Use of Public Performance Reports: A Survey of Patients Undergoing Cardiac Surgery

摘要: Main Outcome Measures.— Patients’ awareness of the Consumer Guide, their knowledge its ratings, degree interest in report, and barriers to use. Results.— Ninety-three patients (20%) were aware but only 56 (12%) knew about it before surgery. Among these patients, 18 reported knowing hospital rating 7 surgeon rating, 11 said and/or ratings had a moderate or major impact on decision making, 4 able specify either both correctly. When theConsumer Guide was described all 264 (56%) “very” “somewhat” interested seeing copy, 273 (58%) that they probably definitely would change surgeons if learned higher than expected mortality rate previous year. A short time window for making limited alternative hospitals within reasonable distance home identified as important Conclusions.— Only 12% surveyed prominent report cardiac surgery undergoing Fewer 1% correct selection provider. Efforts aid patient with performance reports are unlikely succeed without tailored intensive program dissemination education. JAMA. 1998;279:1638-1642