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Public reporting on quality, waiting times and patient experience in 11 high-income countries

Author

Listed:
  • Rechel, Bernd
  • McKee, Martin
  • Haas, Marion
  • Marchildon, Gregory P.
  • Bousquet, Frederic
  • Blümel, Miriam
  • Geissler, Alexander
  • van Ginneken, Ewout
  • Ashton, Toni
  • Saunes, Ingrid Sperre
  • Anell, Anders
  • Quentin, Wilm
  • Saltman, Richard
  • Culler, Steven
  • Barnes, Andrew
  • Palm, Willy
  • Nolte, Ellen

Abstract

This article maps current approaches to public reporting on waiting times, patient experience and aggregate measures of quality and safety in 11 high-income countries (Australia, Canada, England, France, Germany, Netherlands, New Zealand, Norway, Sweden, Switzerland and the United States). Using a questionnaire-based survey of key national informants, we found that the data most commonly made available to the public are on waiting times for hospital treatment, being reported for major hospitals in seven countries. Information on patient experience at hospital level is also made available in many countries, but it is not generally available in respect of primary care services. Only one of the 11 countries (England) publishes composite measures of overall quality and safety of care that allow the ranking of providers of hospital care. Similarly, the publication of information on outcomes of individual physicians remains rare. We conclude that public reporting of aggregate measures of quality and safety, as well as of outcomes of individual physicians, remain relatively uncommon. This is likely to be due to both unresolved methodological and ethical problems and concerns that public reporting may lead to unintended consequences.

Suggested Citation

  • Rechel, Bernd & McKee, Martin & Haas, Marion & Marchildon, Gregory P. & Bousquet, Frederic & Blümel, Miriam & Geissler, Alexander & van Ginneken, Ewout & Ashton, Toni & Saunes, Ingrid Sperre & Anell, , 2016. "Public reporting on quality, waiting times and patient experience in 11 high-income countries," Health Policy, Elsevier, vol. 120(4), pages 377-383.
    • Handle: RePEc:eee:hepoli:v:120:y:2016:i:4:p:377-383
    DOI: 10.1016/j.healthpol.2016.02.008
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    References listed on IDEAS

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    1. Valérie Paris & Marion Devaux & Lihan Wei, 2010. "Health Systems Institutional Characteristics: A Survey of 29 OECD Countries," OECD Health Working Papers 50, OECD Publishing.
    2. Jonathan T. Kolstad, 2013. "Information and Quality When Motivation Is Intrinsic: Evidence from Surgeon Report Cards," American Economic Review, American Economic Association, vol. 103(7), pages 2875-2910, December.
    3. Jonathan T. Kolstad, 2013. "Information and Quality when Motivation is Intrinsic: Evidence from Surgeon Report Cards," NBER Working Papers 18804, National Bureau of Economic Research, Inc.
    4. Yijuan Chen & Juergen Meinecke & Peter Sivey, 2016. "A Theory of Waiting Time Reporting and Quality Signaling," Health Economics, John Wiley & Sons, Ltd., vol. 25(11), pages 1355-1371, November.
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    Cited by:

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    2. Kedai Cheng & Derek S. Young, 2020. "Tolerance intervals for autoregressive models, with an application to hospital waiting lists," Applied Stochastic Models in Business and Industry, John Wiley & Sons, vol. 36(2), pages 268-282, March.
    3. Kelaher, Margaret & Prang, Khic-Houy & Sabanovic, Hana & Dunt, David, 2019. "The impact of public performance reporting on health plan selection and switching: A systematic review and meta-analysis," Health Policy, Elsevier, vol. 123(1), pages 62-70.
    4. Canaway, Rachel & Bismark, Marie & Dunt, David & Prang, Khic-Houy & Kelaher, Margaret, 2018. "“What is meant by public?”: Stakeholder views on strengthening impacts of public reporting of hospital performance data," Social Science & Medicine, Elsevier, vol. 202(C), pages 143-150.
    5. Patricia Kenny & Stephen Goodall & Deborah J. Street & Jessica Greene, 2017. "Choosing a Doctor: Does Presentation Format Affect the Way Consumers Use Health Care Performance Information?," The Patient: Patient-Centered Outcomes Research, Springer;International Academy of Health Preference Research, vol. 10(6), pages 739-751, December.
    6. Samuel Simon, "undated". "Measure Sets and Measurement Systems: Multistakeholder Guidance for Design and Evaluation," Mathematica Policy Research Reports fd565d1f93274407b556c4a28, Mathematica Policy Research.
    7. Jinyang Chen & Chaoqun Wang, 2023. "“The reputation premium”: does hospital ranking improvement lead to a higher healthcare spending?," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 24(5), pages 817-830, July.

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