Limits...
Psychometric properties of an instrument to assess Medicare beneficiaries' prescription drug plan experiences.

Martino SC, Elliott MN, Cleary PD, Kanouse DE, Brown JA, Spritzer KL, Heller A, Hays RD - Health Care Financ Rev (2009)

Bottom Line: These measures were positively associated with members' overall rating of the plan and their willingness to recommend the plan.Moreover, each was independently useful in predicting beneficiaries' global ratings of their plan.This instrument can be an important tool for helping beneficiaries to choose a plan that best meets their needs.

View Article: PubMed Central - PubMed

Affiliation: RAND, Pittsburgh, PA 15213-2665, USA. martino@rand.org

ABSTRACT
Using data from 335,249 Medicare beneficiaries who responded to the 2007 Medicare Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey, along with data from 22 cognitive interviews, we investigated the reliability and validity of an instrument designed to assess beneficiaries' experiences with their prescription drug plans. Composite measures derived from the instrument had acceptable internal consistency and sufficient plan-level reliability to inform consumer choice, quality improvement, and payor oversight. These measures were positively associated with members' overall rating of the plan and their willingness to recommend the plan. Moreover, each was independently useful in predicting beneficiaries' global ratings of their plan. This instrument can be an important tool for helping beneficiaries to choose a plan that best meets their needs.

Show MeSH
Full Set of Prescription Drug Items Included in the 2007 Medicare CAHPS® Survey
© Copyright Policy
Related In: Results  -  Collection


getmorefigures.php?uid=PMC4195071&req=5

f1-hcfr-30-03-041: Full Set of Prescription Drug Items Included in the 2007 Medicare CAHPS® Survey

Mentions: In additional formative work, we conducted nine cognitive interviews with Medicare beneficiaries with prescription drug coverage to refine the wording of items (e.g., “pharmacy” versus “drug store,” “medicine” versus “prescription medicine,” “drug plan” versus “prescription drug plan”) in the draft instrument and narrow the item set. Participants in these interviews were FFS and MA enrollees between the ages of 65 and 85 years; all had prescription drug coverage for less than 6 months. These nine interviews were intended to identify problems with the phrasing, interpretation, and applicability of items in the draft instrument. The items that emerged from this formative work (Figure 1) covered three main aspects of prescription drug coverage (getting needed prescription drugs, getting needed information from the plan, and customer service) and included two global rating items (an overall rating of the plan and a question about plan members' willingness to recommend the plan to others). Additional cognitive interviews, described in detail below, were conducted to evaluate composite measures (multi-item scales) based on these items and labels for these composites.


Psychometric properties of an instrument to assess Medicare beneficiaries' prescription drug plan experiences.

Martino SC, Elliott MN, Cleary PD, Kanouse DE, Brown JA, Spritzer KL, Heller A, Hays RD - Health Care Financ Rev (2009)

Full Set of Prescription Drug Items Included in the 2007 Medicare CAHPS® Survey
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4195071&req=5

f1-hcfr-30-03-041: Full Set of Prescription Drug Items Included in the 2007 Medicare CAHPS® Survey
Mentions: In additional formative work, we conducted nine cognitive interviews with Medicare beneficiaries with prescription drug coverage to refine the wording of items (e.g., “pharmacy” versus “drug store,” “medicine” versus “prescription medicine,” “drug plan” versus “prescription drug plan”) in the draft instrument and narrow the item set. Participants in these interviews were FFS and MA enrollees between the ages of 65 and 85 years; all had prescription drug coverage for less than 6 months. These nine interviews were intended to identify problems with the phrasing, interpretation, and applicability of items in the draft instrument. The items that emerged from this formative work (Figure 1) covered three main aspects of prescription drug coverage (getting needed prescription drugs, getting needed information from the plan, and customer service) and included two global rating items (an overall rating of the plan and a question about plan members' willingness to recommend the plan to others). Additional cognitive interviews, described in detail below, were conducted to evaluate composite measures (multi-item scales) based on these items and labels for these composites.

Bottom Line: These measures were positively associated with members' overall rating of the plan and their willingness to recommend the plan.Moreover, each was independently useful in predicting beneficiaries' global ratings of their plan.This instrument can be an important tool for helping beneficiaries to choose a plan that best meets their needs.

View Article: PubMed Central - PubMed

Affiliation: RAND, Pittsburgh, PA 15213-2665, USA. martino@rand.org

ABSTRACT
Using data from 335,249 Medicare beneficiaries who responded to the 2007 Medicare Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey, along with data from 22 cognitive interviews, we investigated the reliability and validity of an instrument designed to assess beneficiaries' experiences with their prescription drug plans. Composite measures derived from the instrument had acceptable internal consistency and sufficient plan-level reliability to inform consumer choice, quality improvement, and payor oversight. These measures were positively associated with members' overall rating of the plan and their willingness to recommend the plan. Moreover, each was independently useful in predicting beneficiaries' global ratings of their plan. This instrument can be an important tool for helping beneficiaries to choose a plan that best meets their needs.

Show MeSH