Table 2.
Primary Care Pediatricians and Family Physicians’ Experiences With and Attitudes About Pediatric Quality Reporting in North Carolina, Ohio, and Pennsylvania, 2014
| Weighted % (95% CI) | |||||||
|---|---|---|---|---|---|---|---|
| Full Sample | Pennsylvania (exposed)a | Pennsylvania (unexposed) | North Carolinab | Ohioc | Pediatricians | Family Physicians | |
| Received pediatric quality reports from external sources: | |||||||
| Any source | 79.8 (77.2–82.4) | 91.8 (85.6–97.9)e | 86.7 (82.0–91.3) | 72.3 (67.5–77.2) | 77.0 (72.3–81.7) | 92.9 (90.6–95.1)e | 70.3 (66.2–74.4) |
| Commercial plans | 58.6 (55.4–61.8) | 79.5 (70.2–88.8)e | 76.4 (70.7–82.0) | 48.3 (42.9–53.8) | 46.1 (40.6–51.5) | 72.4 (68.3–76.5)e | 49.0 (44.3–53.6) |
| Medicaid/CHIP agency or managed care plans | 57.8 (54.6–61.0) | 62.8 (51.4–74.3)e | 64.7 (58.3–71.0) | 48.2 (42.8–53.6) | 57.9 (52.5–63.3) | 69.1 (64.9–73.2)e | 50.0 (45.3–54.6) |
| Provider organization/health system | 25.7 (22.8–28.5) | 58.4 (46.7–70.1)e | 21.0 (15.6–26.4) | 21.1 (16.6–25.5) | 28.7 (23.8–33.6) | 33.9 (29.6–38.2)e | 19.9 (16.2–23.6) |
| Received quality reports with any key pediatric quality measures d | 72.1 (69.2–75.0) | 87.6 (79.5–95.7)e | 84.1 (79.4–88.9) | 58.2 (52.7–63.6) | 68.3 (63.2–73.5) | 83.3 (80.0–86.7)e | 63.8 (59.5–68.2) |
| Any quality improvement effort for children in prior 2 years | 78.2 (75.5–80.9) | 88.3 (81.4–95.2) | 78.4 (72.9–83.8) | 78.9 (74.6–83.3) | 75.9 (71.2–80.6) | 92.0 (89.6–94.4)e | 68.3 (64.0–72.5) |
| Started using quality reports in pediatric quality improvement in prior 2 years | 32.5 (29.5–35.6) | 46.8 (35.0–58.6) | 33.8 (27.7–40.0) | 33.4 (28.3–38.5) | 28.3 (23.4–33.1) | 40.4 (36.1–44.8)e | 26.8 (22.7–31.0) |
| Felt quality reports were moderately or very effective for improving quality of care for children | 70.5 (67.5–73.5) | 85.2 (77.1–93.3)f | 72.2 (66.4–77.9) | 72.8 (67.9–77.7) | 64.7 (59.4–69.9) | 74.2 (70.2–78.1) | 67.8 (63.5–72.2) |
Includes respondents practicing in health systems participating in the CHIPRA Quality Demonstration Grant Program intervention in Pennsylvania
Includes all respondents in North Carolina, where CHIPRA Quality Demonstration Grant Program reporting efforts were targeted statewide
Includes all respondents in Ohio, a comparison state that did not participate in the CHIPRA Quality Demonstration Grant Program or have an identified statewide quality reporting effort focused on children
Respondents reported receiving quality reports with any of the following pediatric quality measures: up-to-date immunizations at age 2 years, up-to-date immunizations at age 13 years, body mass index screening, developmental screening, well-child visits by age 15 months, well-child visits ages 3–6 years, well-child visits ages 12–21 years, appropriate pharyngitis testing, emergency department visits for asthma, and medication follow-up visits for attention deficit-hyperactivity disorder.
Chi-squared test across the state or specialty comparison groups significant at p<0.01
Chi-squared test across the state or specialty comparison groups significant at p<0.05