Exploring Factors of the Opinions on Hospital Information Disclosure and Its Behavioral Intention Influence by Orthopedic Surgeons:An Example in Report Card of Total Knee Replacement
Date Issued
2009
Date
2009
Author(s)
Yeh, Yu-Ching
Abstract
Background and Objectives:eport cards have been adopted by the US health care system for more than 10 years. The publication of report cards is intended to inform consumer’s choice on providers and to improve quality of medical care delivered by providers. Despite these plausible mechanisms of quality improvement, the value of publicly reporting quality information is largely undemonstrated and public reporting may have unintended and negative consequences on health care. In Taiwan, the total knee replacement (TKR) report card has been disclosed by Department of Health on April 25, 2008. The purpose of this study was to explore factors of the opinions on TKR report card and its behavioral intention influence by orthopedic surgeons.ethods:his study used survey research and structured questionnaire were mailed out to collect data during April 29 ~ June 29, 2009. A total of 176 questionnaires were returned, yielding was 47.2% response rate.esult:ess than 50% of the orthopedic surgeons were aware of the TKR report card, and obviously existed in the people who have played medical decision role in hospital. The performance in the report card were worse, the more significant express this data were incorrect.52% of orthopedic surgeons were willing to publish this information, 67% thought these three indicators could be used to evaluate TKR health care quality, 58% reported that they were less willing to operate surgery on high risk patients, and 69% worried that other physicians might improve TKR report card’s performance by gaming technique. The structural equation modeling analysis showed that indicators which are approved to evaluate TKR health care quality by orthopedic surgeons would improve health care attitude toward behavior, and induce to improve health care behavioral intention. onclusions:ewer orthopedic surgeons were aware of the TKR report card policy has been published, we suggest that the health authority might strengthen frequency of policy guidance. To rethink risk adjustment method might inadequate to compare surgery fairly, and to enhance the usefulness of the reports, indicators which approved to evaluate TKR health care quality by orthopedic surgeons should be added.
Subjects
Hospital Information Disclosure
Hospital Report Card
Total Knee Replacement
Opinion
Behavioral Intention
Orthopedic Surgeon
Physician
Type
thesis
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