Differential Item Functioning of the CAHPS® In-Center Hemodialysis Survey

التفاصيل البيبلوغرافية
العنوان: Differential Item Functioning of the CAHPS® In-Center Hemodialysis Survey
المؤلفون: Claude Messan Setodji, John D. Peipert, Ron D. Hays
المصدر: Qual Life Res
Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation, vol 28, iss 11
سنة النشر: 2019
مصطلحات موضوعية: Gerontology, Male, Quality management, medicine.medical_treatment, Health Status, Patient experiences of care, Item response theory, Kidney Failure, 0302 clinical medicine, Psychology, Chronic, African Americans, 030503 health policy & services, Confounding, Middle Aged, Patient Satisfaction, 030220 oncology & carcinogenesis, Health Policy & Services, Public Health and Health Services, Female, Hemodialysis, Differential item functioning, 0305 other medical science, Health care disparities, Adult, medicine.medical_specialty, Psychometrics, Health Personnel, European Continental Ancestry Group, Article, White People, Measurement equivalence, 03 medical and health sciences, Patient satisfaction, Renal Dialysis, Patient experience, medicine, CAHPS In-Center Hemodialysis (ICH) Survey, Humans, Healthcare Disparities, Aged, Quality of Health Care, business.industry, Public health, Public Health, Environmental and Occupational Health, Black or African American, Health Care Surveys, Quality of Life, Kidney Failure, Chronic, business
الوصف: PURPOSE: End-stage renal disease patients’ experience of care is an integral part of the assessment of the quality of the care provided at hemodialysis centers and are needed to promote patient choice, quality improvement, and accountability. The purpose of this study is to evaluate the In-Center Hemodialysis Consumer Assessment of Healthcare Providers and Systems (ICH-CAHPS®) survey and its equivalence in different age, gender, race and education subgroups. METHODS: The ICH-CAHPS survey was administered to 1,454 patients from 32 dialysis facilities. For the characteristics compared, the sample had 756 participants younger than 65 years old, 739 men, 516 Black, 567 White, and 970 with less than high school diploma. Three different patient experience constructs were studied including nephrologist’s communication and caring, quality of care and operations, and providing information to patients. We used item response theory analysis to examine the possibility of differential item functioning (DIF) by patient age, gender, race and education separately after controlling for the other DIF characteristics and additional confounding variables including survey mode, mental and general health status as well as duration on dialysis. RESULTS: The three constructs studied were unidimensional and no major DIF was observed on the composites. Some non-equivalences were observed when confounders were not controlled for, suggesting that such covariates can be important factors in understanding the possibility of disparity in patients’ experience. CONCLUSIONS: The ICH-CAHPS is a promising survey to elicit hemodialysis patients’ experience that has good psychometric properties and provides a standardized tool for assessing age, gender, race or education disparity.
وصف الملف: application/pdf
اللغة: English
الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::7aeabe5de5c202b47075f78e73e090a8Test
https://europepmc.org/articles/PMC6810787Test/
حقوق: OPEN
رقم الانضمام: edsair.doi.dedup.....7aeabe5de5c202b47075f78e73e090a8
قاعدة البيانات: OpenAIRE