Friedrich-Alexander-University of Erlangen-Nuremberg, School of Business and Economics, Chair of Health Care Management, Lange Gasse 20, 90403 Nuremberg, Germany.
Department of Information and Communication, Faculty for Media, Information and Design, University of Applied Sciences and Arts, Expo Plaza 12, 30539 Hannover, Germany.
Health Policy. 2019 Nov;123(11):1061-1067. doi: 10.1016/j.healthpol.2019.07.013. Epub 2019 Jul 20.
Hospitals report cards (HRCs) have had little impact on the hospital choice of patients. Thus, health policy makers should learn more about HRC consumers to better understand how to present and target hospital-related quality information.
We sought to learn more about consumers of HRCs and determine the impact of the complexity and tailoring of HRCs on the hospital choice.
We used primary data drawn from an onsite-based survey, conducted in 2017 at Germany's premier portal, Weisse Liste (N = 635). We performed hierarchical multivariate logistic regression models to identify main predictors associated with hospital choices.
HRC consumers differ from the national online population and the national population in general. Eighty percent of those patients or family members, who have used a HRC before, confirmed an impact on the hospital choice. The quality of hospital choices decreased with an increasing level of complexity (p < .001); the latter was identified as a significant predictor for making good choices. However, tailoring HRCs did not have an impact on the quality of the hospital choice (p > .05).
HRCs have a significant impact on the hospital choice among report card consumers. Health policy makers might focus on decreasing the level of complexity; this, more than tailoring report cards, may help consumers make good hospital choices.
医院报告卡 (HRCs) 对患者的医院选择影响不大。因此，卫生政策制定者应该更多地了解 HRC 的消费者，以更好地了解如何呈现和针对与医院相关的质量信息。
我们试图更多地了解 HRC 的消费者，并确定 HRC 的复杂性和针对性对医院选择的影响。
我们使用了 2017 年在德国首屈一指的门户 Weisse Liste 上进行的基于现场的调查中的原始数据（N=635）。我们进行了分层多变量逻辑回归模型，以确定与医院选择相关的主要预测因素。
HRC 的消费者与全国在线人口和一般人口不同。80%的曾经使用过 HRC 的患者或其家属确认 HRC 对医院选择有影响。随着复杂性水平的提高（p<0.001），医院选择的质量下降；后者被确定为做出良好选择的重要预测因素。然而，HRC 的针对性并没有对医院选择的质量产生影响（p>.05）。
HRC 对报告卡消费者的医院选择有重大影响。卫生政策制定者可能会专注于降低复杂性水平；这比定制报告卡更能帮助消费者做出正确的医院选择。
