Table 2. Does Indicator Comprehension Differ by Insurance Status?1.
| Indicators | Total Percent Low Comprehension | Privately Insured2 (N=36) |
Medicaid3 (N=32) |
Uninsured4 (N=36) |
|---|---|---|---|---|
|
| ||||
| Percent | ||||
| Desirable Event Rates | ||||
| Mammograms | 26.7 (31/116) |
18.9 (7/37) |
*29.8 (17/57) |
**31.8 (7/22) |
| Immunizations for Children | 28.9 (33/114) |
31.3 (15/48) |
**16.7 (5/30) |
36.1 (13/36) |
| Cholesterol Screening | 27.8 (22/79) |
26.7 (8/30) |
23.1 (6/26) |
34.8 (8/23) |
| Diabetic Eye Exams | 13.0 (6/46) |
9.1 (2/22) |
13.3 (2/15) |
***22.2 (2/9) |
| Pap Smears | 15.2 (12/79) |
18.6 (8/43) |
14.3 (3/21) |
**6.7 (1/15) |
| Undesirable Event Rates | ||||
| Hospital-Acquired Infection | 26.0 (27/104) |
25.6 (10/39) |
21.9 (7/32) |
30.3 (10/33) |
| Post-Surgery Complication | 8.1 (7/86) |
10.0 (3/30) |
8.3 (2/24) |
6.3 (2/32) |
| Hospital Death After a Heart Attack | 27.3 (24/88) |
25.0 (10/40) |
22.2 (4/18) |
33.3 (10/30) |
| C-Section Birth | 17.9 (20/112) |
20.8 (10/48) |
17.4 (4/23) |
14.6 (6/41) |
| Pediatric Asthma Hospitalization | 40.8 (31/76) |
25.6 (11/43) |
***63.6 (14/22) |
***54.5 (6/11) |
| Low-Birth-Weight Babies | 44.0 (48/109) |
44.1 (15/34) |
42.9 (18/42) |
45.5 (15/33) |
| Patient Ratings of Care | ||||
| Overall Quality in the Plan | 16.5 (13/79) |
11.4 (4/35) |
***28.0 (7/25) |
10.5 (2/19) |
| Time Spent With Doctor | 11.6 (10/186) |
12.5 (4/32) |
12.5 (4/32) |
9.1 (2/22) |
| Respect Given Patients | 0.01 (1/100) |
0 (0/30) |
2.6 (1/39) |
0 (0/31) |
| Doctor's Communication | 2.7 (3/112) |
2.7 (1/37) |
4.2 (2/48) |
0 (0/27) |
| Disenrollment | 13.6 (12/88) |
20.7 (6/29) |
21.4 (6/28) |
0 (0/31) |
| Disciplinary Actions | ||||
| Malpractice Judgments | 12.5 (17/136) |
19.0 (11/58) |
**7.1 (3/42) |
*8.3 (3/36) |
| Professional Disciplinary Actions | 14.2 (16/113) |
20.0 (7/35) |
16.7 (9/54) |
0 (0/24) |
Percentage of each insurance groups' comments that reflect low comprehension of the Quality Care Indicator (QCI).
132 low-comprehension comments; 670 total comments.
114 low-comprehension comments; 578 total comments.
87 low-comprehension comments; 475 total comments.
p<.05.
p<.01.
p<.001.
NOTES: Bolding indicates which cells have 20 percent or more low-comprehension comments. Privately insured consumers are the reference group for the Chi-square analysis. Medicaid and uninsured consumers are compared with the privately insured. Parentheses show number of low-comprehension comments over total comments made about that indicator.
SOURCE: Jewett, J.J., and Hibbard, J.H., University of Oregon, Department of Planning, Public Policy and Management, 1995.