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Consumer comprehension of surgeon performance data for coronary bypass procedures.

Year: 2011
Type of Publication: Article Keywords: Academic Medical Centers; Adult; Aged; Clinical Competence; Comprehension; Consumer Satisfaction; Coronary Artery Bypass, standards trends; Coronary Artery Disease, mortality surgery; Cross-Sectional Studies; Female; Health Knowledge, Attitudes, Pra
Authors:
  • Karen Donelan
  • Robert S. Rogers
  • Andy Eisenhauer
  • Elizabeth Mort
  • Arvind K. Agnihotri
 
Journal: Ann Thorac Surg Volume: 91
Number: 5 Pages: 1400-5; discussion
Month: May
   
Abstract:
Public and private organizations have called for increased transparency in reporting of outcomes data for hospitals and surgeons, including risk-adjusted coronary artery bypass graft surgery (CABG) mortality data. Limited information is available about how the public actually interprets these data.Four different graphical and tabular displays of CABG outcomes for surgeons, three of which were modeled on current state public reports, were shown to 337 adults. Each display contained data for 3 to 5 hypothetical surgeons. For each format, respondents were asked to choose which surgeon they would be most and least likely to choose based on the data. Additionally, they were asked questions about public reporting.Accurate identification of best surgeon performance varied by display format, with a high of 66% on one display and a low of 16% on another. Only 6.4% identified the surgeon with the lowest risk mortality across all four displays. Respondents with at least some college education were significantly more likely to identify the surgeon with the lowest risk-adjusted mortality, compared with respondents having no college education (21% to 72% vs. 9% to 59%; p
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