Shaul J A, Fowler F J, Zaslavsky A M, Homer C J, Gallagher P M, Cleary P D
Department of Health Care Policy, Harvard Medical School, Boston, MA 02115, USA.
Med Care. 1999 Mar;37(3 Suppl):MS59-68. doi: 10.1097/00005650-199903001-00007.
The aim of this study was to determine whether parents rate their children's care differently when they also rate their own care than when they do not.
Subjects were employees of Washington State who had been enrolled in a health plan for at least 6 months and who had at least one covered child. Subjects were randomly assigned to four study groups that were surveyed using different protocols. To assess the stability of responses over time, a follow-up telephone interview was conducted with individuals in two of the groups.
Parents or guardians who received both the Adult and Child Surveys were less likely to complete a survey than those who received only one survey. Responses to selected survey questions were quite stable between survey administrations. Parents who rated only their child's health care experiences generally gave more positive responses than those who also rated their own care, although few of these differences were statistically significant. This may have been due, in part, to the lower response rates in the latter group. The pairs of survey questions that ask about the adult's and child's experiences with the same aspects of care had moderate to high levels of association. The pair with the weakest association asked how clearly the doctor or nurse explained things to the adult or the child.
Sending both an adult and child survey to an adult could have an effect on the pattern of responses and result in lower response rates, but this might be a cost-effective way to collect reports about both adult and child health care.
本研究旨在确定父母在对自己的护理进行评分时，对孩子护理的评分与不对自己护理进行评分时是否有所不同。
研究对象为华盛顿州的雇员，他们已参加健康计划至少6个月且至少有一个受保子女。研究对象被随机分为四个研究组，采用不同的方案进行调查。为评估随时间推移回答的稳定性，对其中两个组的个体进行了随访电话访谈。
同时收到成人和儿童调查问卷的父母或监护人比只收到一份调查问卷的人完成调查的可能性更小。在不同调查阶段，对选定调查问题的回答相当稳定。仅对孩子的医疗保健经历进行评分的父母通常比那些也对自己护理进行评分的父母给出更积极的回答，尽管这些差异中很少有在统计学上具有显著性。这可能部分是由于后一组的回复率较低。询问成人和儿童在护理相同方面经历的成对调查问题具有中度到高度的关联性。关联性最弱的一对问题是询问医生或护士向成人或儿童解释事情的清晰度。
向成年人同时发送成人和儿童调查问卷可能会对回答模式产生影响并导致较低的回复率，但这可能是一种收集有关成人和儿童医疗保健报告的经济有效的方式。
