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Health Serv Res. 2018 Aug;53 Suppl 1:2662-2681. doi: 10.1111/1475-6773.12839. Epub 2018 Feb 25.

Presenting Cost and Efficiency Measures That Support Consumers to Make High-Value Health Care Choices.

Author information

1
Marxe School of Public and International Affairs, Baruch College, City University of New York, New York, NY.
2
George Washington University, Washington, DC.

Abstract

OBJECTIVE:

To identify approaches to presenting cost and resource use measures that support consumers in selecting high-value hospitals.

DATA SOURCES:

Survey data were collected from U.S. employees of Analog Devices (n = 420).

STUDY DESIGN:

In two online experiments, participants viewed comparative data on four hospitals. In one experiment, participants were randomized to view one of five versions of the same comparative cost data, and in the other experiment they viewed different versions of the same readmissions data. Bivariate and multivariate analyses examined whether presentation approach was related to selecting the high-value hospital.

PRINCIPAL FINDINGS:

Consumers were approximately 16 percentage points more likely to select a high-value hospital when cost data were presented using actual dollar amounts or using the word "affordable" to describe low-cost hospitals, compared to when the Hospital Compare spending ratio was used. Consumers were 33 points more likely to select the highest performing hospital when readmission performance was shown using word icons rather than percentages.

CONCLUSIONS:

Presenting cost and resource use measures effectively to consumers is challenging. This study suggests using actual dollar amounts for cost, but presenting performance on readmissions using evaluative symbols.

KEYWORDS:

Quality improvement/report cards; health care costs; medical decision-making

PMID:
29479695
PMCID:
PMC6056584
DOI:
10.1111/1475-6773.12839
[Indexed for MEDLINE]
Free PMC Article

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