Faculty of Law, Business and Economics, Institute for Healthcare Management and Health Sciences, University of Bayreuth, Prieserstraße 2, Bayreuth 95444, Germany.
Department of Information and Communication, Faculty for Media, Information and Design, University of Applied Sciences and Arts, Hannover, Germany.
Health Policy. 2022 Jun;126(6):541-548. doi: 10.1016/j.healthpol.2022.03.015. Epub 2022 Mar 31.
So far, the adoption of hospital report cards (HRCs) falls short of expectations. One promising strategy is to modify the content of HRCs by presenting patient-reported outcomes (PROs).
To identify the key determinants influencing patients to use HRCs for hospital decision making and determine the effect of presenting PROs on HRCs on their use intention.
Primary survey data were collected (5/6-2021) on a sample of 2000 randomly selected insurees from a German statutory health insurance who have undergone elective hip arthroplasty surgery.
Overall, 447 participants (mean age 66.56) completed the survey and were included in the analysis. Respondents rated "PROs" as most important for the hospital choice followed by "Mobility at hospital discharge" and "Confirmed diagnosis rate". Patients generally perceive HRCs to be a good idea that makes searching for a hospital more interesting. We identified attitude and social influence as the most important determinants for using HRCs (p<.001 each). The presence of PROs on HRCs was not associated with an increased intention to use HRCs neither in our descriptive analysis (p=.593), nor in our research model (p=.763).
Patients value PROs to be an important information for choosing a hospital. Nevertheless, health policy makers should note that presenting PROs on HRCs as a single approach is not likely to increase the use of HRCs.
迄今为止，医院报告卡（HRC）的采用并未达到预期。一种有前途的策略是通过呈现患者报告的结果（PROs）来修改 HRC 的内容。
确定影响患者使用 HRC 进行医院决策的关键决定因素，并确定呈现 PROs 对 HRC 对其使用意愿的影响。
我们在德国法定健康保险的随机选择的 2000 名接受择期髋关节置换手术的被保险者中进行了一项初步调查（2021 年 5 月 6 日）。
总体而言，有 447 名参与者（平均年龄 66.56 岁）完成了调查并被纳入分析。受访者将“PROs”评为医院选择的最重要因素，其次是“出院时的机动性”和“确诊率”。患者普遍认为 HRC 是一个好主意，使寻找医院更有趣。我们确定态度和社会影响是使用 HRC 的最重要决定因素（p<.001）。在我们的描述性分析（p=.593）和研究模型（p=.763）中，HRC 上存在 PROs 与使用 HRC 的意愿增加均无关。
患者认为 PROs 是选择医院的重要信息。然而，卫生政策制定者应注意，作为单一方法呈现 HRC 上的 PROs 不太可能增加 HRC 的使用。
