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Influencing consumer health care choices with quality of care information

Beeinflussung von Verbraucherentscheidungen bei der Auswahl von Gesundheitsdienstleistungen durch Qualitätsinformationen

  • New Paradigms In The Supply Of Health Services
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Abstract

Consumers are confronted by increasing amounts and types of information about the quality of health care available to them in the marketplace. This paper explores the state of current knowledge about the impact of quality of care information (QCI) on consumer health care decision making. The paper reviews recent studies of consumer response to information related to health and health care in areas related to QCI and choice of health care providers. The paper discusses recent trends in the availability of QCI and describes the rise of consumerism in health care and its implications for consumer health information policy.

Zusamenfassung

Verbraucher sind mit wachsendem Angebot von Informationen über die Qualität derjenigen Gesundheitsdienstleistungen konfrontiert, die sie auf dem Markt nachfragen können. Gestalt und Inhalt wechseln. Der Beitrag untersucht anhand einer US-amerikanischen Literaturstudie den gegenwärtigen Kenntnisstand über die Bedeutung von Qualitätsinformationen für die Entscheidungsfindung des Verbrauchers bei Gesundheitsdienstleistungen. Aktuelle Studien über Verbraucherreaktionen auf Qualitätsinformationen bei der Auswahl von Anbietern werden vorgestellt und gewürdigt. Der Beitrag diskutiert aktuelle Entwicklungstendenzen des Zugangs zu Qualitätsinformationen. Im Mittelpunkt steht die Erörterung eines wachsenden Verbraucherbewußtseins im Gesundheitswesen und seine Bedeutung für die Informationspolitik gegenüber Verbrauchern.

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References

  • Bennett, D., & Campbell, K. (1986). Most consumers show little concern in selecting health-services providers. Market News, 20(7), p. 14.

    Google Scholar 

  • Bettman, J. R. (1979). An information processing theory of consumer choice. Reading, MA: Addison-Wesley.

    Google Scholar 

  • Bunker, J. P., & Brown, B. W. (1974). The physician-patient as an informed consumer of surgical services. New England Journal of Medicine, 290, 1051–1055.

    Google Scholar 

  • Caporeal-Katz, B., & Levin, L. (1987). Self-care education. In: P. M. Lazes, L. H. Kaplan, & K. A. Gordon (Eds.), The handbook of health education (2nd ed.), pp. 189–207. Rockville, MD: Aspen Publishers.

    Google Scholar 

  • Carey, J. (1987). Rating the health advisors. U.S. News and World Report, September 7, pp. 54–55.

  • Cartwright, A. (1967). Patients and their doctors. London: Routledge and Kegan Paul.

    Google Scholar 

  • Charles, J. G. (1987). Using informed choice to combat health costs. Business and Health, 4(9), 36–38.

    Google Scholar 

  • Christensen, D. B., & Wertheimer, A. I. (1976). Consumer action in health care. Public Health Reports, 91, 406–411.

    Google Scholar 

  • Donabedian, A. (1981). Perspectives on the free choice of the source of personal health care. Milbank Memorial Fund Quarterly, 59, 586–595.

    Google Scholar 

  • Doyle, B. J., & Ware, J. E. (1977). Physician conduct and other factors that affect consumer satisfaction with medical care. Journal of Medical Education, 52, 793–801.

    Google Scholar 

  • Farrell, K. (1986). Alternative health plans: Informing the medicare consumer. Paper presented at American Public Health Association Annual Meeting, Las Vegas, NV, September.

  • Fineberg, H. V. (1985). Technology assessment: Motivation, capability, and future directions. Medical Care, 23, 663–671.

    Google Scholar 

  • Fleming, G. V., Giachello, A. L., Anderson, R. M., & Andrade, P. (1984). Self-care: Substitute, supplement, or stimulus for formal medical services? Medical Care, 22, 950–966.

    Google Scholar 

  • Freiden, J. B. (1981). The effect of nutrition information on brand rating: Test for a non-use benefit. Journal of Consumer Affairs, 15, 106–113.

    Google Scholar 

  • Freidson, E. (1970). Professional dominance: The social structure of medical care. New York: Atherton Press.

    Google Scholar 

  • Gardner, H. H. (1986). Putting health care decisions in the hands of consumers. Business and Health, 3(10), 22–23, 26.

    Google Scholar 

  • General Mills (1979). Family health in an era of stress: The General Mills family report 1978–1979. Minneapolis, MN: General Mills, Inc.

    Google Scholar 

  • Glanz, K., & Rudd, J. (1987). Effects of quality of care information on consumer choice of physicians and hospitals. Washington, DC: U.S. Congress, Office of Technology Assessment, Health Program.

