Mukamel Dana B, Weimer David L, Zwanziger Jack, Gorthy Shih-Fang Huang, Mushlin Alvin I
Department of Medicine, Division of General Internal Medicine and Primary Care, Center for Health Policy Research, University of California, Irvine, 111 Academy Way, Suite 220, Irvine, CA 92697-5800 , USA.
Inquiry. 2004;41(4):435-46. doi: 10.5034/inquiryjrnl_41.4.435.
Quality report cards have become common in many health care markets. This study evaluates their effectiveness by examining the impact of the New York State (NYS) Cardiac Surgery Reports on selection of cardiac surgeons. The analyses compares selection of surgeons in 1991 (pre-report publication) and 1992 (post-report publication). We find that the information about a surgeon's quality published in the reports influences selection directly and diminishes the importance of surgeon experience and price as signals for quality. Furthermore, selection of surgeons for black patients is as sensitive to the published information as is the selection for white patients.
质量报告卡已在许多医疗保健市场中普遍存在。本研究通过考察纽约州心脏手术报告对心脏外科医生选择的影响来评估其有效性。分析比较了1991年（报告发布前）和1992年（报告发布后）外科医生的选择情况。我们发现，报告中公布的关于外科医生质量的信息直接影响选择，并降低了外科医生经验和价格作为质量信号的重要性。此外，黑人患者对外科医生的选择与白人患者一样，对公布的信息敏感。
