Primary Care Physicians' Experiences With and Attitudes Toward Pediatric Quality Reporting
Joseph S Zickafoose1, Henry T Ireys2, Adam Swinburn1
1Mathematica Policy Research, Ann Arbor, Mich.
Academic Pediatrics
|July 26, 2016
Summary
Most physicians receive pediatric quality reports and believe they aid quality improvement (QI). However, fewer use these reports for QI due to barriers like limited staff time and training, indicating current state efforts are insufficient.
Area of Science:
- Health Services Research
- Quality Improvement Science
- Pediatric Primary Care
Background:
- Pediatric quality reports are intended to guide practice-based quality improvement (QI).
- Understanding primary care providers' experiences with these reports is crucial for effective implementation.
- Physician and practice characteristics may influence the adoption and utilization of quality reports.
Purpose of the Study:
- To assess primary care providers' experiences with and attitudes toward pediatric-focused quality reports.
- To identify physician and practice characteristics associated with the use of these reports for QI.
- To evaluate the effectiveness of state-led initiatives in promoting the use of quality reports.
Main Methods:
- A cross-sectional survey was administered to pediatricians and family physicians serving publicly insured children in three states.
- Multivariable analyses examined associations between report utilization and physician/practice characteristics.
- Qualitative data were gathered through interviews with physicians, practice staff, and state demonstration staff.
Main Results:
- A majority of physicians (79.8%) received pediatric quality reports and believed in their potential for QI (70.5%).
- Fewer physicians actively used quality reports to guide QI efforts (32.5%).
- No significant associations were found between exposure to demonstration projects and attitudes or experiences with quality reports.
Conclusions:
- Physicians are receptive to quality reporting, but significant barriers, including insufficient staff time and training, hinder its use for QI.
- Current state efforts appear inadequate to overcome these barriers and facilitate practice-based QI using quality reports.
- Further strategies are needed to enhance the effective utilization of pediatric quality reports in primary care settings.
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