Abstract
This study evaluated the quality of primary care services provided in 15 National
Centers of Excellence in Women’s Health (CoE) clinical sites in operation in 2001
using self-reported clinical preventive services and patient satisfaction as indicators
of quality of care. A sample of 3,111 women served by the CoE program was surveyed
and compared with quality of care benchmarks from national and local community surveys.
The benchmark surveys were: a nationally representative sample of 2,075 women from
the 1998 Commonwealth Fund Survey of Women’s Health; a community sample of women who
lived within a geographical catchment area for three CoEs; and a sample of 71,438
women in the 1999 Consumer Assessment of Health Plans Study (CAHPS) of commercial
managed care plans. Adjusting for region, age, education, perceived health status,
and managed care enrollment, women in the CoEs weremore satisfied with their care
and had received significantly more screening tests and counseling services than women
in the benchmark samples. The largest effects among primary care services were for
physical breast examination, mammogram (ages 50+), and counseling for smoking, domestic
violence, and sexually transmitted diseases.
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© 2002 The Jacob's Institute of Women's Health. Published by Elsevier Inc. All rights reserved.
