Consumers' Information Needs: Results of a National Survey

Isaacs, Stephen L.

doi:10.1377/hlthaff.15.4.31

Cited by 89 publications

(68 citation statements)

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“…This supports Hypothesis 2 and is in line with numerous studies reported in the above literature review, most especially that of Isaacs [21].…”

Section: Discussionsupporting

confidence: 92%

“…Data presented to them by their employers is treated as suspect as well [22,33]. Distrust is also apparent with regard to information made available via advertising, the media and by way of the government [21].…”

Section: Introductionmentioning

confidence: 99%

“…Some researchers suggest that even in the best of circumstances, when the medical procedure is not urgent (for example Lasik eye surgery), advice from trusted friends is given greater weight in health care decision making than performance data [1,59]. Friends, peers, and family are preferred sources of information because performance data seems impersonal [9,21,64]. However, across an 8-year period, there appears to be a small trend away from consulting friends when making choices [22].…”

Section: Introductionmentioning

confidence: 99%

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Demand-Driven Care and Hospital Choice. Dutch Health Policy Toward Demand-Driven Care: Results from a Survey into Hospital Choice

Lako

Rosenau

2008

Health Care Anal

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In the Netherlands, current policy opinion emphasizes demand-driven health care. Central to this model is the view, advocated by some Dutch health policy makers, that patients should be encouraged to be aware of and make use of health quality and health outcomes information in making personal health care provider choices. The success of the new health care system in the Netherlands is premised on this being the case. After a literature review and description of the new Dutch health care system, the adequacy of this demand-driven health policy is tested. The data from a July 2005, self-administered questionnaire survey of 409 patients (response rate of 94%) as to how they choose a hospital are presented. Results indicate that most patients did not choose by actively employing available quality and outcome information. They were, rather, referred by their general practitioner. Hospital choice is highly related to the importance a patient attaches to his or her physician's opinion about a hospital. Some patients indicated that their hospital choice was affected by the reputation of the hospital, by the distance they lived from the hospital, etc. but physician's advice was, by far, the most important factor. Policy consequences are important; the assumptions underlying the demanddriven model of patient health provider choice are inadequate to explain the pattern of observed responses. An alternative, more adequate model is required, one that takes into account the patient's confidence in physician referral and advice.

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“…This supports Hypothesis 2 and is in line with numerous studies reported in the above literature review, most especially that of Isaacs [21].…”

Section: Discussionsupporting

confidence: 92%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Demand-Driven Care and Hospital Choice. Dutch Health Policy Toward Demand-Driven Care: Results from a Survey into Hospital Choice

Lako

Rosenau

2008

Health Care Anal

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“…The quality of physicians in a plan is by far the most important consideration in choosing a health plan, followed closely by the ability to choose one's own doctors. 3 However, exactly how patients measure quality and which information patients use to make these decisions remains uncertain. 4 Payers tend to measure quality more objectively by focusing on patient admission rates and length of stay, while measuring patient satisfaction by way of survey.…”

Section: Discussionmentioning

confidence: 99%

The relationship between quality and costs: factors that affect the hospital costs of radical prostatectomy

Benoit

2001

Prostate Cancer Prostatic Dis

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The present study seeks to establish a relationship between the quality of a surgical procedure and the subsequent hospital costs for that procedure by investigating the influence of both patient and peri-operative factors on the hospital costs of radical prostatectomy. All men who underwent radical prostatectomy at one institution during an 18-month period were included in this study. Clinical information was obtained from medical records and cost information was obtained from hospital billing data. The medical record was also used to determine peri-operative information such as operating room time, anesthesia time, surgical time, blood loss and units of packed red blood cells transfused. The correlation between costs and both clinical and peri-operative factors were determined using the Pearson correlation co-efficient. One hundred and four men underwent radical prostatectomy at our institution during the time period studied. Mean age of these patients was 60.2 y and mean length of stay for these patients was 3.4 days with a range of 2 -10 days. Mean total hospital costs for this cohort was $5305 with a range of $2851 -$10 358. Significant correlations with total hospital costs included operating room time, surgical time, estimated blood loss and blood transfused. Patient factors such as age, ASA class, co-morbidities and smoking history were not correlated with total hospital costs. The present study demonstrates that factors at least partially controlled by the surgeon such as surgical time and units of blood transfused directly influence the total hospital costs of radical prostatectomy, while patient factors such as age and the presence of co-morbidities had no significant correlation with total hospital costs. These findings demonstrate that surgeons can impact health care costs by providing high quality care and begins to establish a relationship between high quality care and low cost care. Prostate Cancer and Prostatic Diseases (2001) 4, 213-216.

