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Patients’ expectations of variation in quality of care relates to their search for comparative performance information

BACKGROUND: Choice of hospital based on comparative performance information (CPI) was introduced for Dutch healthcare consumers at least 5 years ago, but CPI use has not yet become commonplace. Our aim was to assess the role of patients’ expectations regarding variation in the quality of hospital ca...

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Autores principales: Ketelaar, Nicole ABM, Faber, Marjan J, Braspenning, Jozé C, Westert, Gert P
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4265457/
https://www.ncbi.nlm.nih.gov/pubmed/25464982
http://dx.doi.org/10.1186/s12913-014-0617-y
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author Ketelaar, Nicole ABM
Faber, Marjan J
Braspenning, Jozé C
Westert, Gert P
author_facet Ketelaar, Nicole ABM
Faber, Marjan J
Braspenning, Jozé C
Westert, Gert P
author_sort Ketelaar, Nicole ABM
collection PubMed
description BACKGROUND: Choice of hospital based on comparative performance information (CPI) was introduced for Dutch healthcare consumers at least 5 years ago, but CPI use has not yet become commonplace. Our aim was to assess the role of patients’ expectations regarding variation in the quality of hospital care in determining whether they search for CPI. METHODS: A questionnaire (for a cross-sectional survey) was distributed to 475 orthopaedic patients in a consecutive sample, who underwent primary hip or knee replacement in a university, teaching, or community hospital between September 2009 and July 2010. RESULTS: Of the 302 patients (63%) who responded, 13% reported searching for CPI to help them choose a hospital. People who expected quality differences between hospitals (67%) were more likely to search for CPI (OR =3.18 [95% CI: 1.02–9.89]; p <0.04) than those who did not. Quality differences were most often expected in hospital reputation, distance, and accessibility. Patients who did not search for CPI stated that they felt no need for this type of information. CONCLUSION: Patients’ expectations regarding variation in quality of care are positively related to their reported search for CPI. To increase the relevance of CPI for patients, future studies should explore the underlying reasoning of patients about meaningful quality-of-care variation between hospitals.
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spelling pubmed-42654572014-12-15 Patients’ expectations of variation in quality of care relates to their search for comparative performance information Ketelaar, Nicole ABM Faber, Marjan J Braspenning, Jozé C Westert, Gert P BMC Health Serv Res Research Article BACKGROUND: Choice of hospital based on comparative performance information (CPI) was introduced for Dutch healthcare consumers at least 5 years ago, but CPI use has not yet become commonplace. Our aim was to assess the role of patients’ expectations regarding variation in the quality of hospital care in determining whether they search for CPI. METHODS: A questionnaire (for a cross-sectional survey) was distributed to 475 orthopaedic patients in a consecutive sample, who underwent primary hip or knee replacement in a university, teaching, or community hospital between September 2009 and July 2010. RESULTS: Of the 302 patients (63%) who responded, 13% reported searching for CPI to help them choose a hospital. People who expected quality differences between hospitals (67%) were more likely to search for CPI (OR =3.18 [95% CI: 1.02–9.89]; p <0.04) than those who did not. Quality differences were most often expected in hospital reputation, distance, and accessibility. Patients who did not search for CPI stated that they felt no need for this type of information. CONCLUSION: Patients’ expectations regarding variation in quality of care are positively related to their reported search for CPI. To increase the relevance of CPI for patients, future studies should explore the underlying reasoning of patients about meaningful quality-of-care variation between hospitals. BioMed Central 2014-12-03 /pmc/articles/PMC4265457/ /pubmed/25464982 http://dx.doi.org/10.1186/s12913-014-0617-y Text en © Ketelaar et al.; licensee BioMed Central Ltd. 2014 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Ketelaar, Nicole ABM
Faber, Marjan J
Braspenning, Jozé C
Westert, Gert P
Patients’ expectations of variation in quality of care relates to their search for comparative performance information
title Patients’ expectations of variation in quality of care relates to their search for comparative performance information
title_full Patients’ expectations of variation in quality of care relates to their search for comparative performance information
title_fullStr Patients’ expectations of variation in quality of care relates to their search for comparative performance information
title_full_unstemmed Patients’ expectations of variation in quality of care relates to their search for comparative performance information
title_short Patients’ expectations of variation in quality of care relates to their search for comparative performance information
title_sort patients’ expectations of variation in quality of care relates to their search for comparative performance information
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4265457/
https://www.ncbi.nlm.nih.gov/pubmed/25464982
http://dx.doi.org/10.1186/s12913-014-0617-y
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