Communicating Hospital Infection Data to the Public: A Study of Consumer Responses and Preferences
Communicating Hospital Infection Data to the Public: A Study of Consumer Responses and Preferences
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向公众传达医院感染数据：消费者反应和偏好研究
DOI：
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发表时间：
2009
影响因子：
1.4
通讯作者：
L. Kunches
中科院分区：
文献类型：
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作者：
K. Mazor;K. Dodd;L. Kunches
人们越来越关注公共报告与医疗相关感染（HAI）相关的医疗绩效数据。本研究评估了不同的方法来报告医院一级的比较数据，在何种程度上，这些数据可能会影响医院的选择。开发了八个版本的报告，不同的指标之间的数据是否一致，数据是以文本还是图形呈现，以及是否包含置信区间。一份报告和一份问卷被邮寄给随机选择的当地居民。调查结果没有证据表明指标、数据呈现、报告格式或置信区间的一致性会显着影响消费者的理解。更多受过教育的消费者表示对报告有更好的理解。回应表明，HAI比较数据的公开报告可能会影响医院的选择，但其他因素，包括以前的经验，声誉，医生的建议和保险范围也有影响力。大多数消费者了解HAI的信息时，它是在一个简短的，简单的报告，并最正确地选择最好或最差的医院。消费者可能会受到这些数据的影响，但其他因素可能同样重要或更重要。(Am J Med Qual 2009;24：108-115）
There is growing interest in public reporting of health care performance data relating to healthcare-associated infections (HAIs). This study evaluated different approaches for reporting hospital-level comparative data on HAIs and the extent to which such data might influence hospital choice. Eight versions of a report were developed, varying whether data were consistent across indicators, whether data were presented in text or graphs, and whether confidence intervals were included. A report and a questionnaire were mailed to a randomly selected sample of local residents. Findings provide no evidence that consistency of indicators, data presentation, report format, or inclusion of confidence intervals significantly impacted consumers' understanding. More educated consumers reported greater understanding of the reports. Responses suggested that public reporting of comparative data on HAIs could influence hospital choice, but other factors including prior experience, reputation, physicians' recommendations, and insurance coverage are also influential. Most consumers understand information on HAIs when it is presented in a short, simple report, and most correctly select the best or worst hospital. Consumers may be influenced by such data, but other factors are likely to be as or more important. (Am J Med Qual 2009;24:108-115)