Licciardone John C, Kearns Cathleen M, Ruggiere Paul
The Osteopathic Research Center, 3500 Camp Bowie Blvd, Fort Worth, TX 76107, USA.
J Am Osteopath Assoc. 2011 Dec;111(12):670-84.
The Osteopathic Survey of Health Care in America (OSTEOSURV) is a decennial national telephone survey. Its goals are to monitor longitudinal trends in awareness, beliefs, utilization, and patient satisfaction relating to osteopathic physicians and to assess beliefs and attitudes regarding contemporary health care issues in the United States. The questionnaire was validated during the administrations of OSTEOSURV-I and OSTEOSURV-II in 1998 and 2000, respectively. In OSTEOSURV 2010, the contemporary health care issues of interest are patient-centered care and the Patient Protection and Affordable Care Act of 2010.
The target population was household residents of the United States aged 18 years or older. A total of 10,308 random landline telephone numbers were dialed using a computer-assisted telephone interviewing system to acquire 1000 completed interviews between July 23, 2010, and October 1, 2010. The response, cooperation, and contact rates as defined by the American Association for Public Opinion Research were comparable to those of other national telephone surveys. The survey provides an estimated margin of error no greater than 3% to 4% for both general items and for those relating to the subset of respondents claiming to be aware of osteopathic physicians. Because respondents were older and more likely to be female than referents in the general population, the observed responses will be weighted by age and sex to reflect the US Census estimates for persons aged 18 years or older in 2010.
OSTEOSURV 2010 was successfully fielded as the latest national telephone survey relevant to osteopathic medicine and contemporary US health care issues. Data analysis should yield important new findings relating to osteopathic physicians, patient-centered care, and the Patient Protection and Affordable Care Act that may not be readily observed through other national health care data sets. While underrepresented in this survey, which excluded cell phone-only participants, young adult respondents were reflective of their national age referents with regard to health insurance coverage and general health status. Thus, it appears likely that statistical weighting by age and sex of the OSTEOSURV 2010 data will minimize potential bias in estimates of health-related items. Rapidly evolving technology and sociocultural transitions will necessitate changes in the design of OSTEOSURV 2020.
美国整骨疗法医疗调查（OSTEOSURV）是一项每十年进行一次的全国性电话调查。其目标是监测与整骨疗法医生相关的认知、信念、利用情况和患者满意度的纵向趋势，并评估对美国当代医疗保健问题的信念和态度。该问卷分别在1998年和2000年的OSTEOSURV - I和OSTEOSURV - II调查实施期间得到验证。在2010年的OSTEOSURV调查中，感兴趣的当代医疗保健问题是患者为中心的护理以及2010年的《患者保护与平价医疗法案》。
目标人群是美国18岁及以上的家庭居民。2010年7月23日至10月1日期间，使用计算机辅助电话访谈系统拨打了总共10308个随机固定电话号码，以获得1000份完整访谈。美国民意研究协会定义的回应率、合作率和联系率与其他全国性电话调查相当。该调查对于一般项目以及与声称了解整骨疗法医生的受访者子集相关的项目，估计误差幅度不超过3%至4%。由于受访者比一般人群中的参照对象年龄更大且女性比例更高，观察到的回答将按年龄和性别进行加权，以反映2010年美国人口普查对18岁及以上人群的估计。
2010年的OSTEOSURV作为与整骨疗法医学和当代美国医疗保健问题相关的最新全国性电话调查成功实施。数据分析应能得出与整骨疗法医生、以患者为中心的护理以及《患者保护与平价医疗法案》相关的重要新发现，而这些发现可能无法通过其他全国性医疗保健数据集轻易观察到。虽然在本次排除仅使用手机参与者的调查中代表性不足，但年轻成年受访者在医疗保险覆盖范围和总体健康状况方面反映了其全国年龄参照对象的情况。因此，对2010年OSTEOSURV数据按年龄和性别进行统计加权似乎将使健康相关项目估计中的潜在偏差最小化。快速发展的技术和社会文化转变将使2020年OSTEOSURV的设计有必要做出改变。
