Velasco Brian T, Chien Bonnie, Kwon John Y, Miller Christopher P
The Department of Orthopaedic Surgery (BTV, BC, JYK).
Carl J. Shapiro Department of Orthopaedics (CPM), Beth Israel Deaconess Medical Center, Boston, Massachusetts.
Foot Ankle Spec. 2020 Feb;13(1):43-49. doi: 10.1177/1938640019832363. Epub 2019 Feb 22.
Utilization of physician rating websites continues to expand. There is limited information on how these websites function and influence patient perception and physicians' practices. No study to our knowledge has investigated online ratings and comments of orthopaedic foot and ankle surgeons. We identified factors impacting online ratings and comments for this subset of surgeons. 210 orthopaedic foot and ankle surgeons were selected from the American Orthopaedic Foot and Ankle Society (AOFAS) website. Demographic information, ratings, and comments were reviewed on the 3 most visited public domain physician ratings websites: HealthGrades.com , Vitals.com, and Ratemds.com. Content differences between positive and negative comments were evaluated. The mean review rating of 4.03 ± 0.57 out of 5 stars. 84% of the total number of ratings were either 1 star (17%) or 5 stars (67%). Most positive comments related to outcome, physician personality, and communication, whereas most negative comments related to outcome, bedside manner, and waiting time. χ Analyses revealed statistically significant proportions of positive comments pertaining to surgeon-dependent factors (eg, physician personality, knowledge, skills) and negative comments concerning surgeon-independent factors (eg, waiting time, logistics). This study examined online ratings and written comments of orthopaedic foot and ankle surgeons. Surgeons had a generally favorable rating and were likely to have positive comments. Patients were likely to write positive comments about surgeon personality and communication, and negative comments pertaining to bedside manner and waiting time. Knowledge and management of online content may allow surgeons to improve patient satisfaction and online ratings. Level IV.
医生评级网站的使用持续增加。关于这些网站如何运作以及如何影响患者认知和医生行为的信息有限。据我们所知,尚无研究调查过足踝外科医生的在线评级和评论。我们确定了影响该类外科医生在线评级和评论的因素。从美国足踝外科协会(AOFAS)网站中选取了210名足踝外科医生。在三个访问量最大的公共领域医生评级网站上查看了他们的人口统计学信息、评级和评论,这三个网站分别是HealthGrades.com、Vitals.com和Ratemds.com。评估了正面和负面评论之间的内容差异。平均评分为4.03±0.57星(满分5星)。总评级中84%为1星(17%)或5星(67%)。大多数正面评论与治疗结果、医生个性和沟通有关,而大多数负面评论与治疗结果、床边态度和等待时间有关。χ分析显示,与外科医生相关因素(如医生个性、知识、技能)有关的正面评论比例和与外科医生无关因素(如等待时间、后勤)有关的负面评论比例具有统计学意义。本研究调查了足踝外科医生的在线评级和书面评论。外科医生的总体评级较好,且可能有正面评论。患者可能会就医生个性和沟通给出正面评论,而就床边态度和等待时间给出负面评论。了解和管理在线内容可能会使外科医生提高患者满意度和在线评级。四级。