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Press Ganey调查与某主要学术性耳鼻喉科科室的在线健康评分相关吗?

Does the Press Ganey Survey Correlate to Online Health Grades for a Major Academic Otolaryngology Department?

作者信息

Ryan Timothy, Specht Jessica, Smith Sarah, DelGaudio John M

机构信息

Department of Otolaryngology-Head and Neck Surgery, Emory University School of Medicine, Atlanta, Georgia, USA.

Department of Otolaryngology-Head and Neck Surgery, Emory University School of Medicine, Atlanta, Georgia, USA

出版信息

Otolaryngol Head Neck Surg. 2016 Sep;155(3):411-5. doi: 10.1177/0194599816652386. Epub 2016 May 24.

Abstract

OBJECTIVES

Analyze the correlation between online-based review websites and the Press Ganey Patient Satisfaction Survey (PGPSS) in an academic otolaryngology department.

STUDY DESIGN

Retrospective cross sectional.

SETTING

Tertiary academic institution.

METHODS

All available data were collected for Vitals.com and Healthgrades.com, along with PGPSS data for 16 otolaryngology attending physicians from 2012 to 2014. A mean rating was calculated for each topic category for online websites and compared with 7 PGPSS content questions using zero-order correlations. A paired t test was used to analyze the difference between the PGPSS and online scores.

RESULTS

There were no statistically significant correlations between time spent with the patient (r = 0.391, P = .208) and overall provider scores (r = 0.193, P = .508) when compared between Vitals.com and the PGPSS. The correlations were not statistically significant when Healthgrades.com was compared with the PGPSS in the items "probability of recommending the provider" (r = -0.122, P = .666) and "trust in provider" (r = -0.025, P = .929). The most important factors in a patient recommending the provider were as follows, per resource: time spent with the patient for Vitals.com (r = 0.685, P = .014), listening for Healthgrades.com (r = 0.981, P ≤ .001), and trust in the provider for the PGPSS (r = 0.971, P ≤ .001).

CONCLUSION

This study suggests that online-based reviews do not have statistically significant correlations with the widely used PGPSS and may not be an accurate source of information for patients. Patients should have access to the most reliable and least biased surveys available to the public to allow for better-informed decisions regarding their health care.

摘要

目的

分析一家学术性耳鼻喉科中基于网络的评价网站与Press Ganey患者满意度调查(PGPSS)之间的相关性。

研究设计

回顾性横断面研究。

研究地点

三级学术机构。

方法

收集了Vitals.com和Healthgrades.com的所有可用数据,以及2012年至2014年16位耳鼻喉科主治医生的PGPSS数据。计算了在线网站每个主题类别的平均评分,并使用零阶相关性将其与7个PGPSS内容问题进行比较。采用配对t检验分析PGPSS与在线评分之间的差异。

结果

将Vitals.com与PGPSS进行比较时,患者就诊时间(r = 0.391,P = 0.208)与医生总体评分(r = 0.193,P = 0.508)之间无统计学显著相关性。在“推荐医生的可能性”(r = -0.122,P = 0.666)和“对医生的信任度”(r = -0.025,P = 0.929)项目中,将Healthgrades.com与PGPSS进行比较时,相关性无统计学显著性。根据不同资源,患者推荐医生的最重要因素如下:Vitals.com为患者就诊时间(r = 0.685,P = 0.014),Healthgrades.com为倾听(r = 0.981,P≤0.001),PGPSS为对医生的信任度(r = 0.971,P≤0.001)。

结论

本研究表明,基于网络的评价与广泛使用的PGPSS之间无统计学显著相关性,可能不是患者准确的信息来源。患者应能获取向公众提供的最可靠且偏差最小的调查,以便在医疗保健方面做出更明智的决策。

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