A Field Experiment on the Impact of Physician-level Performance Data on Consumers' Choice of Physician

Background: In 2008, HealthPlus of Michigan introduced an online primary care provider (PCP) report that displays clinical quality data and patients' ratings of their experiences with PCPs on a public web site. Design and Procedure: A randomized encouragement design was used to examine the impa...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Medical care 2012-11, Vol.50 (11), p.S65-S73
Hauptverfasser: Martino, Steven C., Kanouse, David E., Elliott, Marc N., Teleki, Stephanie S., Hays, Ron D.
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page S73
container_issue 11
container_start_page S65
container_title Medical care
container_volume 50
creator Martino, Steven C.
Kanouse, David E.
Elliott, Marc N.
Teleki, Stephanie S.
Hays, Ron D.
description Background: In 2008, HealthPlus of Michigan introduced an online primary care provider (PCP) report that displays clinical quality data and patients' ratings of their experiences with PCPs on a public web site. Design and Procedure: A randomized encouragement design was used to examine the impact of HealthPlus's online physician-quality report on new plan members' choice of a PCP. This study evaluated the impact of an added encouragement to utilize the report by randomizing half of new adult plan members in 2009-2010, who were required to select a PCP (N= 1347), to receive a 1-page letter signed by the health plan's chief medical officer emphasizing the importance of the online report and a brief phone call reminder. We examined the use of the report and the quality of PCPs selected by participants. Results: Twenty-eight percent of participants in the encouragement condition versus 22% in the control condition looked at the online report before selecting a PCP. Although participants in the encouragement condition selected PCPs with higher patient experience ratings than did control participants, this difference was not explained by their increased likelihood of accessing the online report. Conclusions: Health plan members can be encouraged successfully to access physician-level quality data using an inexpensive letter and automated phone call. However, a large proportion of missing data in HealthPlus's online report may have limited the influence of the physician-quality report on consumer choice.
doi_str_mv 10.1097/MLR.0b013e31826b1049
format Article
fullrecord <record><control><sourceid>jstor_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_3480665</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><jstor_id>41714623</jstor_id><sourcerecordid>41714623</sourcerecordid><originalsourceid>FETCH-LOGICAL-c5032-d8a569d501b8631c1f9d740c90671c73a929701f6fb1fc063914abb0ddab624a3</originalsourceid><addsrcrecordid>eNpdkc1u1DAUhS1ERYfCGwCKxAI2Kff6d7xBqoaWVhpEhWBtOY5DMiTx1E5a-va4mjKUemPZ93xHPj6EvEI4RtDqw5f1t2OoAJlnuKSyQuD6CVmgYKpEzZdPyQKAilKB0ofkeUobAFRM0GfkkDKQnCq9IM1Jcdb5vi5Of2997AY_TkUYi6n1xcWwtS6fmuKyvU2d6-xY9v7a98Wlj02Igx2dLz7Zyd4RqzCmefAxvStWbejy5CH4ghw0tk_-5f1-RH6cnX5fnZfrr58vVifr0glgtKyXVkhdC8BqKRk6bHStODgNUqFTzGqqFWAjmwobB5Jp5LaqoK5tJSm37Ih83Plu52rwtctxou3NNiez8dYE25n_J2PXmp_h2jC-BClFNnh_bxDD1ezTZIYuOd_3dvRhTgYRBUhKmcrSt4-kmzDHMcczuQRBJXKUWcV3KhdDStE3-8cgmLsiTS7SPC4yY28eBtlDf5v753sT-il_-69-vvHRtN72U2sgLyEFlBSQIubmy3yDNGOvd9gmTSHubTkq5JIy9gf_67Ko</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1535261416</pqid></control><display><type>article</type><title>A Field Experiment on the Impact of Physician-level Performance Data on Consumers' Choice of Physician</title><source>MEDLINE</source><source>Journals@Ovid Complete</source><source>JSTOR Archive Collection A-Z Listing</source><creator>Martino, Steven C. ; Kanouse, David E. ; Elliott, Marc N. ; Teleki, Stephanie S. ; Hays, Ron D.</creator><creatorcontrib>Martino, Steven C. ; Kanouse, David E. ; Elliott, Marc N. ; Teleki, Stephanie S. ; Hays, Ron D.