title: How report cards on physicians, physician groups, and hospitals can have greater impact on consumer choices.
abstract: Public report cards with quality and cost information on physicians, physician groups, and hospital providers have proliferated in recent years. However, many of these report cards are difficult for consumers to interpret and have had little impact on the provider choices consumers are making. To gain a more focused understanding of why these reports cards have not been more successful and what improvements could be made, we interviewed experts and surveyed registrants at the March 2011 AHRQ National Summit on Public Reporting for Consumers in Health Care. We found broad agreement that public reporting has been disconnected from consumer decisions about providers because of weaknesses in report card content, design, and accessibility. Policy makers have an opportunity to change the landscape of public reporting by taking advantage of advances in measurement, data collection, and information technology to deliver a more consumer-centered report card. Overcoming the constraint of limited public funding, and achieving the acceptance of providers, is critical to realizing future success.
authors.affiliation: Department of Health Policy and Management, Harvard School of Public Health, Boston, Massachusetts, USA. asinaiko@hsph.harvard.edu
authors.forename: Anna D
authors.initials: AD
authors.lastname: Sinaiko
authors.forename: Diana
authors.initials: D
authors.lastname: Eastman
authors.forename: Meredith B
authors.initials: MB
authors.lastname: Rosenthal
mesh_terms: D002755:Choice Behavior; D030881:Disclosure; D005251:Fees, Medical / Q000706:statistics & numerical data; D017722:Hospital Charges / Q000706:statistics & numerical data; D006761:Hospitals / Q000592:standards*; D006801:Humans; D033181:Information Dissemination / Q000379:methods*; D007255:Information Services / Q000592:standards* / Q000639:trends; D007407:Interviews as Topic; D010820:Physicians / Q000191:economics / Q000592:standards*; D019984:Quality Indicators, Health Care