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Public Reporting in Health Care

How Do Consumers Use Quality-of-Care Information

Bibliographic Data

ID9101914
AuthorsMarjan Faber, Marjan J Faber (0000-0001-7198-2425, Radboud University Nijmegen, corresponding author), Marije Bosch (0000-0002-3523-3328, Radboud University Nijmegen, corresponding author), Hub Wollersheim (Radboud University Nijmegen, corresponding author), Sheila Leatherman (University of North Carolina at Chapel Hill), Richard Grol (Radboud University Medical Center, corresponding author)
Year2009
Volume47
Issue1
Pages1-8
Publication date2009-01-01
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.0b013e3181808bb5
PMID19106724
OpenAlexW1978849177
LanguageEN
Citations received15
References cited36

BACKGROUND: One of the underlying goals of public reporting is to encourage the consumer to select health care providers or health plans that offer comparatively better quality-of-care. OBJECTIVE: To review the weight consumers give to quality-of-care information in the process of choice, to summarize the effect of presentation formats, and to examine the impact of quality information on consumers' choice behavior. The evidence is organized in a theoretical consumer choice model. DATA SOURCES: English language literature was searched in PubMed, the Cochrane Clinical Trial, and the EPOC Databases (January 1990-January 2008). STUDY SELECTION: Study selection was limited to randomized controlled trails, controlled before-after trials or interrupted time series. Included interventions focused on choice behavior of consumers in health care settings. Outcome measures referred to one of the steps in a consumer choice model. The quality of the study design was rated, and studies with low quality ratings were excluded. RESULTS: All 14 included studies examine quality information, usually CAHPS, with respect to its impact on the consumer's choice of health plans. Easy-to-read presentation formats and explanatory messages improve knowledge about and attitude towards the use of quality information; however, the weight given to quality information depends on other features, including free provider choice and costs. In real-world settings, having seen quality information is a strong determinant for choosing higher quality-rated health plans. CONCLUSIONS: This review contributes to an understanding of consumer choice behavior in health care settings. The small number of included studies limits the strength of our conclusions

Actuarial science · Business · Consumer behaviour · Consumer choice · Economics · Health care · Health care quality · MEDLINE · Presentation (obstetrics) · Psychological intervention · Quality (philosophy) · Economic and Environmental Valuation · Marketing · Medicine · Nursing · Patient Satisfaction in Healthcare · Patient-Provider Communication in Healthcare · Psychology

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Unique citing works15
Citations per year1
Citation span2011 - 2023 (13)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 15

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