Purpose To evaluate the reliability and validity of the Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Patient-Centered Medical Home Survey. Methods We conducted a field test of the CAHPS patient-centered medical home (PCMH) survey with 2,740 adults collected by mail (n = 1,746), phone (n = 672), and web (n = 322) from 6 sites of care affiliated with a west-coast staff model health maintenance organization. Findings An overall response rate of 37% was obtained. Internal consistency reliability estimates for 7 multi-item scales were as follows: access to care (5 items, alpha = 0.79), communication with providers (6 items, alpha = 0.93), office staff courtesy and respect (2 items, alpha = 0.80), shared decision-making about medicines (3 items, alpha = 0.67), self-management support (2 items, alpha = 0.61), attention to mental health issues (3 items, alpha = 0.80), and care coordination (4 items, alpha = 0.58). The number of responses needed to get reliable information at the site of care level for the composites was generally acceptable (< 300 for 0.70 reliability-level) except for self-management support and shared decision-making about medicines. Item-scale correlations provided support for distinct composites except for access to care and shared decision-making about medicines, which overlapped with the communication with providers scale. Shared decision-making and self-management support were significantly uniquely associated with the global rating of the provider (dependent variable) along with access and communication in a multiple regression model. Implications This study provides further support for the reliability and validity of the CAHPS PCMH survey, but refinement of the self-management support and shared decision-making scales is needed. The survey can be used to provide information about the performance of different health plans on multiple domains of health care, but future efforts to improve some of the survey items is needed.

Predictors of Asian American first‐year college students’ intention to participate in a culturally congruent mentoring program was empirically documented using Ajzen and Fishbein's (1980) theory of reasoned action (TRA). Intention to participate was predicted by the belief that participation eases transition to college. Also, attitude toward participation was positively related to students’ beliefs that participation will strengthen ethnic identity and combat model‐minority myth. With 78% of students who intended to participate, results suggest that Asian American college students need programming that addresses issues as first‐year college students and those related to their cultural experience. The use of the TRA to better understand issues related to peer mentoring is illuminated. Wider implications for implementing culturally congruent mentoring programs in educational settings are discussed.

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On the basis of these findings, it is apparent that within at least one health care system, the opportunity to increase value through task shifting and avoiding inappropriate care is more narrow than commonly perceived on a national level.