Randhawa Simrath, Viqar Asim, Strother Julia, Prabhu Arpan V, Xia Fen, Heron Dwight, Beriwal Sushil
Radiation Oncology, University of Pittsburgh Cancer Institute, Pittsburgh, USA.
Medicine, Perelman School of Medicine, University of Pennsylvania, Pittsburgh, USA.
Cureus. 2018 Sep 17;10(9):e3312. doi: 10.7759/cureus.3312.
Introduction The popularity of online physician rating websites has risen substantially. These third-party sites have the potential to significantly influence patients' perception of their healthcare providers. The purpose of this study was to evaluate online ratings of U.S. radiation oncologists (ROs) on Vitals.com, one of the most popular physician rating websites, and the variables that most significantly affect patients' overall rating (OR) of their ROs. Methods The Centers for Medicare and Medicaid Physician Comparable Downloadable File was analyzed to obtain data on all self-identified ROs in the U.S. and Puerto Rico. Patient Review Satisfaction Scores (PRSS) that ranged from one (poor) to five (excellent) for the following variables were recorded: OR, accurate diagnosis, spending appropriate time with patients, ease of appointment, courteous staff, bedside manner, follow-up after visit, promptness, and wait time. Associations among these factors were assessed. Results Of 4,443 self-identifying Medicare-accepting ROs, 1,797 (40.4%) ROs who had at least one OR rating and at least one written comment were included in this study. The ROs' mean OR was 4.34 ± 0.2 (median 4; 30% received a score of 5; 78% received a score greater than 4). OR was found to have a strong correlation with accuracy of diagnosis ( = 0.69), bedside manner ( = 0.71), and spends appropriate time with patients ( = 0.69). With the exception of the number of ratings ( = 0.07), physicians with over 10 years of experience showed statistically significant differences in how much better they scored in each of the variables compared to those with less than 10 years of experience ( < 0.01 for each characteristic). Significant differences in OR were also observed between ROs whose wait times exceeded 20 minutes compared to those with wait times less than 10 minutes ( < 0.01) for all internal and external metrics except for the number of ratings ( = 0.42) and number of reviews ( = 0.88) Conclusion Patients are providing high ratings for their ROs on Vitals.com and are more frequently recommending them to friends and family. Given the rise in popularity of third-party physician rating sites, it is important for ROs to understand the various factors that may influence their online ratings.
引言 在线医生评级网站的受欢迎程度大幅上升。这些第三方网站有可能显著影响患者对其医疗服务提供者的看法。本研究的目的是评估美国放射肿瘤学家(ROs)在最受欢迎的医生评级网站之一Vitals.com上的在线评级,以及最显著影响患者对其ROs总体评级(OR)的变量。方法 分析医疗保险和医疗补助中心医生可比可下载文件,以获取美国和波多黎各所有自我认定的ROs的数据。记录以下变量的患者评价满意度得分(PRSS),范围从1(差)到5(优秀):OR、准确诊断、与患者相处适当时间、预约容易程度、礼貌的工作人员、床边态度、就诊后随访、及时性和等待时间。评估这些因素之间的关联。结果 在4443名自我认定接受医疗保险的ROs中,1797名(40.4%)至少有一个OR评级且至少有一条书面评论的ROs被纳入本研究。ROs的平均OR为4.34±0.2(中位数为4;30%获得5分;78%获得高于4分)。发现OR与诊断准确性(=0.69)、床边态度(=0.71)以及与患者相处适当时间(=0.69)有很强的相关性。除评级数量(=0.07)外,与经验少于10年的医生相比,经验超过10年的医生在每个变量上的得分高出多少在统计学上有显著差异(每个特征<0.01)。与等待时间少于10分钟的ROs相比,等待时间超过20分钟的ROs在OR方面也存在显著差异(<0.01),所有内部和外部指标中除评级数量(=0.42)和评论数量(=0.88)外。结论 患者在Vitals.com上对其ROs给予了高评级,并更频繁地向朋友和家人推荐他们。鉴于第三方医生评级网站的受欢迎程度上升,ROs了解可能影响其在线评级的各种因素很重要。