Mandatory measurement and disclosure of outcome measures are commonly used policy tools in healthcare. The effectiveness of such disclosures relies on the extent to which the new information produced by the mandatory system is internalized by the healthcare organization and influences its operations and decision-making processes. We use panel data from the Japanese National Hospital Organization to analyze performance improvements following regulation mandating standardized measurement and peer disclosure of patient satisfaction performance. Drawing on value of information theory, we document the absolute value and the benchmarking value of new information for future performance. Controlling for ceiling effects in the opportunities for improvement, we find that the new patient satisfaction measurement system introduced positive, significant, and persistent mean shifts in performance (absolute value of information) with larger improvements for poorly performing hospitals (benchmarking value of information). Our setting allows us to explore these effects in the absence of confounding factors such as incentive compensation or demand pressures. The largest positive effects occur in the initial period, and improvements diminish over time, especially for hospitals with poorer baseline performance. Our study provides empirical evidence that disclosure of patient satisfaction performance information has value to hospital decision makers.

中文翻译：

---

医疗保健中新绩效信息的价值：来自日本的证据。

强制性测量和结果测量的披露是医疗保健中常用的政策工具。此类披露的有效性取决于强制性系统产生的新信息被医疗机构内化并影响其运营和决策过程的程度。我们使用来自日本国立医院组织的面板数据来分析在规范要求标准化测量和患者满意度绩效同行披露后的绩效改进。借鉴信息论的价值，我们记录了绝对值和基准值未来表现的新信息。控制改进机会的上限效应，我们发现新的患者满意度测量系统引入了积极的、显着的和持续的绩效平均变化（信息的绝对值），对绩效不佳的医院（基准值）有更大的改进信息）。我们的设置使我们能够在没有诸如激励补偿或需求压力等混杂因素的情况下探索这些影响。最大的积极影响发生在初始阶段，随着时间的推移，改进会逐渐减弱，尤其是对于基线绩效较差的医院。我们的研究提供了经验证据，证明披露患者满意度绩效信息对医院决策者具有价值。