Attachment F – Outcome and Process Variables

Attachment F_SelectMD 2.0 Outcome and Process Variables.doc

SelectMD 2.0 Clinician Choice Experiment

Attachment F – Outcome and Process Variables

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Attachment F

SelectMD 2.0 Consumer Choice Experiment


List of Outcome and Process Variables


Outcome Variables


Related to Clinician Choice

Selected “Best” Clinician Based on Standardized Metrics (Dichotomous)

Selected a “Dominated” Clinician (a “poor” choice, in that there are other options that are as good or better on every standardized metric)


Satisfaction with choice of physician

Difficulty choosing a physician

Likelihood of seeking out comparable performance metrics in real life

Likelihood of recommending web site to others


Related to Learning About Clinician Choice

Increased (before and after web-site exposure) awareness of trade-offs among dimensions of clinician performance

Increased (before and after web-site exposure) awareness of variability of clinician quality across types of patients

Learning (before and after web-site exposure) about additional aspects of clinician performance as important for assessing quality


Related to Consumer Empowerment

Increased (before and after web-site exposure) levels of patient activation

Proportion of information on website explored by participants

Proportion of information on website that participants found useful for choice



Clinician Choice Experiment: Process Variables


Choosing clinicians based on emotional heuristics rather than comparative performance

Willingness to examine component measures of aggregate performance metrics (CAHPS, HEDIS, patient safety)


Difficulty telling which doctor was best based on patient survey results (CAHPS)

Difficulty telling which doctor was best providing recommended preventive care (HEDIS)

Difficulty telling which doctor was best providing recommended medical care for

Conditions (HEDIS)

Difficulty telling which doctor was best based on patient safety methods

Difficulty telling which doctor was best from comments on individual patient experiences


Limited time viewing particular pages on the website

Limiting number of clinicians considered

Individual Characteristics of Participants in Experiment:


Exposure to doctor quality information in last 12 months

Exposure to hospital quality information in last 12 months

Exposure to health plan quality information in last 12 months

Active searching for information on doctor quality from the internet


Perceived trade-offs among different dimensions of quality

Perceived variability of clinician quality across different types of patients


Self-rated health status

Doctor or clinic visits in last 12 months


Maximizing versus satisficing in decisions

Decision making style: rational, intuitive, avoidant, dependent

Ability to apply decision rules to consumer choices


Patient activation prior to exposure to SelectMD website


Willingness to make trade-offs among aspects of quality when selecting a clinician

Emotionality of choices involving medical care


Standard demographic information on participants is available from GfK and will be merged with the data collected from participants.]



File Typeapplication/msword
File TitleClinician Choice Experiment: Outcome Variables
Authorkanouse
Last Modified ByDale Shaller
File Modified2013-09-02
File Created2013-09-02

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