title: Influence of colonoscopy quality measures on patients' colonoscopist selection.
abstract: OBJECTIVE
  The Affordable Care Act emphasizes the use of quality metrics and greater patient understanding of health-care options and access to physician performance data. The objectives of this study were to determine patients' familiarity with colonoscopy quality measures (CQMs) and their influence on patient selection of a colonoscopist.
  
  
  METHODS
  A prospective survey of patients before screening or surveillance colonoscopy at university hospital, community hospital, and ambulatory procedure center endoscopy units was performed from 2011 to 2012.
  
  
  RESULTS
  Among the 417 participants, 20% (85/417) researched their physician's rating. The rates of familiarity with CQM were 88 % (353/402) for adequate bowel preparation, 30% (118/398) for adenoma detection rate (ADR), 26% (102/397) for cecal intubation rate, and 21% (82/394) for greater-than-6-min withdrawal time. Ninety-six percent (366/386) believed that colonoscopists' reporting of ADR to other physicians was important or very important. In selecting a colonoscopist, primary care provider referral was ranked as the first or second-most important of four factors in 87% (339/391). Even among patients who responded "it is very important" to report CQM to other doctors and patients, none ranked CQM as the most important factor in selecting a colonoscopist.
  
  
  CONCLUSIONS
  Patient awareness of CQM, other than adequate bowel preparation, was low. Quality measure reporting is important to patients, but primary care provider referral was the most important factor in colonoscopist selection. This suggests that primary care providers, as well as patients, are important to include in educational strategies regarding quality metrics.
authors: Yale Center for Biomedical Informatics, Yale University, New Haven, Connecticut, USA.
authors: Yauheni
authors: Y
authors: Solad
authors: Section of Digestive Diseases, Yale University, New Haven, Connecticut, USA.
authors: Charles
authors: C
authors: Wang
authors: 1] Section of Digestive Diseases, Yale University, New Haven, Connecticut, USA [2] VA Connecticut Healthcare System, West Haven, Connecticut, USA.
authors: Loren
authors: L
authors: Laine
authors: Yale Center for Analytical Sciences, Yale University, New Haven, Connecticut, USA.
authors: Yanhong
authors: Y
authors: Deng
authors: Griffin Hospital, Digestive Disorders Center, Derby, Connecticut, USA.
authors: Harold
authors: H
authors: Schwartz
authors: Yale Center for Analytical Sciences, Yale University, New Haven, Connecticut, USA.
authors: Maria M
authors: MM
authors: Ciarleglio
authors: Section of Digestive Diseases, Yale University, New Haven, Connecticut, USA.
authors: Harry R
authors: HR
authors: Aslanian
mesh_terms: D000236:Adenoma / Q000175:diagnosis*; D000368:Aged; D002277:Carcinoma / Q000175:diagnosis*; D002755:Choice Behavior; D002983:Clinical Competence; D003113:Colonoscopy / Q000592:standards*; D015179:Colorectal Neoplasms / Q000175:diagnosis*; D055088:Early Detection of Cancer; D005260:Female; D005762:Gastroenterology; D006801:Humans; D008297:Male; D008875:Middle Aged; D057240:Patient Preference; D011446:Prospective Studies; D019984:Quality Indicators, Health Care; D011795:Surveys and Questionnaires