Physicians' Views on Public Reporting of Hospital Quality Data

被引：22

作者：

Barr, Judith K. ^{[1
]}

Bernard, Shulamit L. ^{[1
]}

Sofaer, Shoshanna ^{[1
]}

Giannotti, Tierney E. ^{[1
]}

Lenfestey, Nancy F. ^{[1
]}

Miranda, David J. ^{[1
]}

机构：

[1] Baruch Coll, New York, NY 10010 USA

来源：

MEDICAL CARE RESEARCH AND REVIEW | 2008年 / 65卷 / 06期

关键词：

health care quality; public reporting; hospital quality reports; physicians and quality reporting;

D O I：

10.1177/1077558708319734

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

This article describes physicians' responses to patient questions and physicians' views about public reports on hospital quality. Interviews with 56 office-based physicians in seven states/regions used hypothetical scenarios of patients questioning referrals based on public reports of hospital quality. Responses were analyzed using an iterative coding process to develop categories and themes from data. Four themes describe physicians' responses to patients: (a) rely on existing physician-patient relationships, (b) acknowledge and consider patient perspectives, (c) take actions to follow up on patient concerns, and (d) provide patients' perspectives on quality reports. Three themes summarize responses to hospital quality reports: perceived lack of methodological rigor, content considerations in reports, and attitudes/experience regarding reports. Findings suggest that physicians take seriously patients' questions about hospital-quality reports and consider changing referral recommendations based on their concerns and/or preferences. Results underscore the importance of efforts by report developers and physician outreach/education to address physicians' methodological concerns.

引用

页码：655 / 673

页数：19

共 28 条

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