与地理位置、专业和年份相关的在线医生评分的范围、广度及差异：观察性回顾性研究
Scope, Breadth, and Differences in Online Physician Ratings Related to Geography, Specialty, and Year: Observational Retrospective Study.
作者信息
Liu Jessica Janine, Matelski John Justin, Bell Chaim M
机构信息
Department of Medicine, University of Toronto, University Health Network, Toronto, ON, Canada.
Biostatistics Research Unit, University Health Network, Toronto, ON, Canada.
出版信息
J Med Internet Res. 2018 Mar 7;20(3):e76. doi: 10.2196/jmir.7475.
BACKGROUND
Physician ratings websites have emerged as a novel forum for consumers to comment on their health care experiences. Little is known about such ratings in Canada.
OBJECTIVE
We investigated the scope and trends for specialty, geographic region, and time for online physician ratings in Canada using a national data source from the country's leading physician-rating website.
METHODS
This observational retrospective study used online ratings data from Canadian physicians (January 2005-September 2013; N=640,603). For specialty, province, and year of rating, we assessed whether physicians were likely to be rated favorably by using the proportion of ratings greater than the overall median rating.
RESULTS
In total, 57,412 unique physicians had 640,603 individual ratings. Overall, ratings were positive (mean 3.9, SD 1.3). On average, each physician had 11.2 (SD 10.1) ratings. By comparing specialties with Canadian Institute of Health Information physician population numbers over our study period, we inferred that certain specialties (obstetrics and gynecology, family practice, surgery, and dermatology) were more commonly rated, whereas others (pathology, radiology, genetics, and anesthesia) were less represented. Ratings varied by specialty; cardiac surgery, nephrology, genetics, and radiology were more likely to be rated in the top 50th percentile, whereas addiction medicine, dermatology, neurology, and psychiatry were more often rated in the lower 50th percentile of ratings. Regarding geographic practice location, ratings were more likely to be favorable for physicians practicing in eastern provinces compared with western and central Canada. Regarding year, the absolute number of ratings peaked in 2007 before stabilizing and decreasing by 2013. Moreover, ratings were most likely to be positive in 2007 and again in 2013.
CONCLUSIONS
Physician-rating websites are a relatively novel source of provider-level patient satisfaction and are a valuable source of the patient experience. It is important to understand the breadth and scope of such ratings, particularly regarding specialty, geographic practice location, and changes over time.
背景
医生评分网站已成为消费者评论其医疗保健经历的一个新平台。在加拿大，人们对这类评分了解甚少。
目的
我们使用加拿大领先医生评分网站的全国性数据源，调查了加拿大在线医生评分在专业、地理区域和时间方面的范围及趋势。
方法
这项观察性回顾性研究使用了加拿大医生的在线评分数据（2005年1月至2013年9月；N = 640,603）。对于评分的专业、省份和年份，我们通过高于总体中位数评分的比例来评估医生是否可能获得好评。
结果
共有57,412名不同的医生获得了640,603次个人评分。总体而言，评分是积极的（平均3.9，标准差1.3）。平均每位医生有11.2次（标准差10.1）评分。通过将我们研究期间的专业与加拿大卫生信息研究所的医生人数进行比较，我们推断某些专业（妇产科、家庭医学、外科和皮肤科）的评分更为常见，而其他专业（病理学、放射学、遗传学和麻醉学）的代表性较低。评分因专业而异；心脏外科、肾脏病学、遗传学和放射学更有可能在评分的前50%，而成瘾医学、皮肤科、神经病学和精神病学则更常在评分的后50%。关于地理执业地点，与加拿大西部和中部相比，在东部省份执业的医生获得好评的可能性更大。关于年份，评分的绝对数量在2007年达到峰值，然后稳定下来并在2013年下降。此外，评分在2007年和2013年最有可能是积极的。
结论
医生评分网站是提供者层面患者满意度的一个相对较新的来源，也是患者体验的一个有价值的来源。了解此类评分的广度和范围很重要，特别是在专业、地理执业地点和随时间的变化方面。
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