Kirkpatrick William, Abboudi Jack, Kim Nayoung, Medina Juana, Maltenfort Mitchell, Seigerman Daniel, Lutsky Kevin, Beredjiklian Pedro K
Rothman Institute of Orthopedics, Philadelphia, PA, USA.
Arch Bone Jt Surg. 2017 May;5(3):139-144.
The purpose of this study is to evaluate the number of reviews and scores for active members of the American Society for Surgery of the Hand (ASSH) in popular physician rating websites (Healthgrades.com and Vitals.com).
A total of 433 ASSH active members were searched in two popular rating websites for a total of 866 web searches. Demographic data, overall and subcategory scores, number of reviews, and wait times were scored from each member's webpage.
The average number of reviews per surgeon on Healthgrades.com and Vitals.com were 13.8 (range 1-108) and 9.4 (range 0-148), respectively. The average overall score for physicians was 8.1 out of 10 points. For both websites, the vast majority (80-90%) of active members of the ASSH had 20 or less reviews. Multivariate data analysis revealed no statistical differences in overall score by region (=0.24) or gender (=0.38). Increasing physician age negatively correlated with overall score (=0.01). Wait time was not associated with a negative score (=0.38).
Active members of the ASSH received generally positive reviews. The average number of reviews for active members of the ASSH was exceedingly small, bringing into question the legitimacy and validity of these scores. This is especially important when taking into consideration the increasing popularity of these websites, and the reliance of patients on them to obtain physician information. The clinical implication of this study is that physicians have a vested interest in the legitimacy of the data provided by these websites and other physician rating outlets.
本研究旨在评估美国手外科医师协会（ASSH）活跃会员在热门医生评分网站（Healthgrades.com和Vitals.com）上的评论数量和评分。
在两个热门评分网站上对总共433名ASSH活跃会员进行搜索，共进行866次网络搜索。从每个会员的网页上获取人口统计学数据、总体评分和子类别评分、评论数量以及等待时间。
在Healthgrades.com和Vitals.com上，每位外科医生的平均评论数量分别为13.8（范围为1 - 108）和9.4（范围为0 - 148）。医生的平均总体评分为8.1分（满分10分）。对于这两个网站，ASSH的绝大多数（80 - 90%）活跃会员的评论数量为20条或更少。多变量数据分析显示，按地区（P = 0.24）或性别（P = 0.38）划分的总体评分无统计学差异。医生年龄的增加与总体评分呈负相关（P = 0.01）。等待时间与负面评分无关（P = 0.38）。
ASSH活跃会员获得的评价总体上是积极的。ASSH活跃会员的平均评论数量极少，这让人质疑这些评分的合法性和有效性。考虑到这些网站日益普及以及患者对它们获取医生信息的依赖，这一点尤为重要。本研究的临床意义在于，医生对这些网站和其他医生评分渠道提供的数据的合法性有着既得利益。