    Google Scholar 

  • Glanz, K., & Rudd, J. (forthcoming). Consumer information on the quality of medical care: A health education and health information policy review. Advances in Health Education and Promotion.

  • Gochman, D. S., Stukenborg, G. J., & Fler, A. (1986). The ideal physician: Implications for contemporary hospital marketing. Journal of Health Care Marketing, 6(2), 17–25.

    Google Scholar 

  • Good family doctors (1987). The Washingtonian, October, pp. 115–120.

  • Gosfield, A. G. (1976). Approaches of the federal health agencies to patients' rights and consumer participation. Public Health Reports, 91, 403–405.

    Google Scholar 

  • Green, L. W., Werlin, S. H., Schauffler, H. H., & Avery, C. H. (1977). Research and demonstration issues in self-care: Measuring the decline of medicocentrism. Health Education Monographs, 5, 161–189.

    Google Scholar 

  • Hamilton, J. (1987) The best hospitals for every ailment. Family Circle, October 20, pp. 36, 38–40, 133–134, 152.

  • Hamilton, P. A. (1982). Health care consumerism. St. Louis: C. V. Mosby.

    Google Scholar 

  • Haug, M., & Lavin, B. (1979). Public challenge of physician authority. Medical Care, 17, 844–858.

    Google Scholar 

  • Haug, M., & Lavin, B. (1983). Consumerism in medicine: Challenging physician authority. Beverly Hills, CA: Sage.

    Google Scholar 

  • Health Care Financing Administration (HCFA), U.S. Department of Health and Human Services (1987). Medicare hospital mortality information (7 vols.). Washington, DC: U.S. Government Printing Office.

    Google Scholar 

  • Hibbard, J. H., & Weeks, E. C. (1987). Consumerism in health care: Prevalence and predictors. Medical Care, 11, 1019–1032.

    Google Scholar 

  • Hibbard, J. H., & Weeks, E. C. (1988). Consumers in a competition-based cost containment environment. Journal of Public Health Policy, 9, 233–249.

    Google Scholar 

  • Hochbaum, G. (1981). Strategies and their rationale for changing people's eating habits. Journal of Nutritional Education, 13 (Suppl.), 59–65.

    Google Scholar 

  • Hospitals (1987). Consumer Checkbook, 6(3), 13–27.

    Google Scholar 

  • Inguanzo, J. M., & Damier, B. (1987). Consumer expectations on the rise: 1984–1986 data. Trustee, July, pp. 1–6.

  • Inguanzo, J. M., & Harju, M. (1985). Affluent consumers most discriminating: Survey. Hospitals, 59(19), 84–86.

    Google Scholar 

  • Kelman, H. R. (1976). Evaluation of health care quality by consumers. International Journal of Health Services, 6, 431–442.

    Google Scholar 

  • Kemper, D. W. (1982). Self-care education: Impact on HMO costs. Medical Care, 20, 710–718.

    Google Scholar 

  • Lebow, L. J. (1974). Consumer assessments of the quality of medical care. Medical Care, 12, 328–337.

    Google Scholar 

  • Lenahan, R. J., Thomas, J. A., Taylor, D. A., Call, D. L., & Padberg, D. I. (1973). Consumer reaction to nutritional labels. Journal of Consumer Affairs, 7, 1–12.

    Google Scholar 

  • Levin, L., & Idler, E. L. (1981). The hidden health care system: Mediating structures and medicine. Cambridge, MA: Ballinger.

    Google Scholar 

  • Levin, L., Katz, A., & Holst, E. (1976). Self-care: Lay initiatives in health. New York: Prodist.

    Google Scholar 

  • Ley, P., & Spelman, M. S. (1967). Communicating with the patient. London: Staples Press.

    Google Scholar 

  • Lorig, K., Kraines, R. G., Brown, B. W., & Richardson, N. (1985). A workplace health education program that reduces outpatient visits. Medical Care, 23, 1044–1054.

    Google Scholar 

  • Marquis, M., Kanouse, D., & Brodsley, L. (1985). Informing consumers about health care costs: A review and research agenda. Santa Monica, CA: Rand Corporation.

    Google Scholar 

  • Mayer, R. N. (1981). How information disclosure reforms benefit non-users of consumer information: A review. In: C. B. Meeks (Ed.), Proceedings of the annual conference of the American Council on Consumer Interests, pp. 129–133. Columbia, MO: American Council on Consumer Interests.

    Google Scholar 

  • McKinlay, J. B. (1975). Who is really ignorant — Physician or patient? Journal of Health and Social Behavior, 13, 115–152.

    Google Scholar 

  • Mechanic, D. (1974). Health maintenance and health education. In: D. Mechanic (Ed.), Politics, medicine, and social science, pp. 261–270. New York: John Wiley and Sons.

