Nicole Ketelaar|Marjan J. Faber|Signe Flottorp|Liv Helen Rygh|Katherine Deane|Martin Eccles
Public release of performance data in changing the behaviour of healthcare consumers, professionals or organisations
Radboud University Nijmegen|Radboud University Medical Center|Radboud University Nijmegen|Radboud University Medical Center|Nasjonalt Kunnskapssenter for Helsetjenesten|University of Bergen|Nasjonalt Kunnskapssenter for Helsetjenesten|University of East Anglia|Newcastle University
background becoming increasingly common release information performance hospitals health professionals providers healthcare organisations public domain however know information used extent reporting leads quality improvement changing behaviour healthcare consumers providers purchasers extent performance professionals providers affected objectives determine effectiveness public release performance data changing behaviour healthcare consumers professionals organisations search methods searched cochrane central register controlled trials central cochrane effective practice organisation care epoc trials register medline ovid 1966 embase ovid 1979 cinahl psycinfo ovid 1806 dare 2011 selection criteria searched randomised quasirandomised trials interrupted time series controlled beforeafter studies effects publicly releasing data regarding aspect performance healthcare organisations individuals papers report least one main outcome related selecting changing care outcome measures awareness attitude views knowledge performance data costs data collection analysis two review authors independently screened studies eligibility extracted data study extracted data target groups healthcare consumers healthcare providers healthcare purchasers performance data main outcomes choice healthcare provider improvement means changes care outcomes awareness attitude views knowledge performance data costs main results included four studies containing 35000 consumers 1560 hospitals three studies conducted usa examined consumer behaviour public release performance data two studies found effect consumer assessment healthcare providers systems information health plan choice medicaid population one interrupted time series study found small positive effect publishing data patient volumes coronary bypass surgery lowcomplication outliers lumbar discectomy effects persist longer two months public release effects patient volumes acute myocardial infarction found one clusterrandomised controlled trial conducted canada studied improvement changes care public release performance data patients acute myocardial infarction congestive heart failure effects composite processofcare indicators either condition found improvements individual processofcare indicators effect mortality rates acute myocardial infarction quality improvement activities initiated response publiclyreleased report cards secondary outcomes reported authors conclusions small body evidence available provides consistent evidence public release performance data changes consumer behaviour improves care evidence public release performance data may impact behaviour healthcare professionals organisations lacking