The effect of administration mode on CAHPS survey response rates and results: A comparison of mail and web-based approaches

The effect of administration mode on CAHPS survey response rates and results: A comparison of mail and web-based approaches
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DOI:
10.1111/1475-6773.13109
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发表时间:
2019-06-01
影响因子:
3.4
通讯作者:
Cleary, Paul D.
Cleary, Paul D.
中科院分区:
医学3区
文献类型:
--
作者:
Fowler, Floyd J., Jr.;Cosenza, Carol;Cleary, Paul D.

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目的本研究的目的是比较使用网络和邮件协议进行的CAHPS调查的回复率、受访者特征和实质性结果。数据来源:患者在过去6个月内进行过一次或多次初级保健服务。研究设计/数据收集方法初级保健做法有电子邮件地址的患者被随机分为四种调查管理协议之一:通过门户邀请进行网络;通过电子邮件邀请进行网络;网络和邮件相结合;以及仅使用邮件。另一个样本是没有已知电子邮件地址的患者,他们通过邮件进行了调查。对互联网和邮件协议的非受访者样本通过电话进行了调查。使用互联网协议管理的调查的回复率低于通过邮件管理的调查的回复率(20%对40%以上)。然而,受访者的特征和调查答案在不同协议中非常相似。没有电子邮件地址的受访者年龄更大,受教育程度较低,而且比那些有电子邮件地址的人更有可能是男性,他们的回答略有不同。在邮件或网络协议中,几乎没有证据表明存在无响应偏见。结论在这一受过良好教育的患者群体中,网络协议的应答率较低,但实质性结果与邮件协议非常相似。
Objective The objective of this study was to compare response rates, respondents' characteristics, and substantive results for CAHPS surveys administered using web and mail protocols. Data Sources Patients who had one or more primary care visits in the preceding 6 months. Study Design/Data Collection Methods Patients for whom primary care practices had email addresses were randomized to one of four survey administration protocols: web via a portal invitation; web via an email invitation; combination of web and mail; and mail only. Another sample of patients without known email addresses was surveyed by mail. Samples of nonrespondents to the Internet and mail protocols were surveyed by telephone. Principal Findings Response rates to surveys administered using the Internet protocols were lower than for the surveys administered by mail (20 percent vs over 40 percent). However, characteristics of respondents and survey answers were very similar across protocols. Respondents without email addresses were older, less educated, and more likely to be male than those with email addresses, and there were a few differences in their responses. There was little evidence of nonresponse bias in either the mail or web protocols. Conclusion In this well-educated patient population, web protocols had lower response rates, but substantive results very similar to those from mail protocols.