    Google Scholar 

  • Metsch, J. M., & Veney, J. E. (1976). Consumer participation and social accountability. Medical Care, 14, 283–293.

    Google Scholar 

  • Milio, N. (1977). Self-care in urban settings. Health Education Monographs, 5, 289–298.

    Google Scholar 

  • Monroe, K. B., & Krishnan, R. (1985). The effect of price on subjective product evaluations. In: J. Jacoby & J. C. Olson (Eds.), Perceived quality, pp. 209–232. Lexington, MA: Heath.

    Google Scholar 

  • Newhouse, J. P., Ware, J. E., & Donald, C. A. (1981). How sophisticated are consumers about the medical delivery system? Medical Care, 19, 316–328.

    Google Scholar 

  • Padberg, D. I. (1977). Non-use benefits of mandatory consumer information programs. Journal of Consumer Policy, 1, 5–14.

    Google Scholar 

  • Pekkanen, J. (1987). How to choose a doctor. The Washingtonian, October 12.

  • Pratt, L., Seligman, A., & Reader, G. (1957). Physicians' views on the level of medical information among patients. American Journal of Public Health, 47, 1277–1283.

    Google Scholar 

  • Reader, G. G., Pratt, L., & Mudd, M. C. (1957). What patients expect from their doctors. Modern Hospital, 89, 88–94.

    Google Scholar 

  • Reeder, L. G. (1972). The patient-client as a consumer: Some observations on the changing professional-client relationship. Journal of Health and Social Behavior, 13, 406–412.

    Google Scholar 

  • Rodale, R. (1983). The evaluation of the quality of health care: A lay perspective. Evaluation and the Health Professional, 6, 143–148.

    Google Scholar 

  • Russo, J. E. (1988). Information processing from the consumer's perspective. In: E. S. Maynes (Ed.), The frontier of research in the consumer interest, pp. 185–217. Columbia, MO: American Council on Consumer Interests.

    Google Scholar 

  • Shugan, S. M. (1984). Price-quality relationships. Advances in Consumer Research, 11, 627–632.

    Google Scholar 

  • Sproles, G. B. (1977). New evidence on price and product quality. Journal of Consumer Affairs, 11(1), 63–77.

    Google Scholar 

  • Stewart, D. W., Hickson, G. B., Ratneshwar, S., Pechmann, C., & Alatemeier, W. (1985). Information search and decision strategies among health-care consumers. Advances in Consumer Research, 12, 252–257.

    Google Scholar 

  • Summer, S. J. (1987). Maryland's experiment with quality measures. Business and Health, 5(1), 14–16.

    Google Scholar 

  • Sunshine, L., & Wright, J. W. (1988). The best hospitals in America. New York: Henry Holt.

    Google Scholar 

  • Vickery, D. M., Kalmers, H., Lowry, D., Constantine, M., Wright, E., & Loren, W. (1983). Effect of a self-care education program on medical visits. Journal of the American Medical Association, 250, 2952–2956.

    Google Scholar 

  • Waitzkin, H. B., & Stoeckle, J. (1976). Information control and the micropolitics of health care: Summary of an ongoing research project. Social Science and Medicine, 10, 263–276.

    Google Scholar 

  • Ware, J. E., & Snyder, M. K. (1975). Dimensions of patient attitudes regarding doctors and medical care services. Medical Care, 8, 669–682.

    Google Scholar 

  • Wennberg, J. E., Barnes, B. A., & Zubkoff, M. (1982). Professional uncertainty and the problem of supplier-induced demand. Social Science and Medicine, 16, 811–824.

    Google Scholar 

  • What New Yorkers say about their health care (1985). New York: Louis Harris and Associates.

  • Wilkie, W. L. (1986). Consumer behavior. New York: Wiley.

    Google Scholar 

  • Wyden, R. (1986). A crusade for access to health care data. Business and Health, 3(12), 35–38.

    Google Scholar 

  • Wyszewianski, L., Wheeler, J. R., & Donabedian, A. (1982). Market-oriented cost-containment strategies and quality of care. Milbank Memorial Fund Quarterly, 60, 518–550.

    Google Scholar 

  • Zyzanski, S., Hulka, B., & Cassel, J. (1974). Scale for the measurement of satisfaction with medical care. Medical Care, 12, 611–620.

    Google Scholar 

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Joel Rudd is Associate Professor of Family and Consumer Resources, University of Arizona, Tucson, AZ 85721, USA. Karen Glanz is Associate Professor of Health Education, Temple University, Philadelphia, PA 19122 USA. This article is based in part on a background paper developed by the authors for the Health Program, Office of Technology Assessment, U.S. Congress.

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Rudd, J., Glanz, K. Influencing consumer health care choices with quality of care information. J Consum Policy 12, 249–276 (1989). https://doi.org/10.1007/BF00412135

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