Eliciting patient and caregiver perspectives to improve the public reporting of rehabilitation quality measures

Papadimitriou C, Magasi S, Demark H, Taylor C, Wolf MS, Heinemann AW, Deutsch A.
Rehabil Nurs. 2013 Jan-Feb;38(1):24-31. doi: 10.1002/rnj.63.

School of Nursing & Health Studies, Northern Illinois University, DeKalb, Illinois, USA. cpapadimitriou@niu.edu

PURPOSE:  To evaluate patients’ and caregivers’ abilities to comprehend information on rehabilitation quality measures, and select high-quality rehabilitation facility.

DESIGN:  We used exploratory, qualitative study using cognitive interviewing.

SETTING:  Three Outpatient rehabilitation facilities in metropolitan Chicago, Illinois, USA.

PARTICIPANTS:  The study participants included 27 patients or three caregivers, 63% female; 36.7% white, 43.3% African American, 10% Asian, 10% missing/other; health literacy: 59% at the 8th grade level or lower; age range: 33-94.

MAIN OUTCOME MEASURE(S):  Patient and caregiver comprehension of quality measures.

RESULTS:  Respondents understood some rehabilitation quality terms, but had difficulty with medical terminology; linking quality measures to hospital quality; explaining choice of “better” quality facility; and reading tables. The research team simplified terminology, definitions, layout, and design; added an introduction to provide a framework for understanding quality.

CONCLUSIONS:  Quality measure information can be difficult to understand and use. When reporting quality measures, use plain language, avoid medical jargon, follow logically sequenced content, easy-to-read layout, provide framework for understanding quality, and