</creatorcontrib><description>Background: In 2008, HealthPlus of Michigan introduced an online primary care provider (PCP) report that displays clinical quality data and patients' ratings of their experiences with PCPs on a public web site. Design and Procedure: A randomized encouragement design was used to examine the impact of HealthPlus's online physician-quality report on new plan members' choice of a PCP. This study evaluated the impact of an added encouragement to utilize the report by randomizing half of new adult plan members in 2009-2010, who were required to select a PCP (N= 1347), to receive a 1-page letter signed by the health plan's chief medical officer emphasizing the importance of the online report and a brief phone call reminder. We examined the use of the report and the quality of PCPs selected by participants. Results: Twenty-eight percent of participants in the encouragement condition versus 22% in the control condition looked at the online report before selecting a PCP. Although participants in the encouragement condition selected PCPs with higher patient experience ratings than did control participants, this difference was not explained by their increased likelihood of accessing the online report. Conclusions: Health plan members can be encouraged successfully to access physician-level quality data using an inexpensive letter and automated phone call. However, a large proportion of missing data in HealthPlus's online report may have limited the influence of the physician-quality report on consumer choice.</description><identifier>ISSN: 0025-7079</identifier><identifier>EISSN: 1537-1948</identifier><identifier>DOI: 10.1097/MLR.0b013e31826b1049</identifier><identifier>PMID: 23064279</identifier><identifier>CODEN: MELAAD</identifier><language>eng</language><publisher>United States: Lippincott Williams &amp; Wilkins</publisher><subject>Adult ; Choice Behavior ; Clinical Competence - standards ; Clinical Competence - statistics &amp; numerical data ; Consumer behavior ; Encouragement ; Female ; Health care industry ; Health care quality ; Health maintenance organizations ; Health surveys ; Humans ; Internet ; Internet - utilization ; Male ; Michigan ; Middle Aged ; Missing data ; Patient care ; Patient Preference - statistics &amp; numerical data ; Physicians ; Physicians - standards ; Physicians - statistics &amp; numerical data ; Primary care ; Primary health care ; Reporting and Improving CAHPS ; Web sites</subject><ispartof>Medical care, 2012-11, Vol.50 (11), p.S65-S73</ispartof><rights>Copyright © 2012 Lippincott Williams &amp; Wilkins</rights><rights>2012 Lippincott Williams &amp; Wilkins, Inc.</rights><rights>Copyright Lippincott Williams &amp; Wilkins Nov 2012</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5032-d8a569d501b8631c1f9d740c90671c73a929701f6fb1fc063914abb0ddab624a3</citedby><cites>FETCH-LOGICAL-c5032-d8a569d501b8631c1f9d740c90671c73a929701f6fb1fc063914abb0ddab624a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/41714623$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/41714623$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>230,314,780,784,803,885,27924,27925,58017,58250</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23064279$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Martino, Steven C.</creatorcontrib><creatorcontrib>Kanouse, David E.</creatorcontrib><creatorcontrib>Elliott, Marc N.</creatorcontrib><creatorcontrib>Teleki, Stephanie S.</creatorcontrib><creatorcontrib>Hays, Ron D.</creatorcontrib><title>A Field Experiment on the Impact of Physician-level Performance Data on Consumers' Choice of Physician</title><title>Medical care</title><addtitle>Med Care</addtitle><description>Background: In 2008, HealthPlus of Michigan introduced an online primary care provider (PCP) report that displays clinical quality data and patients' ratings of their experiences with PCPs on a public web site. Design and Procedure: A randomized encouragement design was used to examine the impact of HealthPlus's online physician-quality report on new plan members' choice of a PCP. This study evaluated the impact of an added encouragement to utilize the report by randomizing half of new adult plan members in 2009-2010, who were required to select a PCP (N= 1347), to receive a 1-page letter signed by the health plan's chief medical officer emphasizing the importance of the online report and a brief phone call reminder. We examined the use of the report and the quality of PCPs selected by