|
KMID : 1031020180240020062
|
|
Quality Improvement in Health Care
2018 Volume.24 No. 2 p.62 ~ p.75
|
|
|
Public Reporting of Hospital Level Surgical Volumes: Its Influence on Patient Behavior
|
|
Han Kyu-Tae
Park Eun-Ah
Nam Chung-Mo
Kim Tae-Hyun
Hahm Myung-Il
Lee Sang-Gyu
|
|
|
Abstract
|
|
|
Purpose: The objective of this study was to publicly report the hospital-level surgical volume for 7 types of surgery including gastrectomy. Also, to investigate the changes in patient behaviors after the public reporting among patients with gastrectomy.
Methods: This study used data from the National Health Insurance Service Cohort. The data comprised of 2,214 patients who were diagnosed with gastric cancer and underwent gastrectomy during 2004?2012. An interrupted time series analysis was performed to investigate the association between patients’ choice and public reporting.
Results: 79.27% of the patients visited a hospital with high surgical volume. The time trend after introduction of public reporting was positively associated with visiting a high volume hospital (per 1 month, RR: 1.004, p=0.0329). However, after adjusting the health policies by reducing copayment, public reporting on surgical volume was not associated with visiting a high volume hospital. Sub-group analyses had also similar results.
Conclusion: Patients were more affected by policies on economic support than on public reporting, and the changes in treatment options may have been affected by the increasing preference for large size hospitals. Thus, public reporting did not significantly improve the options available for patients and their decision making on health care utilization.
|
|
|
KEYWORD
|
|
|
Public reporting, Patient behavior, Cancer policy, Volume-outcome relationship, Informed choice
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
|