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美国患者对医院报告卡的认知、使用和影响。

Patients' Awareness, Usage and Impact of Hospital Report Cards in the US.

机构信息

Department of Health Policy and Management, Yale University, School of Public Health, 47 College Street, New Haven, CT, 06520, USA.

Institute of Management (IFM), School of Business and Economics, Friedrich-Alexander-University Erlangen-Nuremberg, Lange Gasse 20, 90403, Nuremberg, Germany.

出版信息

Patient. 2017 Dec;10(6):729-738. doi: 10.1007/s40271-017-0243-y.

DOI:10.1007/s40271-017-0243-y
PMID:28447273
Abstract

BACKGROUND

Little knowledge is available about the importance of hospital report cards in the US from the patients' perspective. It also remains unknown whether specific report cards with a stronger emphasis on clinical measures have a greater impact on hospital choice than general report cards that focus on online-derived ratings.

OBJECTIVE

The aim of this study was to determine the awareness and usage of hospital report cards as well as their impact on hospital choice in the US.

METHODS

We conducted a cross-sectional study by surveying a stratified online sample (N = 1332) to ensure representativeness to the US online population (February 2015).

RESULTS

Overall, 75% of all respondents (mean age 45.4 years; 54% female) were aware of hospital report cards. Among these, 56% had used a report card to search for a hospital, and 80% of report card users stated having been influenced by a report card. Both the awareness and usage of general report cards were shown to be higher than for specific report cards. No significant differences could be detected regarding the impact between general or specific report cards on hospital choice.

CONCLUSIONS

Our results indicate that hospital report cards play a considerable role among patients when searching for a hospital in the US; however, patients do not seem to have a preference regarding the type of report cards they use when selecting a hospital.

摘要

背景

从患者的角度来看,美国对医院报告卡的重要性知之甚少。也不清楚是否具有更强临床指标重点的特定报告卡比专注于在线评级的一般报告卡对医院选择的影响更大。

目的

本研究旨在确定美国对医院报告卡的认识和使用情况及其对医院选择的影响。

方法

我们通过对分层在线样本(N=1332)进行横断面调查来进行研究,以确保对美国在线人群具有代表性(2015 年 2 月)。

结果

总体而言,所有受访者中有 75%(平均年龄 45.4 岁;54%为女性)知晓医院报告卡。其中,56%曾使用报告卡搜索医院,80%的报告卡使用者表示曾受到报告卡的影响。一般报告卡的知晓率和使用率均高于特定报告卡。在报告卡对医院选择的影响方面,一般报告卡和特定报告卡之间没有明显差异。

结论

我们的研究结果表明,在美国,患者在寻找医院时会充分利用医院报告卡;然而,患者在选择医院时似乎对所使用的报告卡类型没有偏好。

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