participants. Results: Twenty-eight percent of participants in the encouragement condition versus 22% in the control condition looked at the online report before selecting a PCP. Although participants in the encouragement condition selected PCPs with higher patient experience ratings than did control participants, this difference was not explained by their increased likelihood of accessing the online report. Conclusions: Health plan members can be encouraged successfully to access physician-level quality data using an inexpensive letter and automated phone call. However, a large proportion of missing data in HealthPlus's online report may have limited the influence of the physician-quality report on consumer choice.</description><subject>Adult</subject><subject>Choice Behavior</subject><subject>Clinical Competence - standards</subject><subject>Clinical Competence - statistics &amp; numerical data</subject><subject>Consumer behavior</subject><subject>Encouragement</subject><subject>Female</subject><subject>Health care industry</subject><subject>Health care quality</subject><subject>Health maintenance organizations</subject><subject>Health surveys</subject><subject>Humans</subject><subject>Internet</subject><subject>Internet - utilization</subject><subject>Male</subject><subject>Michigan</subject><subject>Middle Aged</subject><subject>Missing data</subject><subject>Patient care</subject><subject>Patient Preference - statistics &amp; numerical data</subject><subject>Physicians</subject><subject>Physicians - standards</subject><subject>Physicians - statistics &amp; numerical data</subject><subject>Primary care</subject><subject>Primary health care</subject><subject>Reporting and Improving CAHPS</subject><subject>Web sites</subject><issn>0025-7079</issn><issn>1537-1948</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkc1u1DAUhS1ERYfCGwCKxAI2Kff6d7xBqoaWVhpEhWBtOY5DMiTx1E5a-va4mjKUemPZ93xHPj6EvEI4RtDqw5f1t2OoAJlnuKSyQuD6CVmgYKpEzZdPyQKAilKB0ofkeUobAFRM0GfkkDKQnCq9IM1Jcdb5vi5Of2997AY_TkUYi6n1xcWwtS6fmuKyvU2d6-xY9v7a98Wlj02Igx2dLz7Zyd4RqzCmefAxvStWbejy5CH4ghw0tk_-5f1-RH6cnX5fnZfrr58vVifr0glgtKyXVkhdC8BqKRk6bHStODgNUqFTzGqqFWAjmwobB5Jp5LaqoK5tJSm37Ih83Plu52rwtctxou3NNiez8dYE25n_J2PXmp_h2jC-BClFNnh_bxDD1ezTZIYuOd_3dvRhTgYRBUhKmcrSt4-kmzDHMcczuQRBJXKUWcV3KhdDStE3-8cgmLsiTS7SPC4yY28eBtlDf5v753sT-il_-69-vvHRtN72U2sgLyEFlBSQIubmy3yDNGOvd9gmTSHubTkq5JIy9gf_67Ko</recordid><startdate>201211</startdate><enddate>201211</enddate><creator>Martino, Steven C.</creator><creator>Kanouse, David E.</creator><creator>Elliott, Marc N.</creator><creator>Teleki, Stephanie S.</creator><creator>Hays, Ron D.</creator><general>Lippincott Williams &amp; Wilkins</general><general>Lippincott Williams &amp; Wilkins, Inc</general><general>Lippincott Williams &amp; Wilkins Ovid Technologies</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>201211</creationdate><title>A Field Experiment on the Impact of Physician-level Performance Data on Consumers' Choice of Physician</title><author>Martino, Steven C. ; Kanouse, David E. ; Elliott, Marc N. ; Teleki, Stephanie S. ; Hays, Ron D.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5032-d8a569d501b8631c1f9d740c90671c73a929701f6fb1fc063914abb0ddab624a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adult</topic><topic>Choice Behavior</topic><topic>Clinical Competence - standards</topic><topic>Clinical Competence - statistics &amp; numerical data</topic><topic>Consumer behavior</topic><topic>Encouragement</topic><topic>Female</topic><topic>Health care industry</topic><topic>Health care quality</topic><topic>Health maintenance organizations</topic><topic>Health surveys</topic><topic>Humans</topic><topic>Internet</topic><topic>Internet - utilization</topic><topic>Male</topic><topic>Michigan</topic><topic>Middle Aged</topic><topic>Missing data</topic><topic>Patient care</topic><topic>Patient Preference - statistics &amp; numerical data</topic><topic>Physicians</topic><topic>Physicians - standards</topic><topic>Physicians - statistics &amp; numerical data</topic><topic>Primary care</topic><topic>Primary health care</topic><topic>Reporting and Improving CAHPS</topic><topic>Web sites</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Martino, Steven C.