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Patient-Centered Quality Measures for Asian Americans: Research in Progress

Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, Department of Medicine, Harvard Medical School, Boston, Mass, qngometz{at}caregroup.harvard

Michael P. Massagli, PhD

Picker Institute, Boston, Mass

Brian Clarridge, PhD

Center for Survey Research, University of Massachusetts, Boston, Mass

Michael Manocchia, PhD

Picker Institute, Boston, Mass

Roger B. Davis, ScD

Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, Department of Medicine, Harvard Medical School, Boston, Mass

Lisa I. Iezzoni, MD, MSc

Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, Department of Medicine, Harvard Medical School, Boston, Mass

Russell S. Phillips, MD

Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, Department of Medicine, Harvard Medical School, Boston, Mass

We aim to develop and validate a questionnaire that examines quality of care from the patient's perspective for limited-English-proficient Asian Americans (AA) of Chinese and Vietnamese descent. We will conduct focus groups of patients to identify issues important to them, with an emphasis on communication and access to care. We will then draft a questionnaire and test its validity using standard survey research methods and direct observation of patient-provider encounters. Subsequent field testing will involve face-to-face patient interviews 1 month after an outpatient visit. We will evaluate alternate modes of administration to test feasibility and to maximize response. The result of our study will be a validated, culturally sensitive, patient-centered instrument that measures health care quality for limited-English-proficient AA patients. Our research will provide a template for developing future quality measures for other vulnerable populations.

Key Words: Asian Americans • patient preferences • quality • survey

American Journal of Medical Quality, Vol. 15, No. 4, 167-173 (2000)
DOI: 10.1177/106286060001500407


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