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Published on: January 8, 2020
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Military Health System Access to Care: Performance and Perceptions
Beatrice Abiero1, Sharon Beamer2, Alan Roshwalb1
1Ipsos US Public Affairs, San Antonio, Texas 2020 K St NW Suite #410, Washington DC 20006.
Military Medicine
|January 8, 2020
Summary
Patient surveys and administrative data show moderate correlations in measuring healthcare access. Administrative data accurately assesses access, while surveys help identify specific issues like scheduling and provider availability.
Area of Science:
- Healthcare Management
- Health Services Research
- Patient Access to Care
Background:
- Accurate measurement of access to care (ATC) is crucial for quality healthcare delivery.
- Patient-reported access may differ from administrative performance data.
- This study investigates the relationship between administrative ATC data and patient survey results.
Purpose of the Study:
- To examine the relationship between administrative access to care data and patient survey results.
- To determine if administrative data can accurately reflect patient perceptions of access.
- To identify the utility of patient surveys in diagnosing specific access barriers.
Main Methods:
- Retrospective study in military medical treatment facilities (May 2016-March 2017).
- Utilized Joint Outpatient Experience Survey (JOES) for patient data and Military Health System Data Repository for administrative data.
- Performed correlation and multivariate regression analyses to compare ATC measures.
Main Results:
- Moderate correlations were found between patient survey ATC items and administrative ATC measures.
- Correlations were influenced by patient mix composition.
- Increased appointment wait times were significantly associated with lower patient ratings of scheduling and provider availability.
Conclusions:
- Patient-based ATC measures from surveys are related to administrative ATC measures.
- Administrative data provides an accurate assessment of access.
- Survey items are valuable for identifying specific access issues, such as scheduling and provider availability.
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