John T. Chang, MD, MPH; Ron D. Hays, PhD; Paul G. Shekelle, MD, PhD; Catherine H. MacLean, MD, PhD; David H. Solomon, MD; David B. Reuben, MD; Carol P. Roth, RN, MPH; Caren J. Kamberg, MSPH; John Adams, PhD; Roy T. Young, MD; Neil S. Wenger, MD, MPH
Acknowledgments: The authors thank Robin P. Hertz, PhD, senior director of outcomes research and population studies at Pfizer Inc., for her valuable support. They also thank Patricia Smith for her technical assistance.
Grant Support: The ACOVE project was supported by a contract from Pfizer Inc. to RAND Health. Dr. Chang was supported by a National Research Service Award training grant (PE-19001) and the UCLA Specialty Training and Advanced Research (STAR) Program. Dr. Shekelle is a Senior Research Associate of the Veterans Affairs Health Services Research and Development Service. Dr. MacLean holds a Veterans Affairs Health Services Research and Development Service Career Development Award. Dr. Hays was supported in part by UCLA/DREW Project EXPORT, National Institutes of Health, National Center on Minority Health & Health Disparities (P20-MD00148-01), and UCLA Center for Health Improvement in Minority Elders/Resource Center for Minority Aging Research, National Institutes of Health, National Institute of Aging (AG-02-004).
Potential Financial Conflicts of Interest: Stock ownership or options (other than mutual funds): R.T. Young (Pfizer Inc.).
Requests for Single Reprints: John T. Chang, MD, MPH, David Geffen School of Medicine at UCLA, Division of General Internal Medicine and Health Services Research, 911 Broxton Avenue, Third Floor, Los Angeles, CA 90095-1736; e-mail, email@example.com.
Current Author Addresses: Drs. Chang, Hays, and Wenger: David Geffen School of Medicine at UCLA, Division of General Internal Medicine and Health Services Research, 911 Broxton Avenue, Third Floor, Los Angeles, CA 90095-1736.
Drs. Shekelle and MacLean: Greater Los Angeles Veterans Affairs Healthcare System, 11301 Wilshire Boulevard, Los Angeles, CA 90073.
Dr. Reuben: Division of Geriatrics, University of California, Los Angeles, 200 Medical Plaza, Los Angeles, CA 90095-1736.
Ms. Roth and Drs. Solomon and Adams: RAND, 1776 Main Street, M-4E, Santa Monica, CA 90407-2138.
Ms. Kamberg: RAND Health, 1200 South Hayes Street, Arlington, VA 22202.
Dr. Young: Division of General Internal Medicine, University of California, Los Angeles, 200 Medical Plaza, Los Angeles, CA 90095-1736.
Chang J., Hays R., Shekelle P., MacLean C., Solomon D., Reuben D., Roth C., Kamberg C., Adams J., Young R., Wenger N.; Patients' Global Ratings of Their Health Care Are Not Associated with the Technical Quality of Their Care. Ann Intern Med. 2006;144:665-672. doi: 10.7326/0003-4819-144-9-200605020-00010
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Published: Ann Intern Med. 2006;144(9):665-672.
Patient ratings of care are commonly used by health plans, payers, providers, and consumers to assess the quality of health care received. Measuring satisfaction is common in other service industries for various purposes, including marketing and improving service delivery. Patient evaluations of care, although variable across providers, are generally high (1, 2). On the contrary, there is increasing concern about the technical quality of patient care (3) and a growing emphasis on improving patient safety (4). Although reports and ratings of care are important indicators of patients' subjective experiences with the health care system, the relationship of these perceptions with technical quality of care is not well understood.
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