Robert Weech?Maldonado|Adam C. Carle|Beverly A. Weidmer|Margarita P. Hurtado|Quyen Ngo?Metzger|Ron D. Hays
The Consumer Assessment of Healthcare Providers and Systems (CAHPS) Cultural Competence (CC) Item Set
University of Alabama at Birmingham|University of Cincinnati|RAND Corporation|American Institutes for Research|University of California, Irvine|University of California, Los Angeles
need reliable valid measures cultural competence cc patients perspectivethis paper evaluates reliability validity consumer assessments healthcare providers systems cahps cc item setusing 2008 survey data assessed internal consistency cahps cc scales using cronbach examined validity measures using exploratory confirmatory factor analysis multitrait scaling analysis regression analysisa random stratified sample based raceethnicity language 991 enrollees younger 65 years 2 medicaid managed care plans california new yorkcahps cc item set excluding screener items ratingsconfirmatory factor analysis comparative fit index098 tucker lewis index098 root mean square error approximation006 provided support 7factor structure doctor communicationpositive behaviors doctor communicationnegative behaviors doctor communicationhealth promotion doctor communicationalternative medicine shared decisionmaking equitable treatment trust itemtotal correlations corrected item overlap 7 scales exceeded 040 exploratory factor analysis showed support 1 additional factor access interpreter services internal consistency reliability estimates ranged 058 alternative medicine 092 positive behaviors 070 higher 4 8 composites composites positively significantly associated overall doctor ratingthe cahps cc 26item set demonstrates adequate measurement properties used supplemental item set cahps clinician group surveys assessing culturally competent care patients perspective