文章基本信息

标题：Public release of hospital quality data for referral practices in Germany: results from a cluster-randomised controlled trial
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作者：Martin Emmert ; Nina Meszmer ; Lisa Jablonski 等
期刊名称：Health Economics Review
印刷版ISSN：2191-1991
出版年度：2017
卷号：7
期号：1
页码：33
DOI：10.1186/s13561-017-0171-5
语种：English
出版社：BioMed Central
摘要：To evaluate the impact of different dissemination channels on the awareness and usage of hospital performance reports among referring physicians, as well as the usefulness of such reports from the referring physicians’ perspective. Primary data collected from a survey with 277 referring physicians (response rate = 26.2%) in Nuremberg, Germany (03–06/2016). Cluster-randomised controlled trial at the practice level. Physician practices were randomly assigned to one of two conditions: (1) physicians in the control arm could become aware of the performance reports via mass media channels (Mass Media, n MM pr $$ {n}_{MM}^{pr} $$ =132, n MM ph $$ {n}_{MM}^{ph} $$ =147); (2) physicians in the intervention arm also received a printed version of the report via mail (Mass and Special Media, n MSM pr $$ {n}_{MSM}^{pr} $$ =117; n MSM ph $$ {n}_{MSM}^{ph} $$ =130). Overall, 68% of respondents recalled hospital performance reports and 21% used them for referral decisions. Physicians from the Mass and Special Media group were more likely to be aware of the performance reports (OR 4.16; 95% CI 2.16–8.00, p .05). On a 1 (very good) to 6 (insufficient) scale, the usefulness of the performance reports was rated 3.67 (±1.40). Aggregated presentation formats were rated more helpful than detailed hospital quality information. Hospital quality reports have limited impact on referral practices. To increase the latter, concerns raised by referring physicians must be given more weight. Those principally refer to the underlying data, the design of the reports, and the lack of important information.
关键词：Public reporting ; Hospital quality ; Patient referral ; Patient counselling ; Public health