Can Urban-Rural Patterns of Hospital Selection Be Changed Using a Report Card Program? A Nationwide Observational Study

International Journal of Environmental Research and Public Health
Tsung-Hsien YuChung-Jen Wei

Abstract

Guiding patients to choose high-quality healthcare providers helps ensure that patients receive excellent care and helps reduce health disparities among patients of different socioeconomic backgrounds. The purpose of this study was to examine and compare the effect of implementing a report-card program on the patterns of hospital selection in patients from different socioeconomic subgroups. Patients undergoing total knee replacement (TKR) surgery were used as the sample population. A patient-level, retrospective, observational and cross-sectional study design was conducted. Taiwan National Health Insurance claims data were used and all patients in this database who had received TKR between April 2007⁻March 2008 (prior to report-card program implementation) and between April 2009⁻March 2010 (after program implementation) were included. Those patients who were under 18 years of age or who lacked area-of-residence or National Health Insurance premium information were excluded. Travelling distance to the hospital and level of hospital performance were used to evaluate the effect of the report-card program. A total of 32,821 patients were included in this study. The results showed that patterns of hospital selection varied based on ...Continue Reading

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Citations

Aug 3, 2019·International Journal of Environmental Research and Public Health·Shelley White-MeansAhmad Reshad Osmani

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