</creatorcontrib><creatorcontrib>Kanouse, David E.</creatorcontrib><creatorcontrib>Elliott, Marc N.</creatorcontrib><creatorcontrib>Teleki, Stephanie S.</creatorcontrib><creatorcontrib>Hays, Ron D.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Medical care</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Martino, Steven C.</au><au>Kanouse, David E.</au><au>Elliott, Marc N.</au><au>Teleki, Stephanie S.</au><au>Hays, Ron D.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A Field Experiment on the Impact of Physician-level Performance Data on Consumers' Choice of Physician</atitle><jtitle>Medical care</jtitle><addtitle>Med Care</addtitle><date>2012-11</date><risdate>2012</risdate><volume>50</volume><issue>11</issue><spage>S65</spage><epage>S73</epage><pages>S65-S73</pages><issn>0025-7079</issn><eissn>1537-1948</eissn><coden>MELAAD</coden><abstract>Background: In 2008, HealthPlus of Michigan introduced an online primary care provider (PCP) report that displays clinical quality data and patients' ratings of their experiences with PCPs on a public web site. Design and Procedure: A randomized encouragement design was used to examine the impact of HealthPlus's online physician-quality report on new plan members' choice of a PCP. This study evaluated the impact of an added encouragement to utilize the report by randomizing half of new adult plan members in 2009-2010, who were required to select a PCP (N= 1347), to receive a 1-page letter signed by the health plan's chief medical officer emphasizing the importance of the online report and a brief phone call reminder. We examined the use of the report and the quality of PCPs selected by participants. Results: Twenty-eight percent of participants in the encouragement condition versus 22% in the control condition looked at the online report before selecting a PCP. Although participants in the encouragement condition selected PCPs with higher patient experience ratings than did control participants, this difference was not explained by their increased likelihood of accessing the online report. Conclusions: Health plan members can be encouraged successfully to access physician-level quality data using an inexpensive letter and automated phone call. However, a large proportion of missing data in HealthPlus's online report may have limited the influence of the physician-quality report on consumer choice.</abstract><cop>United States</cop><pub>Lippincott Williams &amp; Wilkins</pub><pmid>23064279</pmid><doi>10.1097/MLR.0b013e31826b1049</doi><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 0025-7079
ispartof Medical care, 2012-11, Vol.50 (11), p.S65-S73
issn 0025-7079
1537-1948
language eng
recordid cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_3480665
source MEDLINE; Journals@Ovid Complete; JSTOR Archive Collection A-Z Listing
subjects Adult
Choice Behavior
Clinical Competence - standards
Clinical Competence - statistics & numerical data
Consumer behavior
Encouragement
Female
Health care industry
Health care quality
Health maintenance organizations
Health surveys
Humans
Internet
Internet - utilization
Male
Michigan
Middle Aged
Missing data
Patient care
Patient Preference - statistics & numerical data
Physicians
Physicians - standards
Physicians - statistics & numerical data
Primary care
Primary health care
Reporting and Improving CAHPS
Web sites
title A Field Experiment on the Impact of Physician-level Performance Data on Consumers' Choice of Physician
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-24T01%3A41%3A46IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-jstor_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=A%20Field%20Experiment%20on%20the%20Impact%20of%20Physician-level%20Performance%20Data%20on%20Consumers'%20Choice%20of%20Physician&rft.jtitle=Medical%20care&rft.au=Martino,%20Steven%20C.&rft.date=2012-11&rft.volume=50&rft.issue=11&rft.spage=S65&rft.epage=S73&rft.pages=S65-S73&rft.issn=0025-7079&rft.eissn=1537-1948&rft.coden=MELAAD&rft_id=info:doi/10.1097/MLR.0b013e31826b1049&rft_dat=%3Cjstor_pubme%3E41714623%3C/jstor_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1535261416&rft_id=info:pmid/23064279&rft_jstor_id=41714623&rfr_iscdi=true