Patients’ Awareness, Usage and Impact of Hospital Report Cards in the US

Emmert, Martin; Schlesinger, Mark

doi:10.1007/s40271-017-0243-y

Cited by 10 publications

(10 citation statements)

References 37 publications

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“…The 41.3% of patients who were 'aware' of the volume-outcomes relationship had done some research prior to their surgery (OR 3.24), suggesting that the information regarding outcomes, if sought, is readily available. However, only 50% had done some research which is consistent with other studies where the use of public performance surveys has been reported to be 20% to 56% [13,14]. Our patient population's relatively high amount of research may contribute to their awareness of the volume-outcome relationship.…”

Section: Discussionsupporting

confidence: 82%

The Volume-Outcome Relationship and Traveling for Hepatobiliary and Pancreatic Surgery: A Quantitative Analysis of Patient Perspectives

Chou¹,

Somnay²,

Woodwyk³

et al. 2020

Cureus

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Despite the well-established relationship between volume and outcomes, patients continue to have procedures performed at low-volume hospitals. The factors patients use to make the complex decision of where to have hepatopancreaticobiliary (HPB) surgery remain poorly characterized. A novel survey instrument was administered to all patients who had undergone HPB surgery at two university-affiliated community hospitals. 76 patients participated in the study (89% response rate). The majority of patients were unaware of the volume-outcome relationship (58.8%). No demographic factors differed between patients who were or were not aware except for patient research. Physician factors were the most important selection category (64.4%). Only 28.9% of patients were willing to travel more than two hours to have an operation performed at a hospital with a high volume/improved quality. Despite many voices calling for regionalization, patient decision-making factors should be considered before any realistic implementation.

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Section: Discussionsupporting

confidence: 82%

The Volume-Outcome Relationship and Traveling for Hepatobiliary and Pancreatic Surgery: A Quantitative Analysis of Patient Perspectives

Chou¹,

Somnay²,

Woodwyk³

et al. 2020

Cureus

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“…However, these findings were acquired from an exclusively online population with healthy and significantly younger adults than in our cohort, possibly overestimating the impact of physician rating websites among the total population. Another study from the USA indicated high levels of awareness (75%) with over half respondents having used a HRW for their hospital search [ 17 ]. Again, the cohort was composed of younger (mean 45 years) patients with a high proportion of female participants and online-only users.…”

Section: Discussionmentioning

confidence: 99%

Hospital rating websites play a minor role for uro-oncologic patients when choosing a hospital for major surgery: results of the German multicenter NAVIGATOR-study

et al. 2023

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Purpose Hospital rating websites (HRW) offer decision support in hospital choice for patients. To investigate the impact of HRWs of uro-oncological patients undergoing elective surgery in Germany. Methods From 01/2020 to 04/2021, patients admitted for radical prostatectomy, radical cystectomy, or renal tumor surgery received a questionnaire on decision-making in hospital choice and the use of HRWs at 10 German urologic clinics. Results Our study includes n = 812 completed questionnaires (response rate 81.2%). The mean age was 65.2 ± 10.2 years; 16.5% were women. Patients were scheduled for prostatectomy in 49.1%, renal tumor surgery in 20.3%, and cystectomy in 13.5% (other 17.1%). Following sources of information influenced the decision process of hospital choice: urologists’ recommendation (52.6%), previous experience in the hospital (20.3%), recommendations from social environment (17.6%), the hospital's website (10.8%) and 8.2% used other sources. Only 4.3% (n = 35) used a HRW for decision making. However, 29% changed their hospital choice due to the information provided HRW. The most frequently used platforms were Weisse-Liste.de (32%), the AOK-Krankenhausnavigator (13%) and Qualitaetskliniken.de (8%). On average, patients rated positively concerning satisfaction with the respective HRW on the Acceptability E-Scale (mean values of the individual items: 1.8–2.1). Conclusion In Germany, HRWs play a minor role for uro-oncologic patients undergoing elective surgery. Instead, personal consultation of the treating urologist seems to be far more important. Although patients predominantly rated the provided information of the HRW as positive, only a quarter of users changed the initial choice of hospital.

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“…In general, this finding is in line with the literature, most often in the areas of health plan and hospital choice, which shows that consumers' perspectives can be influenced by performance reports. [30][31][32] For example, Emmert and Schlesinger 31 found that 80% of users reported being influenced by publicly F I G U R E 1 Distribution of the attribute valuations for selecting primary care doctors before and after exposure. Response options were as follows: 1 = not matter much; 2 = matter some; and 3 = matter a lot.…”

Section: Discussionmentioning

confidence: 99%

How do consumers respond when presented with novel doctor performance information? A multivariate regression analysis

Hanson

2021

Health Expectations

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Background: There is an array of attributes one may consider when selecting a doctor. Consumers must generally select providers in the absence of any standardized performance information about these attributes at the doctor level. Some attributes may be less salient to consumers until presented with novel performance data. Innate decision-making regret, style and skill may be important, given the complexity of processing and trading off on numerous attributes.Objective: There has been limited opportunity to study consumer behaviour in the presence of doctor-level quality information, as these data are not widely available.This study explores how consumers interact with doctor-level performance data, considering their decision-making regret, style and skill. Specifically, it examines how consumers rate 10 doctor attributes before and after exposure to doctor-level quality information. Methods:The study utilizes data from the SelectMD 2.0 Provider Choice Experiment. Respondents (n = 1247) were presented with a mock website reporting quality information and asked to choose a doctor. Difference scores are calculated based on participants' ratings of 10 attributes before and after the experiment and a multivariate ordered probit regression is considered to study the association between the predictors and 10 response outcomes.Results: Consumers change their valuation of doctor attributes following exposure to quality data. As expected, consumers upgrade their valuation of the safety and technical quality attributes, but this is specifically associated with a greater tendency to regret decisions. Instead, those with a more dependent decision-making style downgrade reputation, while those with better decision-making skill downgrade the bedside manner and safety attributes.

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Patients’ Awareness, Usage and Impact of Hospital Report Cards in the US

Abstract: Our results indicate that hospital report cards play a considerable role among patients when searching for a hospital in the US; however, patients do not seem to have a preference regarding the type of report cards they use when selecting a hospital.

Cited by 10 publications

References 37 publications

The Volume-Outcome Relationship and Traveling for Hepatobiliary and Pancreatic Surgery: A Quantitative Analysis of Patient Perspectives

The Volume-Outcome Relationship and Traveling for Hepatobiliary and Pancreatic Surgery: A Quantitative Analysis of Patient Perspectives

Hospital rating websites play a minor role for uro-oncologic patients when choosing a hospital for major surgery: results of the German multicenter NAVIGATOR-study

How do consumers respond when presented with novel doctor performance information? A multivariate regression analysis

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