Public release of hospital quality data for referral practices in Germany: results from a cluster-randomised controlled trial.

Journal article
(Original article)


Publication Details

Author(s): Emmert M, Meszmer N, Jablonski L, Zinth L, Schöffski O, Taheri-Zadeh F
Journal: Health Economics Review
Publication year: 2017
Volume: 7
Journal issue: 1
Pages range: 33
ISSN: 2191-1991
Language: English


Abstract


Objective



To evaluate the impact of different dissemination channels on the awareness and usage of hospital performance reports among referring physicians, as well as the usefulness of such reports from the referring physicians’ perspective.



Data sources/Study setting



Primary data collected from a survey with 277 referring physicians (response rate = 26.2%) in Nuremberg, Germany (03–06/2016).



Study design



Cluster-randomised controlled trial at the practice level. Physician practices were randomly assigned to one of two conditions: (1) physicians in the control arm could become aware of the performance reports via mass media channels; (2) physicians in the intervention arm also received a printed version of the report via mail.



Principal findings



Overall, 68% of respondents recalled hospital performance reports and 21% used them for referral decisions. Physicians from the Mass and Special Media group were more likely to be aware of the performance reports (OR 4.16; 95% CI 2.16–8.00, p < .001) but not more likely to be influenced when referring patients into hospitals (OR 1.73; 95% CI 0.72–4.12, p > .05). On a 1 (very good) to 6 (insufficient) scale, the usefulness of the performance reports was rated 3.67 (±1.40). Aggregated presentation formats were rated more helpful than detailed hospital quality information.



Conclusion



Hospital quality reports have limited impact on referral practices. To increase the latter, concerns raised by referring physicians must be given more weight. Those principally refer to the underlying data, the design of the reports, and the lack of important information.



FAU Authors / FAU Editors

Emmert, Martin PD Dr.
Juniorprofessur für Versorgungsmanagement
Jablonski, Lisa
Lehrstuhl für Betriebswirtschaftslehre, insbesondere Gesundheitsmanagement
Meszmer, Nina
Lehrstuhl für Betriebswirtschaftslehre, insbesondere Gesundheitsmanagement
Schöffski, Oliver Prof. Dr.
Lehrstuhl für Betriebswirtschaftslehre, insbesondere Gesundheitsmanagement
Zinth, Lena
Lehrstuhl für Betriebswirtschaftslehre, insbesondere Gesundheitsmanagement


How to cite

APA:
Emmert, M., Meszmer, N., Jablonski, L., Zinth, L., Schöffski, O., & Taheri-Zadeh, F. (2017). Public release of hospital quality data for referral practices in Germany: results from a cluster-randomised controlled trial. Health Economics Review, 7(1), 33. https://dx.doi.org/10.1186/s13561-017-0171-5

MLA:
Emmert, Martin, et al. "Public release of hospital quality data for referral practices in Germany: results from a cluster-randomised controlled trial." Health Economics Review 7.1 (2017): 33.

BibTeX: 

Last updated on 2018-21-09 at 20:10