@article{EmmertSchindlerHeppeetal.2023,
  author    = {Emmert, Martin and Schindler, Anja and Heppe, Laura and Sander, Uwe and Patzelt, Christiane and Lauerer, Michael and Nagel, Eckhard and Fr{\"o}mke, Cornelia and Sch{\"o}ffski, Oliver and Drach, Cordula},
  title     = {Referring physicians' intention to use hospital report cards for hospital referral purposes in the presence or absence of patient-reported outcomes: a randomized trial},
  journal   = {The European Journal of Health Economics},
  issn      = {1618-7601},
  doi       = {10.25968/opus-2610},
  institution = {Fakult{\"a}t III - Medien, Information und Design},
  pages     = {13},
  year      = {2023},
  abstract  = {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.},
  subject      = {Konsultation <Medizin>},
  language  = {en}
}