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Consumer Perspective: Important Attributes of Quality Health Care

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Consumer Perspective: Important Attributes of Quality Health Care
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Despite extensive research on defining and measuring health care quality, little attention has been given to consumers ' perspectives of high-quality health care. The purposes of this study were to (a) identify the importance to consumers of attributes of health care quality and nursing care quality, and (b) examine the relationship of consumer perspectives to health status and selected demographic variables.
Exploratory. Consumers (N = 239) were recruited from waiting rooms of clinics and in neighborhoods of a large metropolitan area in the Midwestern United States that included both urban and suburban populations.
Participants completed the Quality Health Care Questionnaire (QHCQ) and the SF-36 Health Survey. On the QHCQ, they rated the importance of 27 attributes of health care and nursing care quality. The SF-36 is a 36-item instrument for measuring health status in eight general areas.
The most important indicators of high-quality nursing care to consumers were: being cared for by nurses who are up-to-date and well informed; being able to communicate with the nurse; spending enough time with the nurse and not feeling rushed during the visit; having a nurse teach about the illness, medications, treatments, and staying healthy; and being able to call a nurse with questions. The lowest-rated item was having an opportunity to be cared for by nurse practitioners. Ratings differed by race, age, years of education, income, and health status.
The importance that consumers place on teaching by the nurse was emphasized, particularly among people with less education, low income levels, and chronic illnesses.
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Purpose: Despite extensive research on defining and measuring health care quality, little attention has been given to consumers ' perspectives of high-quality health care. The purposes of this study were to (a) identify the importance to consumers of attributes of health care quality and nursing care



References: Larrabee, J.H. (1995). The changing role of the consumer in health care quality. Journal of Nursing Care Quality, 9(2), 8-15. Longo, D.R., Land, G., Schramm, W , Fraas, J., Soskins, B, & Howell, V (1997). Consumer reports in health care: Do they make a difference in patient care? JAMA, 278, 1579-1584. Lynn, M.R., & McMillen, B.J. (1999). Do nurses know what patients think is important in nursing care? Journal of Nursing Care Quality,13(S), 65-74. Lynn, M.R., & Moore, K. (1997). Relationship between traditional quality indicators and perceptions of care. Seminars for Nurse Managers, 5,187-193. Minnick, A., & Young, W B. (1999). Comparison between reports of care obtained by postdischarge telephone interview and predischarge personal interview. Outcomes Management for Nursing Practice, 3, 32-37. Oermann, M.H. (1997). Professional nursing practice. Norwalk, CT: Appleton & Lange. Oermann, M.H. (1999). Consumers ' descriptions of quality health care. Journal of Nursing Care Quality, 14(1), 47-55. Oermann, M.H., & Huber, D. (1999). Ignorance is bliss but not in health care: Teaching consumers about quality care. Outcomes Management for Nursing Practice, 3, 47-48. Pascoe, G.C. (1983). Patient satisfaction in primary health care: A literature review and analysis. Evaluation and Program Planning, 6, 185-210. Sofaer, S. (1997). How will we know if we got it right? Aims, benefits, and risks of consumer information initiatives. Journal on Quality Improvement, 23, 258-264. Ware, J.E. (1997). SF-36 health survey: Manual and interpretation guide. Lincoln, RI: Quality Metric. Accepted far publication November 18, 1999.

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