Table 5. Comprehension of Individual QCIs Which Are the Least Understood by Consumers (Percent of Low–Comprehension Comments for Each Category).
| Undesirable Events
|
||||||||
|---|---|---|---|---|---|---|---|---|
| Measure of Comprehension | Desirable Events
|
Hospital-Acquired Infections | Cardiac Deaths | C-Sections | Asthma Hospitalization | Low Birth Weight | ||
| Mammograms | Immunizations | Cholesterol | ||||||
|
| ||||||||
| Percent | ||||||||
| Foundational Knowledge (Round 1) | ||||||||
| Doesn't Understand the Nature of the Underlying Medical Condition | 23 | — | — | 54 | 30 | — | 20 | 26 |
| Doesn't Understand the Meaning of the Medical Test or Procedure Associated With the QCI | 30 | — | 46 | — | — | — | — | — |
| Doesn't Understand Whether High or Low Rates of the QCI Indicate High Quality Performance | — | — | — | — | — | 37 | 20 | 30 |
| Plan-Related Concepts (Round 3) | ||||||||
| Doesn't Believe That Differences in Quality Exist Among Plans or Providers in the Plan | — | 48 | 20 | — | — | — | — | — |
| Doesn't See What Aspect of Care in the Plan the QCI Tells About | — | — | 33 | 23 | — | — | 20 | 24 |
| Belief That the Plan has No Role in the QCI's Performance | 20 | 42 | — | 39 | 50 | 26 | 53 | 64 |
| Deterministic Beliefs (Round 3) | ||||||||
| Believes the Problem Related to the QCI is Just Not Reducible | — | — | — | 31 | 46 | — | 20 | — |
| Doesn't See the Value of Preventive Health Measures or Public Health | 55 | — | 38 | — | — | — | — | — |
NOTES: Within coding rounds, codes are mutually exclusive and may sum to 100 percent. Only cells with 20 percent or more low-comprehension comments are included. QCI is quality care indicator.
SOURCE: Jewett, J.J., and Hibbard, J.H., University of Oregon, Department of Planning, Public Policy and Management, 1995.