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 | ||||
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| 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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