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在线脊柱外科医生评级:208 位外科医生分析。

Online Ratings of Spine Surgeons: Analysis of 208 Surgeons.

机构信息

Department of Orthopedic Surgery, University of Rochester School of Medicine Dentistry, Rochester, NY.

Department of Orthopaedic Surgery, Zhejiang Provincial People's Hospital, Hangzhou, Zhejiang Province, China.

出版信息

Spine (Phila Pa 1976). 2018 Jun 15;43(12):E722-E726. doi: 10.1097/BRS.0000000000002488.

DOI:10.1097/BRS.0000000000002488
PMID:29846366
Abstract

STUDY DESIGN

Observational study.

OBJECTIVE

To evaluate the online ratings of spine surgeons and variables that may affect online ratings.

SUMMARY OF BACKGROUND DATA

Physician review Web sites (PRW) are rapidly growing for-profit businesses. Most orthopedic surgeons are rated on at least one PRW as are other surgical specialists. To date the online ratings of spine surgeons have not been evaluated.

METHODS

Cervical Spine Research Society surgeon ratings on five physician rating Web sites were performed in April 2016: "healthgrade.com," "vitals.com," "ratemd.com," "webmd.com," and "yelp.com." Numeric ratings from the PRWs were standardized on a scale of 0 to 100 with a higher score indicating positive ratings. Sex, practice sector (academic or private), specialty (orthopedics or neurosurgery), geographic location, and years of practice were also collected.

RESULTS

A total of 209 spine surgeons were included in our study. Of the 209 spine surgeons, 208 (99.52%) were rated at least once in one of the five PRWs. Average number of ratings per surgeon was 2.96. Average rating was 80 (40-100). There were four female (1.92%) and 204 male surgeons (98.1%). There were 121 (58.2%) in academic practice and 87 (41.8%) in private practice. There were 175 (84.1%) orthopedic surgeons and 33 (15.9%) neurosurgeons. Most of the surgeons were Caucasian 163 (78.4%) and worked in the South and Northeast 135 (64.9%). Those in academic practice had significantly higher ratings (81.6 vs. 77.65; P = 0.026). Number of years in practice was significantly associated with ratings (P = 0.0003) with those in practice for 21 or more years having significantly lower ratings.

CONCLUSION

In this first study evaluating the online ratings of spine surgeons, we found that 99.5% of spine surgeon had at least one rating on a PRW. The average score, 80, indicated mostly positive ratings. Being in practice for 20 years or less and being in academic practice significantly associated with higher ratings.

LEVEL OF EVIDENCE

摘要

研究设计

观察性研究。

目的

评估脊柱外科医生的在线评分以及可能影响在线评分的变量。

背景资料概要

医师评论网站(PRW)是快速发展的营利性企业。大多数骨科医生至少在一个 PRW 上被评分,其他外科专家也是如此。迄今为止,尚未对脊柱外科医生的在线评分进行评估。

方法

2016 年 4 月对颈椎研究学会的外科医生在五个医师评分网站上的评分进行了评估:“healthgrade.com”、“vitals.com”、“ratemd.com”、“webmd.com”和“yelp.com”。将 PRW 的数字评分标准化为 0 到 100 的量表,得分越高表示评分越高。还收集了性别、执业领域(学术或私人)、专业(骨科或神经外科)、地理位置和执业年限等信息。

结果

共有 209 名脊柱外科医生纳入本研究。在 209 名脊柱外科医生中,有 208 名(99.52%)在五个 PRW 中的至少一个网站上至少被评分一次。每位外科医生的平均评分次数为 2.96 次。平均评分为 80(40-100)。有 4 名女性(1.92%)和 204 名男性外科医生(98.1%)。有 121 名(58.2%)在学术实践中,87 名(41.8%)在私人实践中。有 175 名(84.1%)为骨科医生,33 名(15.9%)为神经外科医生。大多数外科医生为白种人 163 名(78.4%),工作在南部和东北部 135 名(64.9%)。在学术实践中的外科医生的评分明显更高(81.6 与 77.65;P=0.026)。执业年限与评分显著相关(P=0.0003),执业 21 年或以上的评分明显较低。

结论

在这项评估脊柱外科医生在线评分的首次研究中,我们发现 99.5%的脊柱外科医生在 PRW 上至少有一个评分。平均得分为 80 分,表明大多数评分是正面的。执业年限 20 年或更短,以及在学术实践中执业,与更高的评分显著相关。

证据水平

4 级。

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