Patient Use of Cost and Quality Data When Choosing a Joint Replacement Provider in the Context of Reference Pricing

Patient Use of Cost and Quality Data When Choosing a Joint Replacement Provider in the Context of Reference Pricing

Health plans are encouraging consumerism among joint replacement patients by reporting information on hospital costs and quality. Little is known about how the proliferation of such initiatives impacts patients’ selection of a surgeon and hospital. We performed a qualitative analysis of semistructur...

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Main Authors: Ryan Kandrack, Ateev Mehrotra, Andrea DeVries, Sze-jung Wu, Nelson F. SooHoo, Grant R. Martsolf
Format: Article
Language:English
Published: SAGE Publishing 2015-07-01
Series:Health Services Research & Managerial Epidemiology
Online Access:https://doi.org/10.1177/2333392815598310
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spelling doaj-6e67327ab98d4c348a2a4a1800e113722020-11-25T03:32:42ZengSAGE PublishingHealth Services Research & Managerial Epidemiology2333-39282015-07-01210.1177/233339281559831010.1177_2333392815598310Patient Use of Cost and Quality Data When Choosing a Joint Replacement Provider in the Context of Reference PricingRyan Kandrack0Ateev Mehrotra1Andrea DeVries2Sze-jung Wu3Nelson F. SooHoo4Grant R. Martsolf5 RAND Corporation, Pittsburgh, PA, USA Department of Health Care Policy, Harvard Medical School, Boston, MA, USA HealthCore, Wilmington, DE, USA HealthCore, Wilmington, DE, USA Department of Orthopaedic Surgery, University of California, Los Angeles, Santa Monica, CA, USA RAND Corporation, Pittsburgh, PA, USAHealth plans are encouraging consumerism among joint replacement patients by reporting information on hospital costs and quality. Little is known about how the proliferation of such initiatives impacts patients’ selection of a surgeon and hospital. We performed a qualitative analysis of semistructured interviews with 13 patients who recently received a hip or knee replacement surgery. Patients focused on the choice of a surgeon as opposed to a hospital, and the surgeon choice was primarily made based on reputation. Most patients had long-standing relationships with an orthopedic surgeon and tended to stay with that surgeon for their replacement. Despite growing availability of cost and quality information, patients almost never used such information to make a decision.https://doi.org/10.1177/2333392815598310
collection DOAJ
language English
format Article
sources DOAJ
author Ryan Kandrack
Ateev Mehrotra
Andrea DeVries
Sze-jung Wu
Nelson F. SooHoo
Grant R. Martsolf
spellingShingle Ryan Kandrack
Ateev Mehrotra
Andrea DeVries
Sze-jung Wu
Nelson F. SooHoo
Grant R. Martsolf
Patient Use of Cost and Quality Data When Choosing a Joint Replacement Provider in the Context of Reference Pricing
Health Services Research & Managerial Epidemiology
author_facet Ryan Kandrack
Ateev Mehrotra
Andrea DeVries
Sze-jung Wu
Nelson F. SooHoo
Grant R. Martsolf
author_sort Ryan Kandrack
title Patient Use of Cost and Quality Data When Choosing a Joint Replacement Provider in the Context of Reference Pricing
title_short Patient Use of Cost and Quality Data When Choosing a Joint Replacement Provider in the Context of Reference Pricing
title_full Patient Use of Cost and Quality Data When Choosing a Joint Replacement Provider in the Context of Reference Pricing
title_fullStr Patient Use of Cost and Quality Data When Choosing a Joint Replacement Provider in the Context of Reference Pricing
title_full_unstemmed Patient Use of Cost and Quality Data When Choosing a Joint Replacement Provider in the Context of Reference Pricing
title_sort patient use of cost and quality data when choosing a joint replacement provider in the context of reference pricing
publisher SAGE Publishing
series Health Services Research & Managerial Epidemiology
issn 2333-3928
publishDate 2015-07-01
description Health plans are encouraging consumerism among joint replacement patients by reporting information on hospital costs and quality. Little is known about how the proliferation of such initiatives impacts patients’ selection of a surgeon and hospital. We performed a qualitative analysis of semistructured interviews with 13 patients who recently received a hip or knee replacement surgery. Patients focused on the choice of a surgeon as opposed to a hospital, and the surgeon choice was primarily made based on reputation. Most patients had long-standing relationships with an orthopedic surgeon and tended to stay with that surgeon for their replacement. Despite growing availability of cost and quality information, patients almost never used such information to make a decision.
url https://doi.org/10.1177/2333392815598310
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