Journal of General Internal Medicine

, Volume 22, Issue 10, pp 1463–1466

Providing Patients Web-based Data to Inform Physician Choice: If You Build It, Will They Come?

  • Gary Fanjiang
  • Ted von Glahn
  • Hong Chang
  • William H. Rogers
  • Dana Gelb Safran
Original Article

DOI: 10.1007/s11606-007-0278-1

Cite this article as:
Fanjiang, G., von Glahn, T., Chang, H. et al. J GEN INTERN MED (2007) 22: 1463. doi:10.1007/s11606-007-0278-1

Abstract

Background

Despite growing emphasis on public reporting of health care quality data, available data are often ignored.

Objective

To evaluate the usefulness of web-based physician-level data for patients choosing a new primary care physician (PCP).

Design

Patients seeking a new PCP (n = 2225) were invited to view web-based information including PCP credentials, personal characteristics, office location and hours, and patient experience scores. Patient experience scores included validated measures of interpersonal quality, appointment access, care coordination, health promotion, and patient recommendations of the PCP. After viewing the website, participants indicated their preferred PCP and completed a study questionnaire.

Results

Of the invited participants, 17% visited the website (n = 382). Patient experience scores were cited most frequently as important to physician choice (51%). Among these measures, patients’ highest priorities were interpersonal quality (37%) and patient recommendations of the PCP (41%). For patients citing these priorities, the odds of choosing a highly scored physician after viewing the data was nearly 10 times that of choosing such a physician by chance (odds ratio (OR) = 9.52 and 9.71, respectively).

Conclusions

Targeting patients known to be making a health care decision appears to promote the use of performance data. Patients particularly valued data concerning other patients’ experiences and, after viewing the data, made choices well-aligned with their priorities.

KEY WORDS

health care decision-makingphysician performance measurespublic reportingpatient care experience measures

Copyright information

© Society of General Internal Medicine 2007

Authors and Affiliations

  • Gary Fanjiang
    • 1
  • Ted von Glahn
    • 2
  • Hong Chang
    • 3
  • William H. Rogers
    • 3
  • Dana Gelb Safran
    • 3
  1. 1.Massachusetts General Hospital for ChildrenBostonUSA
  2. 2.Pacific Business Group on HealthSan FranciscoUSA
  3. 3.The Health InstituteTufts-New England Medical CenterBostonUSA