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“…In advanced health-care systems, the role of information has been undisputed, and administrators, scientists, and practitioners continue to find ways to improve the health-care information system (Edgman-Levitan & Cleary, 1996;Isaacs, 1996). In the age of information we live in, health-care information has become even more important in addressing persistent problems of high costs, medical errors, variable quality, administrative inefficiencies, and lack of coordination (Isaacs, 1996;Miller, 1998;Thompson & Brailer, 2004). Hardey (1999) predicts that the Internet as an emerging source of expertise will transform the public use of health information.…”

Section: A Brief Literature Reviewmentioning

confidence: 99%

Information and Efficiency in Vietnamese Patients' Choice of Health-Care Provider: A Short Report

Vuong

2016

SSRN Journal

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This paper communicates results from a statistical investigation into questions of relationships between sources of health-care information, data sufficiency, and final outcomes of Vietnamese patients' choice of health-care provider. The study employs a data set of 1459 observations collected from a survey in Hanoi in the fourth quarter of 2015. Significant relationships among these factors are identified following categorical data modeling employing the baselinecategory logit (BCL) method. Among the significant results reported, sources of information, cost, and amount of time for seeking information are found to have significant influences on data sufficiency. The quality of information and health professionals' credibility are critical factors in helping patients choose a healthcare provider In addition, empirical probabilities for different conditions patients face are provided together with insights and policy implications. Final suggestions emphasize an upgrade of the knowledge base and an increase in public access to information with Internet-based innovations such as smartphone apps and data storage with the participation of healthcare providers and the Ministry of Health's ICT units. The underutilized 115 Emergency Service could also be transformed to function as a call center that helps coordinate and channel requests for information across a broad network of health-care professionals for better public use.Keywords: health-care provider, quality of information, data sufficiency, Vietnam, consumer behavior Abstract: This paper communicates results from a statistical investigation into questions of relationships between sources of health-care information, data sufficiency, and final outcomes of Vietnamese patients' choice of health-care provider. The study employs a data set of 1459 observations collected from a survey in Hanoi in the fourth quarter of 2015. Significant relationships among these factors are identified following categorical data modeling employing the baselinecategory logit (BCL) method. Among the significant results reported, sources of information, cost, and amount of time for seeking information are found to have significant influences on data sufficiency. The quality of information and health professionals' credibility are critical factors in helping patients choose a health-care provider In addition, empirical probabilities for different conditions patients face are provided together with insights and policy implications. Final suggestions emphasize an upgrade of the knowledge base and an increase in public access to information with Internet-based innovations such as smartphone apps and data storage with the participation of healthcare providers and the Ministry of Health's ICT units. The underutilized 115 Emergency Service could also be transformed to function as a call center that helps coordinate and channel requests for information across a broad network of health-care professionals for better public use.

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Consumers' Information Needs: Results of a National Survey

Cited by 89 publications

References 0 publications

Demand-Driven Care and Hospital Choice. Dutch Health Policy Toward Demand-Driven Care: Results from a Survey into Hospital Choice

Demand-Driven Care and Hospital Choice. Dutch Health Policy Toward Demand-Driven Care: Results from a Survey into Hospital Choice

The relationship between quality and costs: factors that affect the hospital costs of radical prostatectomy

Information and Efficiency in Vietnamese Patients' Choice of Health-Care Provider: A Short Report

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