Limited use of price and quality advertising among American hospitals.
Limited use of price and quality advertising among American hospitals.
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DOI：
10.2196/jmir.2660
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发表时间：
2013-08-29
影响因子：
7.4
通讯作者：
Richter JP
中科院分区：
文献类型：
--
作者：
Muhlestein DB;Wilks CE;Richter JP
已经提出并实施了以消费者为导向的政策，包括健康储蓄账户，以使个人更直接地参与其医疗保健费用。希望这最终会鼓励医疗服务提供者根据价格或质量来竞争患者，从而降低医疗保健成本并改善健康结果。评估美国医院网站，了解医院是否使用价格或质量数据直接向消费者做广告。对 10% 的美国医院 (N=474) 的网站进行结构化审查，以评估消费者是否可以获得价格或质量信息，并确定医院通过哪些广告来吸引消费者。在其网站上，1.3% (6/474) 的医院做了有关价格的广告，19.0% (90/474) 的医院提供了一些价格信息； 5.7% (27/474) 的医院宣传质量结果信息，40.9% (194/474) 拥有一些可用的质量结果数据。可获得的价格和质量信息有限，对于比较医院的作用微乎其微。医院更有可能宣传服务项目（56.5%，268/474）、准入（49.6%，235/474）、奖励（34.0%，161/474）和便利设施（30.8%，146/474）。目前，消费者根据价格或质量选择医院的信息不足，使得当前以消费者为导向的政策不太可能实现提高质量或降低成本。消费者在选择医院时可能对与成本或临床因素无关的信息更感兴趣，因此在选择提供者之前（例如选择健康计划时），以消费者为导向的策略可能会更好。
Consumer-directed policies, including health savings accounts, have been proposed and implemented to involve individuals more directly with the cost of their health care. The hope is this will ultimately encourage providers to compete for patients based on price or quality, resulting in lower health care costs and better health outcomes. To evaluate American hospital websites to learn whether hospitals advertise directly to consumers using price or quality data. Structured review of websites of 10% of American hospitals (N=474) to evaluate whether price or quality information is available to consumers and identify what hospitals advertise about to attract consumers. On their websites, 1.3% (6/474) of hospitals advertised about price and 19.0% (90/474) had some price information available; 5.7% (27/474) of hospitals advertised about quality outcomes information and 40.9% (194/474) had some quality outcome data available. Price and quality information that was available was limited and of minimal use to compare hospitals. Hospitals were more likely to advertise about service lines (56.5%, 268/474), access (49.6%, 235/474), awards (34.0%, 161/474), and amenities (30.8%, 146/474). Insufficient information currently exists for consumers to choose hospitals on the basis of price or quality, making current consumer-directed policies unlikely to realize improved quality or lower costs. Consumers may be more interested in information not related to cost or clinical factors when choosing a hospital, so consumer-directed strategies may be better served before choosing a provider, such as when choosing a health plan.
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