Department of Planning, Public Policy, and Management, University of Oregon, PO Box1209, Eugene, OR 97403-1209, USA.
Med Care Res Rev. 2010 Jun;67(3):275-93. doi: 10.1177/1077558709356300. Epub 2010 Jan 21.
While there has been considerable work to identify ways to make the quality measures contained in comparative reports more understandable and digestible for consumers, there has been almost no research looking at ways to make the overall concept of health care quality more understandable and accessible to consumers. In this study, the authors determine the impact of providing a framework for understanding quality on the comprehension and salience of quality information. The study uses an experimental design and tests the effect of providing a framework for describing quality of care, as well as plain language descriptions of quality indicators. The findings indicate that when providing a framework and using plain language to describe quality indicators, consumers were better able to understand and to see greater value in the information, as compared to participants who saw a report that had neither of these attributes. The policy and practice implications are discussed.
虽然已经有大量工作致力于寻找使比较报告中包含的质量措施更易于消费者理解和消化的方法，但几乎没有研究着眼于使医疗保健质量的整体概念更易于消费者理解和接受的方法。在这项研究中，作者确定了提供理解质量的框架对质量信息的理解和显著性的影响。该研究采用实验设计，测试了提供描述医疗保健质量的框架以及质量指标的通俗易懂的描述的效果。研究结果表明，与既没有这些属性也没有这些属性的报告相比，当提供框架并使用通俗易懂的语言描述质量指标时，消费者能够更好地理解并看到信息的更大价值。讨论了政策和实践的影响。
