Manning Blaine T, Bohl Daniel D, Wang Kevin C, Hamid Kamran S, Holmes George B, Lee Simon
Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois.
Foot Ankle Spec. 2018 Aug;11(4):315-321. doi: 10.1177/1938640017729499. Epub 2017 Sep 5.
An increasingly consumer-centric health insurance market has empowered patients to select the providers of their choice. There is a lack of studies investigating the rationale by which patients select a foot and ankle surgeon. In the present study, 824 consecutive new patients seeking treatment from 3 foot-ankle surgeons were consecutively administered an anonymous questionnaire prior to their first appointment. It included rating the importance of 15 factors regarding specialist selection on a 1 to 10 scale, with 10 designated " Very important" and 1 designated " Not important at all." The remaining questions were multiple choice regarding patient perspectives on other surgeon aspects (appointment availability, waiting room times, clinic proximity, etc). Of 824 consecutive patients administered the survey, 305 (37%) responded. Patients rated board certification (9.24 ± 1.87) and on-site imaging availability (8.48 ± 2.37)-on a 1 to 10 scale, with 10 designated "Very important- as the 2 most important criteria in choosing a foot and ankle surgeon. Patients rated advertisements as least important. Among the patients, 91% responded that a maximum of 30 minutes should elapse between clinic check-in and seeing their physician; 61% responded that a maximum of 20 minutes should elapse between clinic check-in and seeing their physician. In the context of an increasingly consumer-driven paradigm of health care delivery and reimbursement, it is important to understand patients' preferences in specialist selection.
Level III: Prospective questionnaire.
以消费者为中心的医疗保险市场日益壮大，使患者能够选择自己心仪的医疗服务提供者。目前缺乏对患者选择足踝外科医生的理由进行调查的研究。在本研究中，连续824名首次就诊的新患者在预约前被连续发放一份匿名问卷，问卷由3位足踝外科医生提供。问卷包括让患者按照1至10分的评分标准对15个专科选择因素的重要性进行评分，其中10分代表“非常重要”，1分代表“完全不重要”。其余问题为多项选择题，涉及患者对其他外科医生方面（预约便利性、候诊时间、诊所距离等）的看法。在824名连续接受调查的患者中，305名（37%）进行了回复。患者将委员会认证（9.24±1.87）和现场影像检查可用性（8.48±2.37）——按1至10分的评分标准，10分代表“非常重要”——列为选择足踝外科医生时最重要的两项标准。患者认为广告是最不重要的因素。在患者中，91%的人表示诊所登记到见到医生的时间最长应不超过30分钟；61%的人表示最长应不超过20分钟。在医疗服务提供和报销日益由消费者驱动的模式背景下，了解患者在专科选择方面的偏好非常重要。
三级：前瞻性问卷调查。
