Do consumers respond to publicly reported quality information? Evidence from nursing homes
Do consumers respond to publicly reported quality information? Evidence from nursing homes
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DOI：
10.1016/j.jhealeco.2012.01.001
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发表时间：
2012-01-01
影响因子：
3.5
通讯作者：
Polsky, Daniel
中科院分区：
文献类型：
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作者：
Werner, Rachel M.;Norton, Edward C.;Polsky, Daniel
质量信息的公开报告旨在解决医疗保健市场中的信息不对称问题。如果没有公开的报告，消费者可能没有多少信息来帮助他们在供应商之间区分质量，使供应商几乎没有动力在质量上竞争。公共报告使消费者能够选择排名靠前的供应商。使用一个四年(2000-2003)的小组数据集，我们检验了2002年医疗保险和医疗补助服务中心开始公开报告关于急性后护理的疗养院质量信息后，成绩单分数与患者选择疗养院之间的关系。我们发现，报告质量与养老院选择之间的关系是正的，并且具有统计学意义，这表明在开始公开报告后，患者更有可能选择报告的急性后护理质量更高的机构。然而，影响的幅度很小。我们的结论是，在急性后护理市场，消费者对信息的反应很小。爱思唯尔出版公司(Elsevier B.V.)
Public reporting of quality information is designed to address information asymmetry in health care markets. Without public reporting, consumers may have little information to help them differentiate quality among providers, giving providers little incentive to compete on quality. Public reporting enables consumers to choose highly ranked providers. Using a four-year (2000-2003) panel dataset, we examine the relationship between report card scores and patient choice of nursing home after the Centers for Medicare and Medicaid Services began publicly reporting nursing home quality information on postacute care in 2002. We find that the relationship between reported quality and nursing home choice is positive and statistically significant suggesting that patients were more likely to choose facilities with higher reported post-acute care quality after public reporting was initiated. However, the magnitude of the effect was small. We conclude that there has been minimal consumer response to information in the post-acute care market. Published by Elsevier B.V.