Emmert M, Sander U, Esslinger A S, Maryschok M, Schöffski O
Friedrich-Alexander-University Erlangen-Nuremberg, School of Business and Economics, Institute of Management (IFM), 90403 Nuremberg, Germany.
Methods Inf Med. 2012;51(2):112-20. doi: 10.3414/ME11-01-0045. Epub 2011 Nov 21.
Physician rating websites (PRWs) are gaining in popularity among patients seeking quality information about physicians. However, little knowledge is available about the quantity and type of information provided on the websites.
To determine and structure the quantity and type of information about physicians in the outpatient sector provided on German-language physician rating websites.
In a first step, we identified PRWs through a systematic internet search using German keywords from a patient´s perspective in the two search engines Google and Yahoo. Afterwards, information about physicians available on the websites was collected and categorised according to Donabedian´s structure/process/outcome model. Furthermore, we investigated whether the information was related to the physician himself/ herself or to the practice as a whole.
In total, eight PRWs were detected. Our analysis turned up 139 different information items on eight websites; 67 are related to the structural quality, 4 to process quality, 5 to outcomes, and 63 to patient satisfaction/experience. In total, 37% of all items focus specifically on the physician and 63% on the physician's practice. In terms of the total amount of information provided on the PRWs, results range from 61 down to 13.5 items.
A broad range of information is available on German PRWs. While structural information can give a detailed overview of the financial, technical and human resources of a practice, other outcome measures have to be interpreted with caution. Specifically, patient satisfaction results are not risk-adjusted, and thus, are not appropriate to represent a provider's quality of care. Consequently, neither patients nor physicians should yet use the information provided to make their final decision for or against an individual physician.
医生评级网站(PRW)在寻求医生质量信息的患者中越来越受欢迎。然而,关于这些网站提供的信息数量和类型,人们了解甚少。
确定并梳理德语医生评级网站上提供的门诊医生信息的数量和类型。
第一步,我们从患者角度,在谷歌和雅虎这两个搜索引擎中使用德语关键词,通过系统的网络搜索来识别医生评级网站。之后,收集网站上有关医生的信息,并根据唐纳贝迪安的结构/过程/结果模型进行分类。此外,我们调查了这些信息是与医生个人相关还是与整个诊所相关。
总共检测到八个医生评级网站。我们的分析在八个网站上发现了139个不同的信息项;67项与结构质量有关,4项与过程质量有关,5项与结果有关,63项与患者满意度/体验有关。所有项目中,总计37%专门针对医生,63%针对医生的诊所。就医生评级网站提供的信息总量而言,结果从61项到13.5项不等。
德语医生评级网站上有广泛的信息。虽然结构信息可以详细概述诊所的财务、技术和人力资源,但其他结果指标的解读必须谨慎。具体而言,患者满意度结果未进行风险调整,因此,不适合用来代表医疗服务提供者的医疗质量。因此,患者和医生都不应仅依据所提供的信息来最终决定是否选择某位医生。