Patients' ratings of family physician practices on the internet: usage and associations with conventional measures of quality in the English National Health Service.
Patients' ratings of family physician practices on the internet: usage and associations with conventional measures of quality in the English National Health Service.
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DOI：
10.2196/jmir.2280
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发表时间：
2012-10-17
影响因子：
7.4
通讯作者：
Millett C
中科院分区：
文献类型：
--
作者：
Greaves F;Pape UJ;Lee H;Smith DM;Darzi A;Majeed A;Millett C
病人越来越多地在互联网上给他们的家庭医生打分，就像他们在TripAdvisor上给酒店打分或在eBay上给卖家打分一样，尽管医生对这一过程感到担忧。本研究的目的是检查NHS的选择，政府网站，鼓励患者在英格兰的家庭实践的质量，并基于网络的患者评级和传统措施的患者经验和初级保健的临床质量之间的关联的使用。我们获得了2009年10月至2010年12月期间发布在NHS选择上的所有（16，952）家庭实践评级。我们研究了患者评级与家庭实践和人口特征之间的关联。研究了患者体验和临床结局的评级和调查指标之间的关联。在英格兰的8089家家庭诊所中，有61%被评为合格，69%的评级者会推荐他们的家庭诊所。服务于年轻、贫困程度较低和人口较稠密地区的做法更有可能被评级。与患者体验的调查指标有中度相关性（所有5个变量的斯皮尔曼ρ 0.37 - 0.48，P<0.001），但与临床过程和结局的指标只有弱相关性（7个变量中有6个变量的斯皮尔曼ρ小于±0.18，P<0.001）。在英国，患者在互联网上对家庭医生进行评级的频率是可变的，但评级通常是积极的，并且与患者体验的其他措施中度相关，与临床质量弱相关。虽然可能存在缺陷，但互联网上的患者评级可能为组织学习提供机会，并且随着它变得越来越普遍，可以提供另一个观察初级保健质量的透镜。
Patients are increasingly rating their family physicians on the Internet in the same way as they might rate a hotel on TripAdvisor or a seller on eBay, despite physicians’ concerns about this process. This study aims to examine the usage of NHS Choices, a government website that encourages patients to rate the quality of family practices in England, and associations between web-based patient ratings and conventional measures of patient experience and clinical quality in primary care. We obtained all (16,952) ratings of family practices posted on NHS Choices between October 2009 and December 2010. We examined associations between patient ratings and family practice and population characteristics. Associations between ratings and survey measures of patient experience and clinical outcomes were examined. 61% of the 8089 family practices in England were rated, and 69% of ratings would recommend their family practice. Practices serving younger, less deprived, and more densely populated areas were more likely to be rated. There were moderate associations with survey measures of patient experience (Spearman ρ 0.37−0.48, P<.001 for all 5 variables), but only weak associations with measures of clinical process and outcome (Spearman ρ less than ±0.18, P<.001 for 6 of 7 variables). The frequency of patients rating their family physicians on the Internet is variable in England, but the ratings are generally positive and are moderately associated with other measures of patient experience and weakly associated with clinical quality. Although potentially flawed, patient ratings on the Internet may provide an opportunity for organizational learning and, as it becomes more common, another lens to look at the quality of primary care.
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影响因子：
7.4
作者：
Kadry B;Chu LF;Kadry B;Gammas D;Macario A
通讯作者：
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影响因子：
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作者：
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影响因子：
7.4
作者：
Gao GG;McCullough JS;Agarwal R;Jha AK
通讯作者：
Jha AK