Patients' Evaluations of Health Care Providers in the Era of Social Networking: An Analysis of Physician-Rating Websites

Patients' Evaluations of Health Care Providers in the Era of Social Networking: An Analysis of Physician-Rating Websites
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DOI:
10.1007/s11606-010-1383-0
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发表时间:
2010-09-01
影响因子:
5.7
通讯作者:
Lindenauer, Peter K.
Lindenauer, Peter K.
中科院分区:
医学2区
文献类型:
--
作者:
Lagu, Tara;Hannon, Nicholas S.;Lindenauer, Peter K.

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基于互联网的社交网络工具允许用户分享内容,这使得一种新的医生绩效公开报告形式成为可能:医生评级网站。为了描述医生评级网站的结构和内容,并评估患者可能认为它们有价值的程度,我们在谷歌上搜索了允许患者评论美国医生的网站。我们纳入了符合预定标准的网站,确定了这些网站的共同元素,并记录了网站的特征。然后,我们在网站上搜索了随机抽取的300名波士顿医生的评论。最后,我们分别分析了定量和叙述性评论,我们确定了33个医生评级网站,其中包含81名医生的190条评论。大多数评论都是正面的(88%)。6%的人持否定态度,6%的人持中立态度。通才和专科医生在审查的数量或性质上没有显着差异。我们发现了几篇似乎是医生自己写的叙述性评论,医生评分网站为患者提供了一种提供反馈和获取医生表现信息的新方式。尽管围绕这些网站存在争议,但迄今为止,患者对它们的使用有限,大多数评论似乎是积极的。
Internet-based social networking tools that allow users to share content have enabled a new form of public reporting of physician performance: the physician-rating website.To describe the structure and content of physician-rating websites and to assess the extent to which a patient might find them valuable.We searched Google for websites that allowed patients to review physicians in the US. We included websites that met predetermined criteria, identified common elements of these websites, and recorded website characteristics. We then searched the websites for reviews of a random sample of 300 Boston physicians. Finally, we separately analyzed quantitative and narrative reviews.We identified 33 physician-rating websites, which contained 190 reviews for 81 physicians. Most reviews were positive (88%). Six percent were negative, and six percent were neutral. Generalists and subspecialists did not significantly differ in number or nature of reviews. We identified several narrative reviews that appeared to be written by the physicians themselves.Physician-rating websites offer patients a novel way to provide feedback and obtain information about physician performance. Despite controversy surrounding these sites, their use by patients has been limited to date, and a majority of reviews appear to be positive.