5. Public Reporting as a Quality Improvement Strategy

Table H3. Hospital quantitative studies: Columns 14-18 of 18 (pages H-40 to H-51) (continued)
Author,
Year (QA) 14. Results KQ4: (Selection by Patients and Payers)
patient growth
Friedberg
2009 17
(Good)
Ghali,
1997 18
(Fair)
Guru 2006 19
(Fair)
15. Results: KQ5
(Impact of Public
Report
Characteristics)
H-62
16. Results: KQ6 (Impact of
Contextual Factors) 17. Summary/Conclusion
18. Funder of
Research/Report
None of the changes were statistically significant (No P
values or CIs reported).
None None None Essentially, no evidence that Primary Care Teaching
public reporting of antibiotic and Education Fund
timing in pneumonia has from corresponding
changed/increased
author’s hospital;
overdiagnosis of pneumonia, National Research
inappropriate use of antibiotics, Service Award from
or overprioritization of patients the Health Resources
with respiratory symptoms as and Services
witnessed by waiting times. administration; and
Some trends were statistically Career Development
significant before adjusting for Award from AHRQ. No
potential confounders, but after
adjustment the only item that
was statistically significant was
mean waiting times for patients
without respiratory symptoms.
COIs stated.
None None None Massachusetts health
Data Consortium;
Walnut Medical
Charitable Trust; Dr.
Ghali supported by
grant from Alberta
Heritage Foundation
for Medical Research
None None None Risk-adjusted 30 day mortality Heart and Stroke
rates in Ontario decreased
significantly after confidential
reports. After Public Reporting,
mortality increased slightly, but
was not significant.
Foundation of Ontario