Relationship Between Adolescent Report of Patient-Centered Care and of Quality of Primary Care

Academic Pediatrics
Sara L ToomeyMark A Schuster

Abstract

Few studies have examined adolescent self-report of patient-centered care (PCC). We investigated whether adolescent self-report of PCC varied by patient characteristics and whether receipt of PCC is associated with measures of adolescent primary care quality. We analyzed cross-sectional data from Healthy Passages, a population-based survey of 4105 10th graders and their parents. Adolescent report of PCC was derived from 4 items. Adolescent primary care quality was assessed by measuring access to confidential care, screening for important adolescent health topics, unmet need, and overall rating of health care. We conducted weighted bivariate analyses and multivariate logistic regression models of the association of PCC with adolescent characteristics and primary care quality. Forty-seven percent of adolescents reported that they received PCC. Report of receiving PCC was associated with high quality for other measures, such as having a private conversation with a clinician (adjusted odds ratio [aOR] 2.2; 95% confidence interval [CI] [1.9, 2.6]) and having talked about health behaviors (aOR 1.6; 95% CI 1.4, 1.8); it was also associated with lower likelihood for self-reported unmet need for care (aOR 0.8; 95% CI 0.7, 0.9) and havin...Continue Reading

References

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Citations

Dec 5, 2016·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·Arrash A YassaeeFiona M Brooks
Jun 6, 2019·Ciência & saúde coletiva·Maria da Graça Vinagre, Luísa Barros
Nov 7, 2018·Journal for Healthcare Quality : Official Publication of the National Association for Healthcare Quality·Nanlesta A PilgrimArik V Marcell
Mar 14, 2021·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·Samhita M IlangoPatience H White
Jun 25, 2017·Pediatrics·Gregory S SawickiJonathan A Finkelstein
Dec 7, 2021·Diabetes Spectrum : a Publication of the American Diabetes Association·Breana L BryantMaureen Monaghan

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