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- Title
Referring physicians' intention to use hospital report cards for hospital referral purposes in the presence or absence of patient-reported outcomes: a randomized trial.
- Authors
Emmert, Martin; Schindler, Anja; Heppe, Laura; Sander, Uwe; Patzelt, Christiane; Lauerer, Michael; Nagel, Eckhard; Frömke, Cornelia; Schöffski, Oliver; Drach, Cordula
- Abstract
Purpose: This study aims to determine the intention to use hospital report cards (HRCs) for hospital referral purposes in the presence or absence of patient-reported outcomes (PROs) as well as to explore the relevance of publicly available hospital performance information from the perspective of referring physicians. Methods: We identified the most relevant information for hospital referral purposes based on a literature review and qualitative research. Primary survey data were collected (May–June 2021) on a sample of 591 referring orthopedists in Germany and analyzed using structural equation modeling. Participating orthopedists were recruited using a sequential mixed-mode strategy and randomly allocated to work with HRCs in the presence (intervention) or absence (control) of PROs. Results: Overall, 420 orthopedists (mean age 53.48, SD 8.04) were included in the analysis. The presence of PROs on HRCs was not associated with an increased intention to use HRCs (p = 0.316). Performance expectancy was shown to be the most important determinant for using HRCs (path coefficient: 0.387, p <.001). However, referring physicians have doubts as to whether HRCs can help them. We identified "complication rate" and "the number of cases treated" as most important for the hospital referral decision making; PROs were rated slightly less important. Conclusions: This study underpins the purpose of HRCs, namely to support referring physicians in searching for a hospital. Nevertheless, only a minority would support the use of HRCs for the next hospital search in its current form. We showed that presenting relevant information on HRCs did not increase their use intention.
- Subjects
GERMANY; REPORT cards; HOSPITAL utilization; PHYSICIANS' attitudes; STRUCTURAL equation modeling; PHYSICIANS
- Publication
European Journal of Health Economics, 2024, Vol 25, Issue 2, p293
- ISSN
1618-7598
- Publication type
Article
- DOI
10.1007/s10198-023-01587-6