Physician Beliefs About Online Reporting of Quality and Experience Data
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Institute for Healthcare Delivery and Population Science, University of Massachusetts Medical School at Baystate Health, Springfield, MA, USA; Department of Medicine, University of Massachusetts Medical School at Baystate Health, Springfield, MA, USA; 3Healthcentric Advisors, Providence, RI, USA; 4Division of Epidemiology, Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada; 5Warren Alpert Medical School of Brown University, Providence, RI, USA; 6Providence Community Health Centers, Providence, RI, USA; 7Department of Obstetrics and Gynecology, Women & Infants Hospital, Providence, RI, USA. 2
IMPORTANCE: Physician attitudes about websites that publicly report health care quality and experience data have not been recently described. OBJECTIVES: To examine physician attitudes about the accuracy of websites that report information about quality of care and patient experience and to describe physician beliefs about the helpfulness of these data for patients choosing a physician. DESIGN, PARTICIPANTS, AND MEASURES: The Rhode Island Department of Health (RIDOH) and a multistakeholder group developed and piloted two questions that were added to RIDOH’s biennial physician survey of all 4197 practicing physicians in Rhode Island: (1) “How accurate of a picture do you feel that the following types of online resources give about the quality of care that physicians provide?” (with choices) and (2) “Which types of physician-specific information (i.e., not about the practice overall) would be helpful to include in online resources for patients to help them choose a new physician? (Select all that apply).” Responses were stratified by primary care vs. subspecialty clinicians. Summary statistics and chisquared tests were used to analyze the results. RESULTS: Among 1792 respondents (response rate 43%), 45% were unaware of RIDOH’s site and 54% were unaware of the Centers for Medicare & Medicaid Services (CMS)’ quality reporting sites. Only 2% felt that Medicare sites were “very accurate” in depicting physician quality. Most physicians supported public reporting of general information about physicians (e.g., board certification),
Key Points Question: What are physicians’ knowledge, attitudes, and beliefs about public reporting and physician rating websites? Findings: In a survey of all physicians in the state of Rhode Island, many were unaware of common public reporting websites and most felt that these sites do not accurately depict the quality of care that physicians provide. Only 35% reported that performance-based quality measures are helpful when choosing a physician and only 34% reported that reviews from other patients are helpful for patients choosing a physician. Meaning: In contrast to prior reports that a majority of patients feel that some forms of quality data (e.g., reviews) are useful when choosing a physician, most physicians either do not know that these data exist or do not believe that the information is useful for patients. Received December 21, 2018 Revised May 15, 2019 Accepted July
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