The relationship between commercial website ratings and traditional hospital performance measures in the USA.
The relationship between commercial website ratings and traditional hospital performance measures in the USA.
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DOI：
10.1136/bmjqs-2012-001360
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发表时间：
2013-03
影响因子：
5.4
通讯作者：
Dudley RA
中科院分区：
文献类型：
--
作者：
Bardach NS;Asteria-Peñaloza R;Boscardin WJ;Dudley RA
我们的目标是比较美国使用最广泛的商业网站的医院评分与更系统的患者体验和结果测量的医院评分，并评估商业网站评分变化的原因。对于美国医院的全国样本，我们比较了Yelp.com上的分数，该网站汇总了网站访问者的评分（1-5星），并与传统的医院质量指标进行了比较。我们计算了医院Yelp评分与以下内容之间的相关性：医院消费者对医疗保健提供者和系统的评估（HCAHPS）调查中“总体”项目的医院高评分百分比（9或10，量表0-10）;医院个体HCAHPS领域评分（例如，护士沟通，疼痛控制）;医院30天死亡率;和医院30天再入院率。在报告HCAHPS的医院（n=3796）中，962家（25%）在Yelp上有评分。在Yelp评分>5的医院中，Yelp和HCAHPS之间高评分百分比的相关性为0.49（p<0.001）。每个HCAHPS领域内的高评级百分比随着Yelp评分的增加而单调增加（所有领域的p≤0.001）。Yelp和HCAHPS的高评分百分比与心肌梗死（MI; Yelp为-0.19，HCAHPS为-0.13）和肺炎（-0.14和-0.18）的死亡率较低，以及MI（-0.17和-0.39），心力衰竭（-0.31和-0.39）和肺炎（-0.18和-0.27）的再入院率较低具有统计学显著相关性。这些数据表明，Yelp和HCAHPS的评分员体验可能是相似的，并且在Yelp上发布评分的消费者可能会观察到与重要患者结果相关的护理方面。
Our goal was to compare hospital scores from the most widely used commercial website in the USA to hospital scores from more systematic measures of patient experience and outcomes, and to assess what drives variation in the commercial website scores. For a national sample of US hospitals, we compared scores on Yelp.com, which aggregates website visitor ratings (1–5 stars), with traditional measures of hospital quality. We calculated correlations between hospital Yelp scores and the following: hospital percent high ratings (9 or 10, scale 0–10) on the ‘Overall’ item on the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey; hospital individual HCAHPS domain scores (eg, nurse communication, pain control); hospital 30-day mortality; and hospital 30-day readmission rates. Of hospitals reporting HCAHPS (n=3796), 962 (25%) had scores on Yelp. Among hospitals with >5 Yelp ratings, the correlation of percent high ratings between Yelp and HCAHPS was 0.49 (p<0.001). The percent high ratings within each HCAHPS domain increased monotonically with increasing Yelp scores (p≤0.001 for all domains). Percent high ratings in Yelp and HCAHPS were statistically significantly correlated with lower mortality for myocardial infarction (MI; −0.19 for Yelp and −0.13 for HCAHPS) and pneumonia (−0.14 and −0.18), and fewer readmissions for MI (−0.17 and −0.39), heart failure (−0.31 and −0.39), and pneumonia (−0.18 and −0.27). These data suggest that rater experiences for Yelp and HCAHPS may be similar, and that consumers posting ratings on Yelp may observe aspects of care related to important patient outcomes.
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影响因子：
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