Relationship Between Adolescent Report of Patient-Centered Care and of Quality of Primary Care.

Academic Article

Abstract

  • 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 of 4105 10th graders and their parents. Adolescent report of PCC was derived from 4 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 (adjusted odds ratio [aOR] 2.2; 95% confidence interval [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.
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    Keywords

  • adolescents, patient-centered care, primary care, quality measurement, Adolescent, Adolescent Health Services, African Americans, Asian Americans, Communication, Confidentiality, Cross-Sectional Studies, European Continental Ancestry Group, Female, Health Behavior, Health Services Accessibility, Hispanic Americans, 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
  • Digital Object Identifier (doi)

    Author List

  • Toomey SL; Elliott MN; Schwebel DC; Tortolero SR; Cuccaro PM; Davies SL; Kampalath V; Schuster MA
  • Start Page

  • 770
  • End Page

  • 776
  • Volume

  • 16
  • Issue

  • 8