Development of and field test results for the CAHPS PCMH Survey

Med Care. 2012 Nov;50 Suppl(Suppl):S2-10. doi: 10.1097/MLR.0b013e3182610aba.


Objective: To develop and evaluate survey questions that assess processes of care relevant to Patient-Centered Medical Homes (PCMHs).

Research design: We convened expert panels, reviewed evidence on effective care practices and existing surveys, elicited broad public input, and conducted cognitive interviews and a field test to develop items relevant to PCMHs that could be added to the Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Clinician & Group (CG-CAHPS) 1.0 Survey. Surveys were tested using a 2-contact mail protocol in 10 adults and 33 pediatric practices (both private and community health centers) in Massachusetts. A total of 4875 completed surveys were received (overall response rate of 25%).

Analyses: We calculated the rate of valid responses for each item. We conducted exploratory factor analyses and estimated item-to-total correlations, individual and site-level reliability, and correlations among proposed multi-item composites.

Results: Ten items in 4 new domains (Comprehensiveness, Information, Self-Management Support, and Shared Decision-Making) and 4 items in 2 existing domains (Access and Coordination of Care) were selected to be supplemental items to be used in conjunction with the adult CG-CAHPS 1.0 Survey. For the child version, 4 items in each of 2 new domains (Information and Self-Management Support) and 5 items in existing domains (Access, Comprehensiveness-Prevention, Coordination of Care) were selected.

Conclusions: This study provides support for the reliability and validity of new items to supplement the CG-CAHPS 1.0 Survey to assess aspects of primary care that are important attributes of PCMHs.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Child
  • Child, Preschool
  • Community Health Centers / standards
  • Community Health Centers / statistics & numerical data
  • Consumer Behavior* / statistics & numerical data
  • Factor Analysis, Statistical
  • Female
  • Focus Groups
  • Health Care Surveys / methods*
  • Health Personnel / standards
  • Health Personnel / statistics & numerical data
  • Humans
  • Infant
  • Interviews as Topic
  • Male
  • Middle Aged
  • Patient Satisfaction / statistics & numerical data
  • Patient-Centered Care / standards*
  • Patient-Centered Care / statistics & numerical data
  • Primary Health Care / standards
  • Primary Health Care / statistics & numerical data
  • Private Practice / standards
  • Private Practice / statistics & numerical data
  • Reproducibility of Results
  • Surveys and Questionnaires / standards
  • United States
  • Young Adult