title: Consumers' interpretation and use of comparative information on the quality of health care: the effect of presentation approaches.
abstract: BACKGROUND
  Public reports about health-care quality have not been effectively used by consumers thus far. A possible explanation is inadequate presentation of the information.
  
  
  OBJECTIVE
  To assess which presentation features contribute to consumers' correct interpretation and effective use of comparative health-care quality information and to examine the influence of consumer characteristics.
  
  
  METHODS
  Fictitious Consumer Quality Index (CQI) data on home care quality were used to construct experimental presentation formats of comparative information. These formats were selected using conjoint analysis methodology. We used multilevel regression analysis to investigate the effects of presenting bar charts and star ratings, ordering of the data, type of stars, number of stars and inclusion of a global rating.
  
  
  METHODS
  Data were collected during 2 weeks of online questioning of 438 members of an online access panel.
  
  
  RESULTS
  Both presentation features and consumer characteristics (age and education) significantly affected consumers' responses. Formats using combinations of bar charts and stars, three stars, an alphabetical ordering of providers and no inclusion of a global rating supported consumers. The effects of the presentation features differed across the outcome variables.
  
  
  CONCLUSIONS
  Comparative information on the quality of home care is complex for consumers. Although our findings derive from an experimental situation, they provide several suggestions for optimizing the information on the Internet. More research is needed to further unravel the effects of presentation formats on consumer decision making in health care.
authors: Department of Patient Centered Care, NIVEL, Utrecht, The Netherlands. o.damman@vumc.nl
authors: Olga C
authors: OC
authors: Damman
authors: Michelle
authors: M
authors: Hendriks
authors: Jany
authors: J
authors: Rademakers
authors: Peter
authors: P
authors: Spreeuwenberg
authors: Diana M J
authors: DM
authors: Delnoij
authors: Peter P
authors: PP
authors: Groenewegen
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