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Referring physicians' intention to use hospital report cards for hospital referral purposes in the presence or absence of patient-reported outcomes : a randomized trial

Title data

Emmert, Martin ; Schindler, Anja ; Heppe, Laura ; Sander, Uwe ; Patzelt, Christiane ; Lauerer, Michael ; Nagel, Eckhard ; Frömke, Cornelia ; Schöffski, Oliver ; Drach, Cordula:
Referring physicians' intention to use hospital report cards for hospital referral purposes in the presence or absence of patient-reported outcomes : a randomized trial.
In: The European Journal of Health Economics. Vol. 25 (2024) . - pp. 293-305.
ISSN 1618-7601
DOI: https://doi.org/10.1007/s10198-023-01587-6

Official URL: Volltext

Project information

Project financing: German health care Innovation Fund

Abstract in another language

PURPOSE

This study aims to determine the intention to use hospital report cards (HRCs) for hospital referral purposes in the presence or absence of patient-reported outcomes (PROs) as well as to explore the relevance of publicly available hospital performance information from the perspective of referring physicians.

METHODS

We identified the most relevant information for hospital referral purposes based on a literature review and qualitative research. Primary survey data were collected (May-June 2021) on a sample of 591 referring orthopedists in Germany and analyzed using structural equation modeling. Participating orthopedists were recruited using a sequential mixed-mode strategy and randomly allocated to work with HRCs in the presence (intervention) or absence (control) of PROs.

RESULTS
Overall, 420 orthopedists (mean age 53.48, SD 8.04) were included in the analysis. The presence of PROs on HRCs was not associated with an increased intention to use HRCs (p = 0.316). Performance expectancy was shown to be the most important determinant for using HRCs (path coefficient: 0.387, p < .001). However, referring physicians have doubts as to whether HRCs can help them. We identified "complication rate" and "the number of cases treated" as most important for the hospital referral decision making; PROs were rated slightly less important.

CONCLUSIONS

This study underpins the purpose of HRCs, namely to support referring physicians in searching for a hospital. Nevertheless, only a minority would support the use of HRCs for the next hospital search in its current form. We showed that presenting relevant information on HRCs did not increase their use intention.

Further data

Item Type: Article in a journal
Refereed: Yes
Keywords: Public reporting; Hospital referrals; Patient-reported outcomes; UTAUT; Hospital report cards
Institutions of the University: Faculties
Faculties > Faculty of Law, Business and Economics
Faculties > Faculty of Law, Business and Economics > Chair Healthcare Management and Health Sciences
Faculties > Faculty of Law, Business and Economics > Chair Healthcare Management and Health Sciences > Chair Healthcare Management and Health Sciences - Univ.-Prof. Dr. Dr. Dr. h.c. Eckhard Nagel
Faculties > Faculty of Law, Business and Economics > Professur Qualitätsmanagement, Gesundheitsökonomie sowie Präferenzforschung in der Onkologie > Professur Qualitätsmanagement, Gesundheitsökonomie sowie Präferenzforschung in der Onkologie - Univ.-Prof. Dr. Martin Emmert
Faculties > Faculty of Law, Business and Economics > Professur Qualitätsmanagement, Gesundheitsökonomie sowie Präferenzforschung in der Onkologie
Result of work at the UBT: Yes
DDC Subjects: 300 Social sciences > 330 Economics
600 Technology, medicine, applied sciences > 610 Medicine and health
Date Deposited: 02 Dec 2023 22:00
Last Modified: 12 Feb 2024 06:48
URI: https://eref.uni-bayreuth.de/id/eprint/87960