Obele Chika C, Duszak Richard, Hawkins C Matthew, Rosenkrantz Andrew B
Department of Radiology, NYU School of Medicine, NYU Langone Medical Center, New York, New York.
Department of Radiology and Imaging Sciences, Emory University School of Medicine, Atlanta, Georgia.
J Am Coll Radiol. 2017 May;14(5):609-614. doi: 10.1016/j.jacr.2016.10.013. Epub 2016 Dec 22.
The aim of this study was to evaluate patient satisfaction scores for interventional radiologists (IRs) across the United States using a leading physician ratings website.
The physician ratings website Healthgrades was manually queried for all 2,774 Medicare-participating self-designated IRs. All patient-reviewed IRs for whom the primary "likelihood of recommending to family and friends" field was scored were included, resulting in 781 included IRs. Physician characteristics were extracted from Medicare data sets. All available patient satisfaction scores (1 [poor] to 5 [excellent]: likelihood to recommend, ease of scheduling, office environment, staff friendliness, trust in physician's decisions, how well physician explains condition, how well physician listens and answers questions, whether physician spends appropriate time with patients) and wait times were extracted from Healthgrades. Associations among measures were explored.
IRs' mean likelihood-to-recommend score was 4.3 ± 1.2 (median, 5.0; 64.5% received a score of 5; 10.5% received scores < 3). Mean scores ranged from 4.4 to 4.5 for office-related factors and from 4.3 to 4.5 for physician-related factors. Likelihood-to-recommend scores showed substantial correlations with office-related factors (r = 0.738 to 0.780) and physician-related factors (r = 0.918 to 0.946). Likelihood to recommend was significantly higher for IRs with shorter wait times (P < .001) but was not associated with physician gender or geographic region (P = 0.370-0.791), nor was there any correlation with physician age, years since graduation, or group practice size (r = -0.089 to 0.096).
Satisfaction scores on a leading physician ratings website generally range from very good to excellent for US IRs. Most patients leaving reviews are likely to recommend their own IRs to friends or family members. The likelihood to recommend is strongly associated with differences in wait times.
本研究旨在使用一家领先的医生评分网站评估美国介入放射科医生（IR）的患者满意度得分。
在医生评分网站Healthgrades上手动查询了所有2774名参与医疗保险的自指定IR。纳入所有主要“向家人和朋友推荐的可能性”字段有评分的接受患者评价的IR，最终纳入781名IR。医生特征从医疗保险数据集中提取。从Healthgrades中提取所有可用的患者满意度得分（1[差]至5[优秀]：推荐可能性、预约便捷性、办公环境、工作人员友好度、对医生决策的信任度、医生对病情的解释程度、医生倾听和回答问题的情况、医生与患者相处的时间是否合适）以及等待时间。探讨了各项指标之间的关联。
IR的平均推荐可能性得分为4.3±1.2（中位数为5.0；64.5%的得分是5；10.5%的得分<3）。办公相关因素的平均得分在4.4至4.5之间，医生相关因素的平均得分在4.3至4.5之间。推荐可能性得分与办公相关因素（r = 0.738至0.780）和医生相关因素（r = 0.918至0.946）显示出显著相关性。等待时间较短的IR的推荐可能性显著更高（P <.001），但与医生性别或地理区域无关（P = 0.370 - 0.791），与医生年龄、毕业年限或团体执业规模也无相关性（r = -0.089至0.096）。
在一家领先的医生评分网站上，美国IR的满意度得分总体上从非常好到优秀不等。大多数留下评价的患者可能会向朋友或家人推荐自己的IR。推荐可能性与等待时间的差异密切相关。
