Philadelphia VA Medical Center and University of Pennsylvania, 1230 Blockley Hall, 423 Guardian Drive, Philadelphia, PA 19104, United States.
J Health Econ. 2012 Jan;31(1):50-61. doi: 10.1016/j.jhealeco.2012.01.001. Epub 2012 Jan 10.
Public reporting of quality information is designed to address information asymmetry in health care markets. Without public reporting, consumers may have little information to help them differentiate quality among providers, giving providers little incentive to compete on quality. Public reporting enables consumers to choose highly ranked providers. Using a four-year (2000-2003) panel dataset, we examine the relationship between report card scores and patient choice of nursing home after the Centers for Medicare and Medicaid Services began publicly reporting nursing home quality information on post-acute care in 2002. We find that the relationship between reported quality and nursing home choice is positive and statistically significant suggesting that patients were more likely to choose facilities with higher reported post-acute care quality after public reporting was initiated. However, the magnitude of the effect was small. We conclude that there has been minimal consumer response to information in the post-acute care market.
公共报告质量信息旨在解决医疗保健市场中的信息不对称问题。如果没有公共报告，消费者可能几乎没有信息来帮助他们区分提供者的质量，从而使提供者缺乏在质量上竞争的动力。公共报告使消费者能够选择排名较高的提供者。我们使用了一个为期四年（2000-2003 年）的面板数据集，研究了 2002 年医疗保险和医疗补助服务中心开始公开报告疗养院急性后护理质量信息后，记分卡评分与患者选择疗养院之间的关系。我们发现，报告的质量与疗养院选择之间的关系是积极的，且具有统计学意义，这表明在公共报告启动后，患者更有可能选择报告的急性后护理质量较高的设施。然而，影响的幅度很小。我们的结论是，在急性后护理市场中，消费者对信息的反应极小。
