Referring physicians' intention to use hospital report cards for hospital referral purposes in the presence or absence of patient-reported outcomes: a randomized trial

Martin Emmert (), Anja Schindler, Laura Heppe, Uwe Sander, Christiane Patzelt, Michael Lauerer, Eckhard Nagel, Cornelia Frömke, Oliver Schöffski and Cordula Drach
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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

The European Journal of Health Economics, 2024, vol. 25, issue 2, No 9, 293-305

Abstract: 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

Keywords: Public reporting; Hospital referrals; Patient-reported outcomes; UTAUT; Hospital report cards (search for similar items in EconPapers)
JEL-codes: I12 (search for similar items in EconPapers)
Date: 2024
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DOI: 10.1007/s10198-023-01587-6

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