Consumer Use of Provider Quality Report Cards

The Role of Dissemination and Media Coverage

Bibliographic Data

ID9102375
AuthorsNeeraj Bhandari (0000-0003-0349-087X, University of Nevada, Reno, corresponding author), Dennis P Scanlon (Department of Health Policy and Administration, Center for Health Care and Policy Research, College of Health and Human Development), Dennis Scanlon (0000-0002-4464-4372, Health and Human Development (2HD) Research Network), Yunfeng Shi (0000-0002-8572-0730, Department of Health Policy and Administration, Center for Health Care and Policy Research, College of Health and Human Development), Rachel A Smith (0000-0003-0392-3735, Department of Communication Arts and Sciences, College of the Liberal Arts, The Pennsylvania State University, State College, PA)
Year2020
Volume58
Issue4
Pages368-375
Publication date2020-04-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueMedical Care (JOURNAL)
Journal identifiersISSN: 0025-7079 • E-ISSN: 1537-1948
PublisherOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/mlr.0000000000001279
PMID31876660
OpenAlexW2998670723
LanguageEN
References cited23

OBJECTIVE: The objective of this study was to measure the dissemination of comparative provider quality information (CPQI) and evaluate its impact on consumers' awareness and use of CPQI. DATA SOURCES: Two-period, random-digit-dial panel survey of chronically ill consumers residing in 14 regions of the United States; summaries of CPQI dissemination activities of regional multistakeholder alliances; and the LexisNexis Academic and Access World News databases. STUDY DESIGN/METHODS: Fixed effects regression to isolate the effect of CPQI producers' dissemination activities and the print media's CPQI coverage on chronically ill consumers' self-reported awareness and use of CPQI. PRINCIPAL FINDINGS: Direct CPQI dissemination had no overall effect on either awareness or use of CPQI. One unit increase in the media coverage of an Aligning Forces for Quality (AF4Q) multistakeholder alliance report increased consumer awareness and use of CPQI by 1.4 percentage points (P=0.049) and 1.1 percentage points (P=0.009), respectively. Similar increases for the Centers for Medicare and Medicaid Services (CMS) CPQI and for the nonalliance, non-CMS CPQI improved CPQI use by 1.6 percentage points (P<0.001) and 0.2 percentage points (P=0.041), respectively. CONCLUSION: Even though CPQI producers' direct dissemination efforts had little impact, the small but significant consumer impacts of CPQI's limited press coverage suggests that limited use of media in the dissemination of report cards may be a significant factor behind low consumer awareness and use

Advertising · Alliance · Business · Geography · Health care · Information Dissemination · Medicaid · Quality (philosophy) · Healthcare Policy and Management · Marketing · Medicine · Patient Satisfaction in Healthcare · Primary Care and Health Outcomes