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社交媒体时代患者对医疗服务提供者的评价:对医生评级网站的分析。

Patients' evaluations of health care providers in the era of social networking: an analysis of physician-rating websites.

机构信息

Center for Quality of Care Research, Baystate Medical Center, 280 Chestnut Street, 3rd Floor, Springfield, MA 01199, USA.

出版信息

J Gen Intern Med. 2010 Sep;25(9):942-6. doi: 10.1007/s11606-010-1383-0. Epub 2010 May 13.

Abstract

BACKGROUND

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.

OBJECTIVE

To describe the structure and content of physician-rating websites and to assess the extent to which a patient might find them valuable.

METHODS

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.

RESULTS

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.

CONCLUSION

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.

摘要

背景

基于互联网的社交网络工具允许用户共享内容,这催生了一种新的医生绩效公开报告形式:医生评级网站。

目的

描述医生评级网站的结构和内容,并评估患者可能从中获得的价值。

方法

我们在谷歌上搜索允许美国患者对医生进行评价的网站。我们收录了符合预定标准的网站,确定了这些网站的共同要素,并记录了网站特征。然后,我们在这些网站上随机抽取了 300 名波士顿医生的评价进行搜索。最后,我们分别对定量和叙事评价进行了分析。

结果

我们共识别出 33 个医生评级网站,其中包含 190 条对 81 名医生的评价。大多数评价是正面的(88%)。6%为负面评价,6%为中性评价。普通科医生和专科医生的评价数量和性质没有显著差异。我们发现了一些似乎是医生本人撰写的叙事性评价。

结论

医生评级网站为患者提供了一种新颖的反馈方式,也为他们获取医生绩效信息提供了新途径。尽管这些网站存在争议,但迄今为止患者的使用有限,而且大多数评价似乎是正面的。

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