Department of Health Policy and Management, Harvard School of Public Health, Boston, Massachusetts, USA.
Health Aff (Millwood). 2012 Mar;31(3):602-11. doi: 10.1377/hlthaff.2011.1197.
Public report cards with quality and cost information on physicians, physician groups, and hospital providers have proliferated in recent years. However, many of these report cards are difficult for consumers to interpret and have had little impact on the provider choices consumers are making. To gain a more focused understanding of why these reports cards have not been more successful and what improvements could be made, we interviewed experts and surveyed registrants at the March 2011 AHRQ National Summit on Public Reporting for Consumers in Health Care. We found broad agreement that public reporting has been disconnected from consumer decisions about providers because of weaknesses in report card content, design, and accessibility. Policy makers have an opportunity to change the landscape of public reporting by taking advantage of advances in measurement, data collection, and information technology to deliver a more consumer-centered report card. Overcoming the constraint of limited public funding, and achieving the acceptance of providers, is critical to realizing future success.
近年来，带有医生、医生团体和医院供应商的质量和成本信息的公共报告卡大量涌现。然而，这些报告卡中的许多对于消费者来说难以理解，并且对消费者的供应商选择几乎没有影响。为了更深入地了解为什么这些报告卡没有取得更大的成功，以及可以进行哪些改进，我们采访了专家，并在 2011 年 3 月 AHRQ 消费者医疗公共报告全国峰会上对注册人员进行了调查。我们发现，由于报告卡内容、设计和可访问性存在缺陷，公共报告与消费者对供应商的决策脱节，这一点得到了广泛认同。政策制定者有机会通过利用测量、数据收集和信息技术的进步，来改变公共报告的格局，提供更以消费者为中心的报告卡。克服公共资金有限的限制，并获得供应商的认可，对于实现未来的成功至关重要。
