The need for information for the selection of a physician or a hospital is largely, the offer however unsatisfactory

(openPR) - since Septembers 2005 can themselves Versicherte and patients in the Internet structured quality reports over hospitals to look at. The fact that these reports exhibit still substantial lack was often criticized and are a little user friendly. Several studies now analyzed the available information offer more near and formulated also recommendations regarding the future organization. The result is called: There are a large need of such information and at the same time substantial deficits with the current offer.

“What patients want to know, if they liked themselves to inform about hospitals or other supply installations (...) With whom they inform itself, and as the information must be constituted” To these questions Doris Schaeffer follows in the context of a very much detailed literature study. Substantial findings of their analysis are that despite the multiplicity in the last years of the new information possibilities developed (call centers of health insurance companies, patient advisory boards, Internet signposts/guides) patients still use conventional sources and media: They contact the treating (house) physician or relative, friends or acquaintance with priority, because other sources of information to them does not admit are or also, because they do not appear trustworthy to them enough. A reason for this trustworthiness and reliability lacking is the fact that new sources and media rather as confusing because when is helpfully felt. As result is recommended to provide conceiving and production of patient information together with patients and users to include at least however it accompanying and evaluativ into the process in order not to by-act unexpectedly at out their perspective important interests.

When Schaeffer recognizes special lack of the information offered at present that these are arranged according to principles, the experts of the health service from their perspective for patients and users for important judge. Information is thus more oriented at the outsider perspective (expert, physician, scientist) than the Insiderperspektive (patient). So that information is also used by patients, the Wissenschaftlerin calls a set of criteria. So the information should be easily accessible, be clear and avoid detail abundance, be graphically plausibly represented, place not too high cognitive requirements, be understandable (linguistically), not only special and achievement information, but also (narrative) empiric reports contained and last to be target-group-specific aligned. The latter, then is emphasized, “is not not a reference underestimating in its meaning, which is above all then from importance, if target groups are to be achieved, patient information offers - in the Internet - so far rather with reservations meets. In addition belong among other things also old and aged humans, who constitute the majority of the patients in the hospital at the same time. Like also different so far with difficulty attainable target groups (e.g. Migranten) need it information offers, those are cut to their special life-lay situation and their prescription ion habits follow.”

In a second study on behalf the Bertelsmann donation the institute for picker examined Germany in the context of group discussions with patients, which information patients to need to decide around itself for a Leistungserbringer (hospital, family doctor, ambulatory hospital service, Reha hospital) and as large the objective need of information is for the result quality of Leistungserbringern. As central result it shows up that for all four situations substantial deficits can be recognized in the information offer at present: “All decision-making processes for the four examined Leistungserbringer are coined/shaped by high lack of information.” However the need for information precipitates depending upon Leistungserbringer quite differently. For the search for a family doctor this need is rather low, since “no high expectations exist to family doctors. Family doctors are seen as “passage physicians” and to be considered as exchangeable.” On the other side it shows up that the need for information is very high with the decision for a hospital. Because this situation is very strongly coined/shaped by fears and fears, since the illness and/or the process and the exit uncertainty to a possibly necessary operation with itself bring.

In a further study (it publishes 2006” in the “health monitor) Professor Max Geraedts finally follows health monitor” of the question on the basis results of a representative population inquiry to “whether Versicherte and patients use in the Internet available quality report at all, whether the required information corresponds to their interests or whether completely different information would be necessary possibly. As result it shows up that only a fraction of the insured ones became acquainted with the quality reports in the first half-year after the publication and that these reports were used only by a infinitesimal small number from persons to the hospital choice. Despite this so far small resonance it shows up however also that nearly all insured ones wish themselves more information about the quality of the supply of public health services and medical achievement offerers. , Then Geraedts recommends, should comparisons based on it of public health services particularly by institutions of the consumer protection or the self-help be accomplished, which are considered generally as independent.

Further information and left to the studies with Download of the publications: www.forum-gesundheitspolitik.de/dossier/index112.htm

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