RT Journal A1 Schneider E, Epstein A T1 PUblic performance reports for cardiac surgery—reply JF JAMA JO JAMA YR 1999 FD January 13 VO 281 IS 2 SP 135 OP 135 DO 10-1001/pubs.JAMA-ISSN-0098-7484-281-2-jac80019 UL http://dx.doi.org/10-1001/pubs.JAMA-ISSN-0098-7484-281-2-jac80019 AB Our study focused on patients' use of the Pennsylvania Consumer Guide to Coronary Artery Bypass Graft Surgery because it has been among the best of pioneering efforts that report outcomes in a consumer-friendly format. Federal and state policymakers have embraced the notion that "report cards" can drive individual patient decisions on the theory that improved decisions will drive improvements in health care quality. While this concept has intuitive appeal, our study found that individual patients were not yet prepared to play this role.