Research Issues when Evaluating the Quality of Health Care

3. Defining Quality of Care

Exercise 1

In this exercise the user should determine whether each question asked is mainly a rating or mainly a report about care quality.

Instructions:
For each of the following, decide which question is mainly a rating and which is mainly a report about care quality:

Options:
Rating
Report

Questions:

  1. Are you satisfied with the information you got?
  2. During your most recent visit, did your doctor give you easy to understand instructions about taking care of your health problems?
  3. Using any number from 0 to 10, where 0 is the worst doctor possible and 10 is the best doctor possible, what number would you use to rate your doctor?
  4. If during your most recent visit your doctor ordered a blood test, x-ray, or other test for you, did someone from the doctor’s office follow up to give you those results?
  5. On your most recent visit, did you see your doctor as soon as you thought you needed?
  6. During this hospital stay, how satisfied were you with the doctors?
  7. During this hospital stay, how often did doctors listen carefully to you?

Answers:

  1. Are you satisfied with the information you got?
    [Rating]  This is a rating (evaluation).  The answer depends on the person’s expectations and subjective assessment.
  2. During your most recent visit, did your doctor give you easy to understand instructions about taking care of your health problems?
    [Report]  This answer is primarily a report.  A positive answer indicates that the process (instructions) occurred and that the person understood them.
  3. Using any number from 0 to 10, where 0 is the worst doctor possible and 10 is the best doctor possible, what number would you use to rate your doctor?
    [Rating]  This is a rating (evaluation).  The answer depends on the person’s expectations and subjective assessment.
  4. If during your most recent visit your doctor ordered a blood test, x-ray, or other test for you, did someone from the doctor’s office follow up to give you those results?
    [Report]  This answer is a report.  A positive answer indicates that the process (getting results) occurred.
  5. On your most recent visit, did you see your doctor as soon as you thought you needed?
    [Report]  Although this type of question elicits information about a specific process and is in essence a report, the “as soon as you needed” is subjective.  This type of question is more of a report than “Were you satisfied with how soon you saw the doctor” but has an evaluative aspect.
  6. During this hospital stay, how satisfied were you with the doctors?
    [Rating]  This is a rating (evaluation).  The answer depends on the person’s expectations and subjective assessment.
  7. During this hospital stay, how often did doctors listen carefully to you?
    [Report]  This answer is primarily a report.  A positive answer indicates that the process (doctors listening) occurred.  The patient has to apply a standard of “carefully” but it still is mainly a report.