Table 1 MEPS survey items and scoring by MH domain a
From: Access to after-hours primary care: a key determinant of children’s medical home status
Domain and item | Description of MEPS question and scoring |
|---|---|
Usual source of care b | |
USC1 | Is there a particular doctor’s office, clinic, health center, or other place that the individual usually goes to if he/she is sick or needs advice about his/her health? |
USC2 | Is the individual’s provider a person, facility, or person in a facility? |
Accessibility (average of ACC1 to ACC4) | |
ACC1 | Does the provider have office hours at night or on the weekend? No (0) Yes (100) |
ACC2 | Any difficulty accessing care after hours? Very difficult (0) Somewhat difficult (25) Not too difficult (75) Not at all difficult (100) |
ACC3 | Any difficulty getting to care? Very difficult (0) Somewhat difficult (25) Not too difficult (75) Not at all difficult (100) |
ACC4 | Any difficulty accessing provider by phone? Very difficult (0) Somewhat difficult (25) Not too difficult (75) Not at all difficult (100) |
Family centered (average of FAM1 to FAM7) | |
FAM1 | Provider listened to the parent? Never (0) Sometimes (25) Usually (75) Always (100) |
FAM2 | Provider spent enough time with the person and parent? Never (0) Sometimes (25) Usually (75) Always (100) |
FAM3 | Provider seeks the parent’s advice when deciding treatments? No (0) Yes (100) |
FAM4 | Provider shows respect for treatments other doctors may give? Never (0) Sometimes (25) Usually (75) Always (100) |
FAM5 | Provider asks the parent to help make decisions? No (0) Yes (100) |
FAM6 | Provider explains options to the parent? No (0) Yes (100) |
FAM7 | Provider explains things in a way the parent can understand? Never (0) Sometimes (25) Usually (75) Always (100) |
Comprehensive (average of CPR2, CPR4, CPR6, and CPR8, excluding legitimate skips defined by CPR1, CPR3, CPR5, and CPR7; domain scored 100 if all items skipped legitimately) | |
CPR1 | Did the child need to see a specialist? |
CPR2 | If needed a specialist, any problems accessing specialist? A big problem (0) A small problem (50) Not a problem (100) |
CPR3 | Did the child have an illness, injury, or condition that needed care right away from a clinic, emergency room, or doctor’s office? |
CPR4 | If needed care right away, how often was care received as soon as wanted? Never (0) Sometimes (25) Usually (75) Always (100) |
CPR5 | Were there any appointments made to see a doctor or other health provider for routine health care? |
CPR6 | If appointments were made for routine care, how often was an appointment secured as soon as wanted? Never (0) Sometimes (25) Usually (75) Always (100) |
CPR7 | Did the parent or a doctor believe the person needed any care, tests, or treatment? |
CPR8 | If needed care or treatment, any problems receiving care? A big problem (0) A small problem (50) Not a problem (100) |
Compassionate (CPA1) | |
CPA1 | Provider shows respect for what the parent has to say? Never (0) Sometimes (25) Usually (75) Always (100) |