Olga C. Damman

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BACKGROUND Ratings on the quality of healthcare from the consumer's perspective need to be adjusted for consumer characteristics to ensure fair and accurate comparisons between healthcare providers or health plans. Although multilevel analysis is already considered an appropriate method for analyzing healthcare performance data, it has rarely been used to(More)
OBJECTIVE To develop a Consumer Quality Index (CQ-index) Breast Care instrument that measures quality of care from the perspective of patients with (suspicion of) breast cancer. METHODS To develop a pilot questionnaire, three focus group discussions with breast cancer patients were performed. The questionnaire was sent to 1197 patients. We performed(More)
BACKGROUND To date, online public healthcare reports have not been effectively used by consumers. Therefore, we qualitatively examined how healthcare consumers process and evaluate comparative healthcare information on the Internet. METHODS Using semi-structured cognitive interviews, interviewees (n = 20) were asked to think aloud and answer questions, as(More)
BACKGROUND Public reports about health-care quality have not been effectively used by consumers thus far. A possible explanation is inadequate presentation of the information. OBJECTIVE To assess which presentation features contribute to consumers' correct interpretation and effective use of comparative health-care quality information and to examine the(More)
BACKGROUND On more and more websites, consumers are provided with public reports about health care. This move toward provision of more comparative information has resulted in different information types being published that often contain contradictory information. OBJECTIVE The objective was to assess the current state of the art in the presentation of(More)
BACKGROUND The recent emphasis on providing comparative health care data to the public has resulted in a large amount of online information. To focus on the most essential attributes, insight is needed into which attributes are actually considered by consumers. OBJECTIVE To assess which attributes of Dutch hospital performance information contribute most(More)
OBJECTIVE Investigate workers' knowledge and beliefs about cardiometabolic risk. METHODS A survey on the risks of diabetes, cardiovascular disease, and chronic kidney disease was disseminated among Dutch construction workers and employees from the general working population. RESULTS We had 482 respondents (26.8%) among construction workers and 738(More)
BACKGROUND Consumers are increasingly exposed to comparative healthcare information (information about the quality of different healthcare providers). Partly because of its complexity, the use of this information has been limited. The objective of this study was to examine how the amount of presented information influences the comprehension and use of(More)
OBJECTIVE To study lay conceptions of cardio-metabolic risk and compare them with those of experts, in order to formulate focal points for better educational risk information. METHODS 40 Dutch lay people were interviewed about the risks of developing cardio-metabolic diseases. Following a 'mental models approach', their conceptions were qualitatively(More)
BACKGROUND Patients are increasingly expected to become active, critical consumers in healthcare. They can use comparative healthcare information presented on websites to make informed choices for healthcare providers. However, the use of this information has been limited so far. An obstacle can be that the information is not perceived as relevant by(More)