Division of General Pediatrics, Department of Pediatrics; Center for Computational Medicine and Bioinformatics; Comprehensive Cancer Center; Michigan Institute for Clinical and Health Research; School of Information; Institute for Healthcare Policy and Innovation;
Center for Computational Medicine and Bioinformatics; Michigan Institute for Clinical and Health Research; School of Information; Institute for Healthcare Policy and Innovation; School of Public Health, Department of Health Management and Policy;
Pediatrics. 2014 Oct;134(4):e966-75. doi: 10.1542/peds.2014-0681. Epub 2014 Sep 22.
The US public is increasingly using online rating sites to make decisions about a variety of consumer goods and services, including physicians. We sought to understand, within the context of other types of rating sites, parents' awareness, perceptions, and use of physician-rating sites for choosing primary care physicians for their children.
This cross-sectional, nationally representative survey of 3563 adults was conducted in September 2012. Participants were asked about rating Web sites in the context of finding a primary care physician for their children and about their previous experiences with such sites.
Overall, 2137 (60%) of participants completed the survey. Among these respondents, 1619 were parents who were included in the present analysis. About three-quarters (74%) of parents were aware of physician-rating sites, and about one-quarter (28%) had used them to select a primary care physician for their children. Based on 3 vignettes for which respondents were asked if they would follow a neighbor's recommendation about a primary care physician and using multivariate analyses, respondents exposed to a neighbor's recommendation and positive online physician ratings were significantly more likely to choose the recommended physician (adjusted odds ratio: 3.0 [95% confidence interval: 2.1-4.4]) than respondents exposed to the neighbor's recommendation alone. Conversely, respondents exposed to the neighbor's recommendation and negative online ratings were significantly less likely to choose the neighbor children's physician (adjusted odds ratio: 0.09 [95% confidence interval: 0.03-0.3]).
Parents are beginning to use online physician ratings, and these ratings have the potential to influence choices of their children's primary care physician.
美国公众越来越多地使用在线评级网站来做出各种消费品和服务的决策，包括医生。我们试图了解，在其他类型的评级网站的背景下，父母对儿科医生的评级网站的认识、看法和使用情况，以便为他们的孩子选择初级保健医生。
这是一项 2012 年 9 月在全国范围内进行的横断面调查，共调查了 3563 名成年人。参与者被要求在为孩子寻找初级保健医生的背景下，回答关于评级网站的问题，并说明他们之前是否使用过此类网站。
共有 2137 名（60%）参与者完成了调查。在这些回答者中，有 1619 名是父母，他们被纳入本分析。大约四分之三（74%）的父母知道医生评级网站，大约四分之一（28%）的父母曾使用这些网站为孩子选择初级保健医生。根据 3 个案例，受访者被问到他们是否会听从邻居关于初级保健医生的建议，并进行多变量分析，与只接触过邻居建议的受访者相比，接触过邻居建议和正面在线医生评级的受访者更有可能选择推荐的医生（调整后的优势比：3.0 [95%置信区间：2.1-4.4]）。相反，接触过邻居建议和负面在线评级的受访者更不可能选择邻居孩子的医生（调整后的优势比：0.09 [95%置信区间：0.03-0.3]）。
父母开始使用在线医生评级，这些评级有可能影响他们为孩子选择初级保健医生的决策。
