Health  Vol.6 No.1 , January 2014
Why don’t the Dutch use quality information in their hospital choice? Results from a survey among 479 patients from a Dutch hospital

Information about the quality of hospitals is becoming increasingly available for patients in the Netherlands. Consequently, patients are able to make an informed hospital choice. However, previous research reveals that patients do not or barely use quality information in their hospital choice. This is puzzling from the perspective of the demand-driven health care system, which considers patients as rational health consumers, capable of making independent choices. This article is meant to study why the Dutch patients do not use quality information. In order to answer this question, patients with nonacute ailments visiting the hospital clinics of several departments of a Dutch hospital were asked to fill in a self-administered questionnaire about their hospital choice and use of quality information. A total of 479 patients were included in the sample. The response rate was 81.9%. The results show that 5.2% of the respondents had actually seen quality information and 4.0% had used it in their hospital choice. Logistic regression analysis was carried out in order to explain why some patients use quality information and some do not. This analysis shows that nonusers compared to users are more frequently females, were older, have relatively more trust in their GP’s and distrust quality information more often.

Cite this paper: Lako, C. and Dortant, H. (2014) Why don’t the Dutch use quality information in their hospital choice? Results from a survey among 479 patients from a Dutch hospital. Health, 6, 1-5. doi: 10.4236/health.2014.61001.

[1]   Marshall, M.N., Schelleke, P.G., Leatherman, S. and Brook, R.H. (2000) The public release of performance data: What do we expect tot gain? A review of the evidence. The Journal of the American Medical Association, 283, 1866-1874.

[2]   Lugtenberg, M. and Westert, G.P. (2007) Kwaliteit van de gezondheidszorg en keuze-informatie voor burgers. Universiteitsdrukkerij, Tilburg.

[3]   Dijs-Elsinga, J., Otten, W., Versluijs, M.M., Smeets, H.J., Kievit, J., Vree, R., Made van der, W.J. and Marang-van der Mheen, P.J. (2010) Choosing a hospital for surgery: The importance of information on quality of care. Medical Decision Making, 30, 544-555.

[4]   Marang-van de Mheen, P.J., Dijs-Elsinga, J., Otten, W., Versluijs, M., Smeets, J., Vree, R., van der Made, W.J. and Kievit, J. (2011) The relative importance of quality of care information when choosing a hospital for surgical treatment: A hospital choice experiment. Medical Decision Making, 31, 816-827.

[5]   Wolters, P.J. and Lako, C.J. (2012) Hoe kiezen patienten een ziekenhuis? Een enquête bij twee poliklinieken. Tijdschrift voor Gezondheidswetenschappen, 90, 45-50.

[6]   Lako, C.J. and Rosenau, P. (2009) Demand-driven care and hospital choice. Dutch health policy toward demanddriven care: Results from a survey into hospital choice. Health Care Analysis, 17, 20-35.

[7]   de Groot, I.B., Otten, W., Smeets, H.J. and Marang-van der Mheen, P.J. (2011) Is the impact of hospital performance data greater in patients who have compared hospitals? BMC Health Services Review, 11, 214-224.

[8]   Dautzenberg, M., Weenink, J., Faber, M. and Ouwens, M. (2012) Kiezen borstkankerpatienten voor kwaliteit? Borstkankerpatienten over vergelijkende kwaliteitsinformatie borstkankerzorg. IQ Healthcare, Nijmegen.

[9]   Schneider, E.C. and Epstein, A.M. (1998) Use of public performance reports. A survey of patients undergoing cardiac surgery. The Journal of the American Medical Association, 279, 1638-1642.

[10]   Schauffler, H.H. and Mordavsky, J.K. (2001) Consumer reports in health care: Do they make a difference? Annual Review of Public Health, 22, 69-89.

[11]   Magee, H., Davis, L. and Coulter, A. (2003) Public views on healthcare performance indicators and patient choice. Journal of the Royal Society of Medicine, 96, 338-342.

[12]   Fung, C.H., Lim, Y., Mattke, S., Damberg, C. and Schelleke, P.G. (2008) Systematic review: The evidence that publishing patient care performance data improves quality of care. Annals of Internal Medicine, 148, 111-123.

[13]   Van’t Hoogt, L. (2013) Onderwijs (education) on demand. MA Thesis, Nijmegen.

[14]   Faber, M., Bosch, M., Wollersheim, H., Leatherman, S. and Grol, R. (2009) Public reporting in health care: How do consumers use quality-of-care information? A systematic review. Medical Care, 47, 1-8.

[15]   Kolstad, J. and Chernew, M. (2009) Quality and consumer decision making in the market for health insurance and health care services. Medical Care Research and Review, 66, 28S-52S.

[16]   Schwartz, B. (2005) The paradox of choice: Why more is less. Harper Collins, New York.

[17]   Werner, R.M. and Asch, D.A. (2005) The unintended consequences of publicly reporting quality information. The Journal of the American Medical Assocation, 293, 1239-1244.

[18]   Ikkersheim, D. and Koolman, X. (2013) The use of quality information by general practitioners: Does it alter choices? A randomized cluster study. BMC Family Practice, 14, 95-101.