Changes in Consumer Demand Following Public Reporting of Summary Quality Ratings: An Evaluation in Nursing Homes
Changes in Consumer Demand Following Public Reporting of Summary Quality Ratings: An Evaluation in Nursing Homes
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DOI：
10.1111/1475-6773.12459
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发表时间：
2016-06-01
影响因子：
3.4
通讯作者：
Polsky, Daniel
中科院分区：
文献类型：
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作者：
Werner, Rachel M.;Konetzka, R. Tamara;Polsky, Daniel
Objective.消费者对医疗保健报告卡的使用有限，可能是由于报告卡中提供的大量信息难以理解。这些限制可以通过简易措施加以克服。我们的目的是评估消费者的反应，在设置的养老院的总结措施。数据来源/研究设置。2005-2010年疗养院最小数据集和在线调查，认证和报告（OSCAR）数据集。研究设计。2008年12月，医疗保险将其养老院报告卡转换为总结或星星评级。我们测试是否有相关的养老院的星星评级信息发布后，消费者对养老院的需求发生了变化。星星评级系统与消费者对低分和高分设施需求的显著变化有关。在基于星级的评级系统发布后，1-星星设施通常失去了8%的市场份额，5-星星设施获得了6%以上的市场份额。疗养院星星评级制度显著影响了消费者对高评级和低评级疗养院的需求。这些结果支持在报告卡中使用汇总测量。
Objective. Limited consumer use of health care report cards may be due to the large amount of information presented in report cards, which can be difficult to understand. These limitations may be overcome with summary measures. Our objective was to evaluate consumer response to summary measures in the setting of nursing homes.Data Sources/Study Setting. 2005-2010 nursing home Minimum Data Set and Online Survey, Certification and Reporting (OSCAR) datasets.Study Design. In December 2008, Medicare converted its nursing home report card to summary or star ratings. We test whether there was a change in consumer demand for nursing homes related to the nursing home's star rating after the information was released.Principal Findings. The star rating system was associated with a significant change in consumer demand for low-and high-scoring facilities. After the star-based rating system was released, 1-star facilities typically lost 8 percent of their market share and 5-star facilities gained over 6 percent of their market share.Conclusions. The nursing home star rating system significantly affected consumer demand for high-and low-rated nursing homes. These results support the use of summary measures in report cards.