Cochrane · systematic review · CD004538
Impact of public release of performance data on the behaviour of healthcare consumers and providers
Metcalfe, D, Rios Diaz, AJ, Olufajo, OA, et al. · Cochrane Database of Systematic Reviews · 2018 · Cochrane Library
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
7
current version
GRADE rated
5
No studies
2
Included studies
NR
No studies 2 · 28.6%Ungraded 0 · 0%Very low 0 · 0%Low 5 · 71.4%Moderate 0 · 0%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Current version onlyPublic reporting of performance data versus no public reporting
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Changes in healthcare utilisation by consumers Public reporting of performance data vs no public reporting | no estimate extracted | NR | Low |
Changes in healthcare decisions taken by healthcare providers (professionals and organisations) Public reporting of performance data vs no public reporting | no estimate extracted | NR | Low |
Changes in the healthcare utilisation decisions of purchasers Public reporting of performance data vs no public reporting | no estimate extracted | NR | No studies |
Changes in provider performance Public reporting of performance data vs no public reporting | no estimate extracted | NR | Low |
Changes in patient outcome Public reporting of performance data vs no public reporting | no estimate extracted | NR | Low |
Adverse effects Public reporting of performance data vs no public reporting | no estimate extracted | NR | No studies |
Impact on equity Public reporting of performance data vs no public reporting | no estimate extracted | NR | Low |
Comparison
Population: Patients: treated for AMI or CHF or given CABG or discectomysurgery, and Medicaid enrollees
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Changes in selection | no estimate extracted | 2 studies · 18000 participants | Low |
Changes in care | no estimate extracted | 1 study · 15997 participants | Low |