The Relationship between Adolescent-Report of Patient-Centered Care and of the Quality of Primary Care

Details

• Alternative Title:
  Acad Pediatr
• Personal Author:
  Toomey, Sara L. ; Elliott, Marc N. ; Schwebel, David C. ; Tortolero, Susan R. ; Cuccaro, Paula M. ; Davies, Susan L. ; Kampalath, Vinay ; Schuster, Mark A.
• Description:
  Objective
  
  Few studies have examined adolescent self-report of patient-centered care (PCC). We investigated whether adolescent self-report of PCC varied by patient characteristics and whether receipt of PCC is associated with measures of adolescent primary care quality.
  
  Methods
  
  We analyzed cross-sectional data from Healthy Passages, a population-based survey with 4,105 tenth-graders and their parents. Adolescent report of PCC was derived from four items. Adolescent primary care quality was assessed by measuring access to confidential care, screening for important adolescent health topics, unmet need, and overall rating of health care. We conducted weighted bivariate analyses and multivariate logistic regression models of the association of PCC with adolescent characteristics and primary care quality.
  
  Results
  
  Forty-seven percent of adolescents reported that they received PCC. Report of receiving PCC was associated with high quality for other measures such as having a private conversation with a clinician (AOR 2.2; 95%CI [1.9, 2.6]) and having talked about health behaviors (AOR 1.6; 95%CI [1.4, 1.8]); it was also associated with lower likelihood for self-reported unmet need for care (AOR 0.8; 95% CI [0.7, 0.9]) and having a serious untreated health problem (AOR 0.4; 95% CI [0.3, 0.5]).
  
  Conclusions
  
  Many adolescents do not report receiving PCC. Adolescent-reported PCC positively correlates with measures of high-quality adolescent primary care. Our study provides support for using adolescent-report of PCC as a measure of adolescent primary care quality.
  
  
• Subjects:
  Adolescent Adolescent Health Services Asian Black Or African American Communication Confidentiality Cross-Sectional Studies Female Health Behavior Health Services Accessibility Hispanic Or Latino Humans Logistic Models Longitudinal Studies Male Multivariate Analysis Needs Assessment Odds Ratio Patient-Centered Care Physician-Patient Relations Primary Health Care Quality Of Health Care White

  More +
• Source:
  Acad Pediatr. 16(8):770-776.
• Pubmed ID:
  26802684
• Pubmed Central ID:
  PMC4958046
• Document Type:
  Journal Article
• Funding:
  KL2 TR001100/TR/NCATS NIH HHS/United States ; U19 DP002664/DP/NCCDPHP CDC HHS/United States ; U48 DP000056/DP/NCCDPHP CDC HHS/United States ; U18 HS020513/HS/AHRQ HHS/United States ; U48 DP000046/DP/NCCDPHP CDC HHS/United States ; U19 DP002665/DP/NCCDPHP CDC HHS/United States ; U48 DP000057/DP/NCCDPHP CDC HHS/United States ; U19 DP002663/DP/NCCDPHP CDC HHS/United States
• Volume:
  16
• Issue:
  8
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:24c1c23e353cce8709c9dcb30fecf3f6acf16bf011bc4e612540979fd083d33f
• Download URL:
  https://stacks.cdc.gov/view/cdc/40485/cdc_40485_DS1.pdf
• File Type:
  [PDF - 101.76 KB ]