A Chiropractic Supplemental Item Set for the Consumer Assessment of Health Plans Study

Published in: Topics in Clinical Chiropractic, v. 7, no. 4, 2000, p. 50-56

Posted on RAND.org on December 31, 1999

by Ian D. Coulter, Eric Hurwitz, Karen Spritzer, Barbara Genovese, Ron D. Hays

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PURPOSE: The Consumer Assessment of Health Plans Study (CAHPS) produced surveys and report templates to obtain information on health plan enrollees' experiences. This article reports on the development of a parallel set of items for chiropractic. METHOD: Literature in chiropractic and previously tested patient instruments for assessing chiropractic care were used. In addition, focus groups were held, one-on-one cognitive interviews were conducted, and a survey instrument was developed and administered. RESULTS: Ten potential items for a CAHPS supplemental item set were identified. Eight of these items have parallel CAHPS items and relate to communication, courtesy and respect shown by staff, getting needed care, and a global rating of chiropractic care. The final two items on communication issues have no CAHPS counterpart. CONCLUSION: This study produced 10 items that are compatible with the CAHPS core items and are recommended for inclusion as supplemental CAHPS survey items.

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