The Relationship between Adolescent-Report of Patient-Centered Care and of the Quality of Primary Care
Published Date:2016 Nov - Dec
Source:Acad Pediatr. 16(8):770-776.
Pubmed Central ID:PMC4958046
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
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.
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.
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]).
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.
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