Association Between Physician Online Rating and Quality of Care.
Association Between Physician Online Rating and Quality of Care.
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DOI：
10.2196/jmir.6612
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发表时间：
2016-12-13
影响因子：
7.4
通讯作者：
Okike ON
中科院分区：
文献类型：
--
作者：
Okike K;Peter-Bibb TK;Xie KC;Okike ON
患者越来越多地使用医生评论网站来寻找“好医生”。然而，据我们所知，之前没有研究检验过在线评级与公认的质量衡量标准之间的关系。本研究的目的是评估在线医生评级与公认的质量指标之间的关联：冠状动脉搭桥术 (CABG) 手术后 30 天风险调整死亡率。在美国加利福尼亚州、马萨诸塞州、新泽西州、纽约州和宾夕法尼亚州（这些州合计占美国人口的四分之一以上），公开报告了所有心脏外科医生的风险调整死亡率。根据这些报告，我们记录了在这 5 个州执业的每位外科医生在孤立 CABG 手术后 30 天的死亡率。对于州报告中列出的每位外科医生，我们随后进行了基于互联网的搜索以确定他或她的在线评级。然后我们评估了医生在线评分与风险调整死亡率之间的关系。在州报告中列出的 614 名外科医生中，我们发现 96.1% (590/614) 是在网上进行评级的。平均在线评分为 4.4 分（满分 5 分），78.7%（483/614）的在线评分为 4 分或更高。用于制定每个评级的评论中位数为 4 条（范围 1-89），32.70% (503/1538) 的评级基于 2 条或更少的评论。总体而言，外科医生在线评分与风险调整死亡率之间不存在相关性（P=.13）。不同平均在线评级类别的外科医生的风险调整死亡率相似（P>.05），不同外科医生风险调整死亡率四分位数的外科医生平均在线评级相似（P>.05）。在这项对美国 5 个州执业的心脏外科医生公开报告结果的研究中，我们发现在线评级与风险调整死亡率之间没有相关性。使用在线评级网站来指导他们选择医生的患者应该认识到，这些评级可能无法反映公认指标所定义的实际护理质量。
Patients are increasingly using physician review websites to find “a good doctor.” However, to our knowledge, no prior study has examined the relationship between online rating and an accepted measure of quality. The purpose of this study was to assess the association between online physician rating and an accepted measure of quality: 30-day risk-adjusted mortality rate following coronary artery bypass graft (CABG) surgery. In the US states of California, Massachusetts, New Jersey, New York, and Pennsylvania—which together account for over one-quarter of the US population—risk-adjusted mortality rates are publicly reported for all cardiac surgeons. From these reports, we recorded the 30-day mortality rate following isolated CABG surgery for each surgeon practicing in these 5 states. For each surgeon listed in the state reports, we then conducted Internet-based searches to determine his or her online rating(s). We then assessed the relationship between physician online rating and risk-adjusted mortality rate. Of the 614 surgeons listed in the state reports, we found 96.1% (590/614) to be rated online. The average online rating was 4.4 out of 5, and 78.7% (483/614) of the online ratings were 4 or higher. The median number of reviews used to formulate each rating was 4 (range 1-89), and 32.70% (503/1538) of the ratings were based on 2 or fewer reviews. Overall, there was no correlation between surgeon online rating and risk-adjusted mortality rate (P=.13). Risk-adjusted mortality rates were similar for surgeons across categories of average online rating (P>.05), and surgeon average online rating was similar across quartiles of surgeon risk-adjusted mortality rate (P>.05). In this study of cardiac surgeons practicing in the 5 US states that publicly report outcomes, we found no correlation between online rating and risk-adjusted mortality rates. Patients using online rating websites to guide their choice of physician should recognize that these ratings may not reflect actual quality of care as defined by accepted metrics.
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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：
Macario A
DOI：
10.1136/amiajnl-2014-002711
发表时间：
2014-11-01
影响因子：
6.4
作者：
Wallace, Byron C.;Paul, Michael J.;Dredze, Mark
通讯作者：
Dredze, Mark
影响因子：
6.6
作者：
Ellimoottil, Chandy;Hart, Alissa;Farooq, Ahmer
通讯作者：
Farooq, Ahmer
影响因子：
105.7
作者：
Rao, Mala;Clarke, Aileen;Hammersley, Richard
通讯作者：
Hammersley, Richard
影响因子：
39.2
作者：
Chang, JT;Hays, RD;Wenger, NS
通讯作者：
Wenger, NS