There is significant interest in building the next generation of public reporting tools that will more effectively engage consumers and better enable them to make use of comparative performance information when selecting a provider. Demand for public reporting tools that make health care cost and quality information transparent is fueled by a variety of market forces underway. A host of public reporting efforts and studies have identified a number of challenges, highlighting that we still do not understand how best to design public reports to meet the needs of the consumer. We identify five areas for additional research that, if addressed, could foster better design and delivery of quality and cost information to consumers.
BazinskyK.BailitM. (2013). The significant lack of alignment across state and regional health measure sets. Health care performance measurement activity: An analysis of 48 state and regional measure sets. Needham, MA: Bailit Health Purchasing.
DambergC. L.HymanD.FranceJ. (2013). Do public reports of provider performance make their data and methods available and accessible?Medical Care Research and Review, 71, 81S-96S.
6.
DetskyA. S. (2011). What patients really want from health care. Journal of the American Medical Association, 306, 2500-2501.
7.
GreavesF.MillettC.NukiP. (2014). England’s Experience Incorporating “Anecdotal” Reports From Consumers Into Their National Reporting System: Lessons for the United States of What to Do or Not to Do?Medical Care Research and Review, 71, 65S-80S.
8.
HibbardJ. H.GreeneJ.DanielD. (2010). What is quality anyway? Performance reports that clearly communicate to consumers the meaning of quality of care. Medical Care Research and Review, 67, 275-293.
9.
HibbardJ. H.JewettJ. J. (1996). What type of quality information do consumers want in a health care report card?Medical Care Research and Review, 53, 28-47.
10.
HibbardJ. H.SofaerS. (2010a). Best practices in public reporting No. 1: How to effectively present health care performance data to consumers (AHRQ Publication No. 10-0082-EF). Rockville, MD: Agency for Healthcare Research and Quality.
11.
HibbardJ. H.SofaerS. (2010b). Best practices in public reporting No. 2: Maximizing consumer understanding of public comparative quality reports: Effective use of explanatory information (AHRQ Publication No. 10-0082-EF). Rockville, MD: Agency for Healthcare Research and Quality.
12.
HibbardJ. H.SofaerS. (2010c). Best Practices in public reporting No. 3: How to maximize public awareness and use of comparative quality reports through effective promotion and dissemination strategies (AHRQ Publication No. 10-0082-EF). Rockville, MD: Agency for Healthcare Research and Quality.
13.
HuckmanR. S.KelleyM. A. (2013). Public reporting, consumerism and patient empowerment. New England Journal of Medicine, 369, 1875-1877.
14.
HusseyP.LuftH.McNamaraP. (2014). Public Reporting of Provider Performance at a Crossroads in the United States: Summary of Current Barriers and Recommendations on How to Move Forward.. Medical Care Research and Review, 71, 5S-16S.
15.
LanskyD. (1998). Measuring what matters to the public. Health Affairs), 17(4), 40-41.
16.
MarshallM. N.ShekelleP. G.LeathermanS.BrookR. H. (2000). The public release of performance data: What do we expect to gain? A review of the evidence. Journal of the American Medical Association, 283, 1866-1874.
17.
MartinoS. C.KanouseD. E.ElliottM. N.TelekiS. S.HaysR. D. (2012). A field experiment on the impact of physician-level performance data on consumers’ choice of physician. Medical Care, 50(11 Suppl. 3), S65-S73.
RothbergM. B.MorsiE.BenjaminE. M.PekowP. S.LindenauerP. K. (2008). Choosing the best hospital: The limitations of public quality reporting. Health Affairs, 27, 1680-1687.
20.
SainfortF.BooskeB. C. (1996). Role of information in consumer selection of health plans. Health Care Financing Review, 18, 31-54.
21.
SchlesingerM.KanouseD. E.MartinoS. C.ShallerD.RybowskiL. (2013). Complexity, Public Reporting, and Choice of Doctors: A Look Inside the Blackest Box of Consumer Behavior. Medical Care Research and Review, 71, 38S-64S.
22.
Shaller Consulting. (2006). Consumers in health care: Creating decision-support tools that work. Oakland, CA: California HealthCare Foundation.
23.
ShallerD.KanouseD. E.SchlesingerM. (2013). Context-Based Strategies for Engaging Consumers with Public Reports about Health Care Providers. Medical Care Research and Review, 71, 17S-37S.
SinaikoA. D.RosenthalM. B. (2011). Increased price transparency in health care—challenges and potential effects. New England Journal of Medicine, 364, 891-894.
26.
SlovicP. (1995). The construction of preference. American Psychologist, 50, 364-371.
27.
The 188th General Court of The Commonwealth of Massachusetts. (2012). Chapter 224: An act improving the quality and health care and reducing costs through increased transparency, efficiency and innovation. Retrieved from https://malegislature.gov/Laws/SessionLaws/Acts/2012/Chapter224
28.
TottenA. M.WagnerJ.TiwariA.O’HaireC.GriffinJ.WalkerM. (2012). Public reporting as a quality improvement strategy. Closing the quality gap: Revisiting the state of the science. Evidence report No. 208 (Prepared by the Oregon Evidence-based Practice Center under Contract No. 290-2007-10057-I) (AHRQ Publication No. 12-E011-EF). Rockville, MD: Agency for Healthcare Research and Quality.
29.
VaianaM. E.McGlynnE. A. (2002). What cognitive science tells us about the design of reports for consumers. Medical Care Research and Review, 59, 3-35.
30.
YegianJ. M.DardessP.ShannonM.CarmanK. L. (2013) Engaged patients will need comparative physician-level quality data and information about their out-of-pocket costs. Health Affairs, 32, 328-337. doi:10.1377/hlthaff.2012.1077.
