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Activity Number: 458
Type: Topic Contributed
Date/Time: Wednesday, August 5, 2009 : 10:30 AM to 12:20 PM
Sponsor: Section on Health Policy Statistics
Abstract - #303496
Title: Methodological Issues in the Analysis of Responses to CAHPS Questions in the Medical Expenditure Panel Survey (MEPS)
Author(s): Paul Gorrell*+
Companies: Social & Scientific Systems, Inc.
Address: 8757 Georgia Avenue, Silver Spring, MD, 20910,
Keywords: MEPS ; CAHPS ; healthcare quality ; survey analysis
Abstract:

The Medical Expenditure Panel Survey (MEPS) provides annual national estimates of healthcare use and expenditures, as well as insurance-coverage and source-of-payment information, for the civilian, non-institutionalized, U.S. population. In 2000 MEPS introduced healthcare quality questions for adults and children taken from CAHPS. Initially there were two separate, paper-and-pencil, questionnaires: one for adults (SAQ) and one for parents (PAQ). In 2001 the PAQ was incorporated into the interviewer-administered household instrument. This paper outlines the research opportunities afforded by the inclusion of CAHPS questions in MEPS, but focuses on methodological issues with respect to trends analysis, the use of person-level and SAQ weights, variance estimation, the creation of pooled time periods, as well as the construction/scoring of composite quality-of-care measures.

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