University of Michigan, Ann Arbor, USA.
Med Care Res Rev. 2011 Aug;68(4):421-40. doi: 10.1177/1077558710394199. Epub 2011 May 2.
Trust in the source of information about physician quality is likely to be an important factor in how consumers use that information in encounters with their doctor or in decisions about choice of provider. In this article, the authors use survey data from a nationally representative sample of 8,140 individuals with chronic illness to examine variation in consumer trust in different sources of physician quality information and how market segmentation factors explain such variation. The authors find that consumers place greater trust in physicians and hospitals relative to institutional sources and personal sources. The level of trust, however, varies considerably across consumers as a function of demographic, socioeconomic, behavioral/lifestyle factors but is not related to measures of context. These results suggest that the sources of public reports comparing physician quality may be a barrier to the use of quality data by consumers in the ways envisioned by supporters of greater quality transparency.
消费者对医生质量信息来源的信任很可能是他们在与医生的接触中或在选择提供者时使用这些信息的一个重要因素。在本文中,作者使用了一项全国代表性样本(8140 名慢性病患者)的调查数据,研究了消费者对不同医生质量信息来源的信任度的差异,以及市场细分因素如何解释这种差异。作者发现,与机构来源和个人来源相比,消费者更信任医生和医院。然而,信任水平因消费者的人口统计学、社会经济、行为/生活方式等因素而有很大差异,但与环境措施无关。这些结果表明,公共报告比较医生质量的来源可能是消费者按照质量透明度支持者所设想的方式使用质量数据的障碍。