| Autor: |
Schlesinger MJ; Mark J. Schlesinger ( mark.schlesinger@yale.edu ) is a professor of health policy and chair of the Department of Health Policy and Management, Yale School of Public Health, in New Haven, Connecticut., Rybowski L; Lise Rybowski is president of the Severyn Group, in Ashburn, Virginia., Shaller D; Dale Shaller is a principal of the Shaller Consulting Group, in Stillwater, Minnesota., Martino S; Steven Martino is a behavioral scientist at the RAND Corporation in Pittsburgh, Pennsylvania., Parler AM; Andrew M. Parler is a senior behavioral and social scientist in the Center for Decision Making under Uncertainty at the RAND Corporation in Pittsburgh., Grob R; Rachel Grob is a clinical professor at the Center for Patient Partnerships at the University of Wisconsin (UW) Law School and a senior research scientist in the Department of Family Medicine, UW Medical School, both in Madison., Finucane M; Melissa Finucane is a senior behavioral and social scientist at the RAND Corporation in Pittsburgh., Cerully J; Jennifer Cerully is a behavioral and social scientist at the RAND Corporation in Pittsburgh. |
| Jazyk: |
angličtina |
| Zdroj: |
Health affairs (Project Hope) [Health Aff (Millwood)] 2019 Mar; Vol. 38 (3), pp. 374-382. |
| DOI: |
10.1377/hlthaff.2018.05006 |
| Abstrakt: |
For two decades, various initiatives have encouraged Americans to consider quality when choosing clinicians, both to enhance informed choice and to reduce disparities in access to high-quality providers. The literature portrays these efforts as largely ineffective. But this depiction overlooks two factors: the dramatic expansion since 2010 in the availability of patients' narratives about care and the growth of information seeking among consumers. Using surveys fielded in 2010, 2014, and 2015, we assessed the impact of these changes on consumers' awareness of quality information and sociodemographic differences. Public exposure to any quality information doubled between 2010 and 2015, while exposure to patient narratives and experience surveys tripled. Reflecting a greater propensity to seek quality metrics, minority consumers remained better informed than whites over time, albeit with differences across subgroups in the types of information encountered. An education-related gradient in quality awareness also emerged over the past decade. Public policy should respond to emerging trends in information exposure, establish standards for rigorous elicitation of narratives, and assist consumers' learning from a combination of narratives and quantified metrics on clinician quality. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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