Exploring consumer values of comparative performance information for hospital choice.
BACKGROUND
In many countries, market orientation in healthcare has resulted in the publication of comparative performance information (CPI). Most of the research in this field is oriented towards the content and the presentation format of CPI while little is known about how consumers value CPI and the use of this information.


OBJECTIVE
The aim of this study was to clarify the perceived value that CPI brings for consumers of healthcare. Methods Qualitative research using six focus group interviews. Twenty-seven healthcare consumers were recruited using a mailing list and by personal invitation. Data from focus group interviews were transcribed and thematic analysis undertaken.


RESULTS
Most participants were unaware of CPI, and valued alternative sources of information more than CPI. Through discussion with other consumers and by means of examples of CPI, respondents were able to express the values and perceived effects of CPI. Numerous underlying values hindered consumers' use of CPI, and therefore clarification of consumer values gave insights into the current non-usage of CPI.


CONCLUSIONS
CPI is marginally valued, partly because of conflicting values expressed by consumers and, as such, it does not yet provide a useful information source on hospital choice beyond consumers' current selection routines in healthcare. Future research should be more focused on the values of consumers and their impact on the use of CPI.
Scientific Institute for Quality of Health Care, Radboud University Medical Center, Scienti?c Institute for Quality of Health Care, Geert Grooteplein 21, 6525 EZ Nijmegen, The Netherlands. ketelaar@radboudumc.nl.
Nicole A B M
NA
Ketelaar
Scientific Institute for Quality of Health Care, Radboud University Medical Centre, Nijmegen, the Netherlands.
Marjan J
MJ
Faber
Scientific Institute for Quality of Health Care, Radboud University Medical Centre, Nijmegen, the Netherlands.
Gert P
GP
Westert
The Dartmouth Center for Health Care Delivery Science, and The Dartmouth Institute for Health Policy and Clinical Practice, Hanover, New Hampshire, USA.
Glyn
G
Elwyn
Scientific Institute for Quality of Health Care, Radboud University Medical Center, Nijmegen, the Netherlands.
Jozé C
JC
Braspenning
D002755:Choice Behavior; D003258:Consumer Behavior; D003657:Decision Making; D005260:Female; D017144:Focus Groups; D006801:Humans; D008297:Male; D008875:Middle Aged; D010465:Perception; D015397:Program Evaluation; D036301:Qualitative Research