|
Sign In to gain access to subscriptions and/or personal tools.
|
First published on July 2, 2008
Medical Care Research and Review 2008, doi:10.1177/1077558708319734
Physicians' Views on Public Reporting of Hospital Quality Data
Judith K. Barr1*,
Shulamit L. Bernard, PhD2,
Shoshanna Sofaer, PhD3,
Tierney E. Giannotti, M.P.A.1,
Nancy F. Lenfesty2,
and
David J. Miranda, Ph.D.4
1 Qualidigm
2 RTI International
3 Baruch College
4 CMS Center for Beneficiary Choices
* To whom correspondence should be addressed. E-mail: jbarr{at}qualidigm.org.
 |
Abstract |
|---|
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.
 CiteULike  Connotea  Del.icio.us  Digg  Reddit  Technorati What's this?
|
