What Can We Say about the Impact of Public Reporting? Inconsistent Execution Yields Variable Results

Editorials15 January 2008What Can We Say about the Impact of Public Reporting? Inconsistent Execution Yields Variable ResultsJudith H. Hibbard, DrPHJudith H. Hibbard, DrPHFrom University of Oregon, Eugene, OR 97403-1209.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-148-2-200801150-00011 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Improving the quality of care is a high priority for those who pay for and regulate health care. Yet, policymakers have a limited number of levers for encouraging efforts to improve quality. The most frequently used approach is to measure and report health care performance. The theory is that making information on performance publicly available will motivate practitioners, plans, and hospitals to improve in order to protect or expand their market share. Thus, the policy approach relies largely on consumers' attention to and use of information about quality of care. The underlying assumption is that consumers will want and use ...References1. Fung CH, Lim YW, Mattke S, Damberg C, Shekelle PG. Systematic review: the evidence that publishing patient care performance data improves quality of care. Ann Intern Med. 2008;148:111-23. LinkGoogle Scholar2. Berwick DM, James B, Coye MJ. Connections between quality measurement and improvement. Med Care. 2003;41:130-8. [PMID: 12544814] CrossrefMedlineGoogle Scholar3. Hibbard JH, Stockard J, Tusler M. Does publicizing hospital performance stimulate quality improvement efforts? Health Aff (Millwood). 2003;22:84-94. [PMID: 12674410] CrossrefMedlineGoogle Scholar4. Hibbard JH, Stockard J, Tusler M. It isn't just about choice: the potential of a public performance report to affect the public image of hospitals. Med Care Res Rev. 2005;62:358-71. [PMID: 15894709] CrossrefMedlineGoogle Scholar5. Kaiser Family Foundation. A National Survey on Consumers Experiences with Patient Safety and Quality Information. 17 November 2004. Accessed at www.kff.org/kaiserpolls/7209.cfm on 26 November 2007. Google Scholar6. Carman K, McGee J, Hibbard JH. Improving quality information in a consumer driven era. Presented at the 10th National CAHPS Users Group Meeting, Baltimore, Maryland, 29-31 March 2006. Google Scholar7. Hibbard JH, Stockard J, Tusler M. Hospital performance reports: impact on quality, market share, and reputation. Health Aff (Millwood). 2005;24:1150-60. [PMID: 16012155] CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAuthors: Judith H. Hibbard, DrPHAffiliations: From University of Oregon, Eugene, OR 97403-1209.Disclosures: None disclosed.Corresponding Author: Judith H. Hibbard, DrPH, Department of Planning, Public Policy and Management, University of Oregon, Eugene, OR 97403-1209. 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Graham, MA, DOThe Role of Medical Tourism in Emerging Markets 15 January 2008Volume 148, Issue 2 Page: 160-161 Keywords Decision making Health care Health care quality Information theory Public policy Quality improvement Research design Research quality assessment Safety Systematic reviews ePublished: 15 January 2008 Issue Published: 15 January 2008 Copyright & PermissionsCopyright © 2008 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...

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