficulty was eating, followed by toileting, dressing, bathing, getting in and out of a chair, and walking. Threshold parameters from an item response theory-graded response model ranged from -1.983 (between unable to do and have difficulty eating) to -0.551 (between have difficulty and no difficulty walking). Item discrimination parameters ranged from 4.632 (walking) to 8.228 (dressing). IRT-scored physical functioning scores correlated with self-rated general health (r=0.389, n=344,843, P<0.0001) mental health (r=0.296, n=351,254, P<0.0001) and number of chronic conditions (r=-0.229, n=284,507, P<0.0001).ConclusionsThe physical functioning items target relatively easy activities, providing information for a minority of people in the sample with the lowest levels of physical functioning. Items representing higher levels of physical functioning are needed for the majority of the Medicare beneficiaries. |
| نوع الوثيقة: |
article in journal/newspaper |
| وصف الملف: |
application/pdf |
| اللغة: |
unknown |
| العلاقة: |
qt1tt0s3b4; https://escholarship.org/uc/item/1tt0s3b4Test |
| الإتاحة: |
https://escholarship.org/uc/item/1tt0s3b4Test |
| حقوق: |
public |
| رقم الانضمام: |
edsbas.6BFC9F42 |
| قاعدة البيانات: |
BASE |
