Weisman C S, Henderson J T, Schifrin E, Romans M, Clancy C M
University of Michigan, School of Public Health, Ann Arbor, Michigan, USA.
Womens Health Issues. 2001 Sep-Oct;11(5):401-15. doi: 10.1016/s1049-3867(01)00093-7.
This paper investigates gender differences in satisfaction, and in the variables associated with satisfaction, using the Consumer Assessment of Health Plans Study (CAHPS) adult questionnaire administered by the National Committee for Quality Assurance (NCQA) as part of HEDIS 1999. Data represent 97,873 men and women enrolled in 206 commercial managed care plans nationwide. Mean plan-level gender differences in satisfaction measures are small, with no consistent pattern of one gender being more satisfied than the other. Controlling for health plan, member, utilization, and selected HEDIS performance indicators, health plan characteristics account for the largest proportion of variance explained in satisfaction. Not-for-profit status and lower turnover of primary care providers are stronger determinants of women's than men's satisfaction. We conclude that it can be useful to analyze CAHPS scores by gender to identify areas for quality improvement in women's health care.
本文利用美国国家质量保证委员会（NCQA）作为1999年医疗效果数据和信息集（HEDIS）的一部分所管理的消费者健康计划评估研究（CAHPS）成人问卷，调查了满意度以及与满意度相关变量中的性别差异。数据代表了全国206个商业管理式医疗计划中的97873名男性和女性。满意度测量中计划层面的平均性别差异较小，不存在一种性别比另一种性别更满意的一致模式。在控制了健康计划、成员、利用率以及选定的HEDIS绩效指标后，健康计划特征在满意度解释方差中占最大比例。非营利性地位和初级保健提供者较低的人员流动率对女性满意度的决定作用比对男性更强。我们得出结论，按性别分析CAHPS分数有助于确定改善女性医疗保健质量的领域。
