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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

Author

Listed:
  • Martin Emmert

    (University of Bayreuth)

  • Anja Schindler

    (University of Applied Sciences and Arts)

  • Laura Heppe

    (Friedrich-Alexander-University of Erlangen-Nuremberg)

  • Uwe Sander

    (University of Applied Sciences and Arts)

  • Christiane Patzelt

    (University of Applied Sciences and Arts)

  • Michael Lauerer

    (University of Bayreuth)

  • Eckhard Nagel

    (University of Bayreuth)

  • Cornelia Frömke

    (University of Applied Sciences and Arts)

  • Oliver Schöffski

    (Friedrich-Alexander-University of Erlangen-Nuremberg)

  • Cordula Drach

    (Friedrich-Alexander-University of Erlangen-Nuremberg)

Abstract

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

Suggested Citation

  • Martin Emmert & Anja Schindler & Laura Heppe & Uwe Sander & Christiane Patzelt & Michael Lauerer & Eckhard Nagel & Cornelia Frömke & Oliver Schöffski & Cordula Drach, 2024. "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, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 25(2), pages 293-305, March.
    • Handle: RePEc:spr:eujhec:v:25:y:2024:i:2:d:10.1007_s10198-023-01587-6
    DOI: 10.1007/s10198-023-01587-6
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    References listed on IDEAS

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    1. Martin Emmert & Nina Meszmer & Lisa Jablonski & Lena Zinth & Oliver Schöffski & Fatemeh Taheri-Zadeh, 2017. "Public release of hospital quality data for referral practices in Germany: results from a cluster-randomised controlled trial," Health Economics Review, Springer, vol. 7(1), pages 1-11, December.
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    More about this item

    Keywords

    Public reporting; Hospital referrals; Patient-reported outcomes; UTAUT; Hospital report cards;
    All these keywords.

    JEL classification:

    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior

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