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首页> 外文期刊>BMC Medical Informatics and Decision Making >Understanding and using comparative healthcare information; the effect of the amount of information and consumer characteristics and skills
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Understanding and using comparative healthcare information; the effect of the amount of information and consumer characteristics and skills

机译:了解和使用比较性医疗保健信息;信息量以及消费者特征和技能的影响

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Background Consumers are increasingly exposed to comparative healthcare information (information about the quality of different healthcare providers). Partly because of its complexity, the use of this information has been limited. The objective of this study was to examine how the amount of presented information influences the comprehension and use of comparative healthcare information when important consumer characteristics and skills are taken into account. Methods In this randomized controlled experiment, comparative information on total hip or knee surgery was used as a test case. An online survey was distributed among 800 members of the NIVEL Insurants Panel and 76 hip- or knee surgery patients. Participants were assigned to one of four subgroups, who were shown 3, 7, 11 or 15 quality aspects of three hospitals. We conducted Kruskall-Wallis tests, Chi-square tests and hierarchical multiple linear regression analyses to examine relationships between the amount of information and consumer characteristics and skills (literacy, numeracy, active choice behaviour) on one hand, and outcome measures related to effectively using information (comprehension, perceived usefulness of information, hospital choice, ease of making a choice) on the other hand. Results 414 people (47%) participated. Regression analysis showed that the amount of information slightly influenced the comprehension and the perceived usefulness of comparative healthcare information. It did not affect consumers’ hospital choice and ease of making this choice. Consumer characteristics (especially age) and skills (especially literacy) were the most important factors affecting the comprehension of information and the ease of making a hospital choice. For the perceived usefulness of comparative information, active choice behaviour was the most influencing factor. Conclusion The effects of the amount of information were not unambiguous. It remains unclear what the ideal amount of quality information to be presented would be. Reducing the amount of information will probably not automatically result in more effective use of comparative healthcare information by consumers. More important, consumer characteristics and skills appeared to be more influential factors contributing to information comprehension and use. Consequently, we would suggest that more emphasis on improving consumers’ skills is needed to enhance the use of comparative healthcare information.
机译:背景技术消费者越来越多地获得比较医疗保健信息(有关不同医疗保健提供者的质量的信息)。部分由于其复杂性,该信息的使用受到限制。这项研究的目的是研究在考虑到重要的消费者特征和技能时,所呈现信息的数量如何影响比较医疗信息的理解和使用。方法在该随机对照实验中,将有关全髋关节或膝关节手术的比较信息用作测试案例。在线调查在NIVEL保险小组的800名成员和76名髋关节或膝关节手术患者中进行。参加者被分配到四个亚组之一,他们在三家医院中表现出3、7、11或15个质量方面的信息。我们进行了Kruskall-Wallis检验,卡方检验和分层多元线性回归分析,一方面检查了信息量与消费者特征和技能(识字,计算能力,主动选择行为)之间的关系,以及与有效使用相关的结果度量另一方面,信息(理解,信息的有用性,医院的选择,做出选择的难易程度)。结果414人(47%)参加了比赛。回归分析表明,信息量对比较医疗保健信息的理解和感知有用性有轻微影响。它并没有影响消费者的医院选择和做出选择的难易程度。消费者特征(尤其是年龄)和技能(特别是读写能力)是影响信息理解和选择医院的难易程度的最重要因素。对于比较信息的有用性,主动选择行为是最大的影响因素。结论信息量的影响不是明确的。尚不清楚要呈现的理想质量信息量是多少。减少信息量可能不会自动导致消费者更有效地使用比较医疗保健信息。更重要的是,消费者的特征和技能似乎是影响信息理解和使用的更重要因素。因此,我们建议需要更多地强调提高消费者的技能,以增强对医疗保健信息的使用。

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