Public needs for information disclosure on healthcare performance ; Different determinants between Japan and the Netherlands

Abstract The accumulated healthcare performance data related to unwarranted practice variations are not necessarily disseminated to patients and citizens. To clarify the needs for public disclosure, we explored Japanese and Dutch citizens’ preferences and values towards information disclosure and healthcare disparity. Online opt-in survey was conducted and we asked citizens their preference to know about the healthcare performance indicators of regions and hospitals, and their attitudes towards healthcare equity. After a descriptive statistical analysis, Chi-squared automatic interaction detec... Mehr ...

Verfasser: Sasaki, Noriko
Groenewoud, Stef
Kunisawa, Susumu
Westert, Gert
Imanaka, Yuichi
Dokumenttyp: Artikel
Erscheinungsdatum: 2019
Reihe/Periodikum: Medicine ; volume 98, issue 43, page e17690 ; ISSN 0025-7974 1536-5964
Verlag/Hrsg.: Ovid Technologies (Wolters Kluwer Health)
Sprache: Englisch
Permalink: https://search.fid-benelux.de/Record/base-29198733
Datenquelle: BASE; Originalkatalog
Powered By: BASE
Link(s) : http://dx.doi.org/10.1097/md.0000000000017690

Abstract The accumulated healthcare performance data related to unwarranted practice variations are not necessarily disseminated to patients and citizens. To clarify the needs for public disclosure, we explored Japanese and Dutch citizens’ preferences and values towards information disclosure and healthcare disparity. Online opt-in survey was conducted and we asked citizens their preference to know about the healthcare performance indicators of regions and hospitals, and their attitudes towards healthcare equity. After a descriptive statistical analysis, Chi-squared automatic interaction detection tree analysis was performed to explore the socio-demographic determinants which were associated with positive value for information disclosure and healthcare equity. Then, we compared the combination of attributes of the highest and the lowest subgroups of each country and compared within and between countries. Last, logistic regression analysis was performed to further evaluate the impact of each determinant. Significant differences were observed between the 2 countries (Japan [JPN] 1038; Netherlands [NL] 1040). The crucial attributes identified were age, sex, educational background, and living area (JPN), along with age and sex (NL). Japanese comprised multiple subgroups with heterogeneous values, showed relatively low interest in knowing the information, and seemed to accept healthcare inequality, especially among urban males aged 20 to 59 years. Contrarily, Dutch people mostly showed high interest in both items. Female and older respondents valued information disclosure highly across countries. To share healthcare performance knowledge and empowering the public, historical, cultural, and socio-demographic context including health literacy of citizens’ subgroups should be considered in making comprehensive public reports.