TY  - JOUR
U1  - Zeitschriftenartikel, wissenschaftlich - begutachtet (reviewed)
A1  - Emmert, Martin
A1  - Schindler, Anja
A1  - Heppe, Laura
A1  - Sander, Uwe
A1  - Patzelt, Christiane
A1  - Lauerer, Michael
A1  - Nagel, Eckhard
A1  - Frömke, Cornelia
A1  - Schöffski, Oliver
A1  - Drach, Cordula
T1  - Referring physicians' intention to use hospital report cards for hospital referral purposes in the presence or absence of patient-reported outcomes: a randomized trial
JF  - The European Journal of Health Economics
N2  - 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 < .001). However, referring physicians have doubts as to whether HRCs can help them. We identified “complication rate” and “the number of cases treated” as most important for the hospital referral decision making; PROs were rated slightly less important.

Conclusions
This study underpins the purpose of HRCs, namely to support referring physicians in searching for a hospital. Nevertheless, only a minority would support the use of HRCs for the next hospital search in its current form. We showed that presenting relevant information on HRCs did not increase their use intention.
KW  - Public reporting
KW  - Hospital referrals
KW  - Patient-reported outcomes
KW  - UTAUT
KW  - Hospital report cards
KW  - Konsultation <Medizin>
Y1  - 2023
UN  - https://nbn-resolving.org/urn:nbn:de:bsz:960-opus4-26101
SN  - 1618-7601
SS  - 1618-7601
U6  - https://doi.org/10.25968/opus-2610
DO  - https://doi.org/10.25968/opus-2610
SP  - 13
S1  - 13
ER  -