Ferrua Marie, Sicotte Claude, Lalloué Benoît, Minvielle Etienne
EHESP-MOS (École des hautes études en santé publique - Management des organisations de santé), Institut Gustave Roussy, 114, rue Édouard-Vaillant 94805, Villejuif, France.
Département d'administration de la santé, Université de Montréal, C.P. 6128, Succ. Centre-ville, Montréal, Québec, H3C 3J7, Canada.
PLoS One. 2016 Feb 3;11(2):e0147296. doi: 10.1371/journal.pone.0147296. eCollection 2016.
The strategy of publicly reporting quality indicators is being widely promoted through public policies as a way to make health care delivery more efficient.
To assess general practitioners' (GPs) use of the comparative hospital quality indicators made available by public services and the media, as well as GPs' perceptions of their qualities and usefulness.
A telephone survey of a random sample representing all self-employed GPs in private practice in France.
A large majority (84.1%-88.5%) of respondents (n = 503; response rate of 56%) reported that they never used public comparative indicators, available in the mass media or on government and non-government Internet sites, to influence their patients' hospital choices. The vast majority of GPs rely mostly on traditional sources of information when choosing a hospital. At the same time, this study highlights favourable opinions shared by a large proportion of GPs regarding several aspects of hospital quality indicators, such as their good qualities and usefulness for other purposes. In sum, the results show that GPs make very limited use of hospital quality indicators based on a consumer choice paradigm but, at the same time, see them as useful in ways corresponding more to the usual professional paradigms, including as a means to improve quality of care.
通过公共政策广泛推广公开报告质量指标的策略，以此提高医疗服务效率。
评估全科医生（GPs）对公共服务和媒体提供的医院质量比较指标的使用情况，以及全科医生对这些指标的质量和实用性的看法。
对法国私人执业的所有个体经营全科医生进行随机抽样电话调查。
绝大多数（84.1%-88.5%）受访者（n = 503；回复率为56%）表示，他们从未使用大众媒体、政府及非政府网站上提供的公共比较指标来影响患者的医院选择。绝大多数全科医生在选择医院时主要依赖传统信息来源。与此同时，本研究凸显了很大一部分全科医生对医院质量指标的几个方面持赞同意见，比如指标的良好质量以及在其他方面的实用性。总之，结果表明，全科医生基于消费者选择模式对医院质量指标的使用非常有限，但同时，他们认为这些指标在更符合常规专业模式的方面很有用，包括作为提高医疗质量的一种手段。
