This study describes an instrument to measure the perceived effects of prior authorization on quality of care among Texas Medicaid patients with severe mental illness. A questionnaire was mailed to 1,650 prescribers of psychiatric medications and 226 responses were used for analyses (17.5% response rate). Factor analysis revealed a 3-factor, 25-item instrument (BoPAP scale). Overall, prescribers reported a moderate burden of PA (BoPAP Mean = 3.90 +/- 0.52, possible range = 1-5). They perceived a high burden (4.49 +/- 0.57) on "administrative issues," a moderate burden (3.93 +/- 0.66) on "patient care processes/outcomes" and the lowest burden (3.30 +/- 0.74) on "system/societal costs." BoPAP scores differed based on provider characteristics, indicating evidence of discriminant validity.
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| http://dx.doi.org/10.1007/s10488-009-0220-4 | DOI Listing |
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