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Your search keyword '"Philip S. Brenner"' showing total 3 results
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3 results on '"Philip S. Brenner"'

1. How responding in Spanish affects CAHPS results

Author

Floyd J. Fowler, Philip S. Brenner, Carol Cosenza, and Paul D. Cleary

Subjects
Patient experience, Spanish answers in surveys, Quality of health care, CAHPS, Public aspects of medicine, RA1-1270
Abstract

Abstract Background The most widely used surveys for assessing patient health care experiences in the U.S. are the Consumer Assessment of Healthcare Providers and Systems (CAHPS) surveys. Studies examining the associations of language and ethnicity with responses to CAHPS surveys have yielded inconsistent findings. More research is needed to assess the effect of responding to CAHPS surveys in Spanish. Methods Subjects were patients who had received care at a study community health center in Connecticut within 6 or 12 months of being sent a CAHPS survey that asks about care experiences. The survey included four multi-item measures of care plus an overall rating of the provider. Sampled patients were mailed dual language (English and Spanish) cover letters and questionnaires. Those who did not respond after follow-up mailings were contacted by bilingual interviewers to complete the survey by telephone. We tested three hypotheses for any observed differences by ethnicity and language: 1. Spanish speakers are more likely than others to choose extreme response options. 2. The semantic meaning of the Spanish translation is not the same as the English version of the questions, resulting in Spanish speakers giving different answers because of meaning differences. 3. Spanish speakers have different expectations regarding their health care than those who answer in English. Analyses compared the answers on the survey measures for three groups: non-Hispanics answering in English, Hispanics answering in English, and Hispanics answering in Spanish. Results The overall response rate was 45%. After adjusting for differences in demographic characteristics and self-rated health, those answering in Spanish gave significantly more positive reports than the other two groups on three of the five measures, and higher than the non-Hispanic respondents on a fourth. Conclusions Those answering in Spanish gave more positive reports of their medical experiences than Hispanics and non-Hispanics answering in English. Whether these results reflect different response tendencies, different standards for care, or better care experiences is a key issue in whether CAHPS responses in Spanish need adjustment to make them comparable to responses in English.

Published
2022
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2. Patient perceptions of in-home urgent care via mobile integrated health

Author

Stephen C, Dorner, Amy J, Wint, Philip S, Brenner, Bronwyn, Keefe, Joseph, Palmisano, and Lisa I, Iezzoni

Subjects
Health Policy, Ambulatory Care, Humans, Emergency Service, Hospital, Medicare, Home Care Services, Telemedicine, United States, Aged
Abstract

Emergency department (ED) crowding poses a severe public health threat, and identifying acceptable means of treating medical conditions in alternative sites of care is imperative. We compared patients' experiences with in-home urgent care via mobile integrated health (MIH) vs urgent care provided in EDs.Survey, completed on paper, online, or by telephone. We surveyed all patients who received MIH care for an urgent health problem (n = 443) and consecutive patients who visited EDs for urgent care (n = 1436).Study participants were members of a managed care plan who were dually eligible for Medicare and Medicaid, 21 years or older, and treated either by MIH or in an ED for nonemergent conditions around Boston, Massachusetts, between February 2017 and June 2018. The survey assessed patients' perceptions of their urgent care experiences.A total of 206 patients treated by community paramedics and 718 patients treated in EDs completed surveys (estimated 66% and 62% response rates, respectively). Patients treated by MIH perceived higher-quality care, more frequently reporting "excellent" (54.7%) or "very good" (32.4%) care compared with ED patients (40.7% and 24.3%, respectively; P .0001), and were significantly more likely to report that decisions made about their care were "definitely right" compared with patients treated in the ED (66.1% vs 55.6%; P = .02).Patients appear satisfied with receiving paramedic-delivered urgent care in their homes rather than EDs, perceiving higher-quality care. This suggests that in-home urgent care via MIH may be acceptable for patients with nonemergent conditions.

Published
2022

3. Measuring Religious Non-Affiliation in China: A Comparison of Major National Surveys in China

Author

Chan Zhang, Philip S Brenner, and Lirui He

Subjects
Sociology and Political Science
Abstract

Measuring the rate of religious non-affiliation is a difficult task in China, one of the least religious countries in the world, and elsewhere. This study evaluates the trend of religious non-affiliation in China using 22 surveys spanning three decades. We found that two surveys asking beliefs in a mix of gods and religions yielded dramatically lower estimates of non-affiliation compared to the others that measured affiliation explicitly. Among the latter, using a filter question (a yes/no question for religious affiliation) increased the reports of non-affiliation but allowing multiple choices and putting “no religion” toward the end of the lists of response options moderately decreased the reports of non-affiliation. After accounting for question design and demographic differences across the surveys, the decline in religious non-affiliation is reduced and becomes not significant during more recent years.

Published
2022
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