ArticleHealth services research2017
Hospital Quality Reporting in the United States: Does Report Card Design and Incorporation of Patient Narrative Comments Affect Hospital Choice?
Article in Health services research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- Factors That Matter to Low-Income and Racial/Ethnic Minority Mothers When Choosing a Pediatric Practice: a Mixed Methods Analysis.Journal of racial and ethnic health disparities · 2017Trial
- The Readability of Patient-Facing Information in Public Reporting System: Cross-Sectional Evaluation of the City of Helsinki Website.Online journal of public health informatics · 2026Article
- The elicitation of patient preferences for hip replacement surgery: a discrete choice experiment.BMC health services research · 2025Article
- Separating the wheat from the chaff: How to measure hospital quality in routine data?Health services research · 2024Article
- Referring physicians' intention to use hospital report cards for hospital referral purposes in the presence or absence of patient-reported outcomes: a randomized trial.The European journal of health economics : HEPAC : health economics in prevention and care · 2024Review
- Influence of E-consultation on the Intention of First-Visit Patients to Select Medical Services: Results of a Scenario Survey.Journal of medical Internet research · 2023Article
- Accounting for past patient composition in evaluations of quality reporting.Health services research · 2022Article
- Do Crowdsourced Hospital Ratings Coincide with Hospital Compare Measures of Clinical and Nonclinical Quality?Health services research · 2018Article
- Article
- The use of public performance reporting by general practitioners: a study of perceptions and referral behaviours.BMC family practice · 2018Article
- Article
- Public release of hospital quality data for referral practices in Germany: results from a cluster-randomised controlled trial.Health economics review · 2017Article
- Leveraging Free-Form Comments to Assess and Improve Patient Satisfaction.Annals of family medicineArticle
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo explore the impact of hospital report card design and incorporation of patient narrative comments on consumers' choices of hospitals. DATA SOURCES: Primary data collected from an online survey with 1,350 respondents in February, 2015. STUDY
designA randomized 2 (narrative comments: yes, no) × 3 (design: representation of clinical performance in textual, star, numerical formats) between-subject online-based cross-sectional experiment. PRINCIPAL
findingsIn 51 percent of all cases, respondents selected the hospital with the best clinical results. Report cards with a numerical design induced choices more focused on clinical ratings (56.0 percent chose the highest rated hospital) than those with textual information (48.1 percent) or star ratings (47.3 percent) (p < .001). Report cards without narrative comments (49.7 percent) and with narratives (51.4 percent) were not associated with significant difference in selecting top-rated clinical hospitals (p = .376). But there were significant interactions affecting choice of hospitals among exposure to narratives, formatting of clinical performance, and respondents' education.
conclusionsConsumers have a difficult time synthesizing quality data in various formats. Hospital report cards continue to pose challenging choices, especially for those with limited education. Narrative comments in their earliest emerging forms do not seem to be altering hospital choice as much as the literature has suggested for other providers, but they may have consequential impact on the choices of certain subsets of consumers.
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