Damodar Dhanur, Donnally Chester J, McCormick Johnathon R, Li Deborah J, Ingrasci Giuseppe V, Roche Martin W, Vakharia Rushabh M, Law Tsun Y, Hernandez Victor H
University of Miami Hospital, Department of Orthopaedic Surgery, 1400 N.W. 12th Ave, Miami, FL, 33136, USA.
The University of Miami Leonard M. Miller School of Medicine, Department of Education, 1600 NW 10th Ave #1140, Miami, FL, 33136, USA.
J Clin Orthop Trauma. 2019 Jul-Aug;10(4):761-767. doi: 10.1016/j.jcot.2019.01.021. Epub 2019 Jan 25.
With the growth and popularity of the internet, physician review websites are being utilized more frequently by patients to learn about and ultimately select their provider. These sites allow patients to comment on the care they received in a public forum for others to see. With outcome and "quality" measures being used to dictate reimbursement formulas; online patient reviews may affect a physician's compensation in the near future. Therefore, it is of paramount importance for physicians to understand how best to portray themselves on social media and other internet sites.
In this retrospective study, we identified 145 arthroplasty surgeons via the AAHKS database. Then, surgeon data was collected from Healthgrades (HG) and Vitals (V). We identified if the surgeon had social media (SM) accounts by using google search. The number of ratings and comments, overall rating, reported wait-times and physician SM presence were analyzed with univariate, bivariate and multivariate analyses.
64% of surgeons had a SM presence, and younger surgeons with SM had lower distribution of wait-times. A SM presence correlated with significantly higher frequency of total ratings and comments. Both review sites showed that younger physicians with a SM presence had increased frequency of ratings and comments and a quicker office wait-times. SM presence did not impact the overall scores on either website.
Having SM presence is correlated with increased number of ratings and comments on physician review sites, possibly revealing an increased likelihood of these physicians encouraging their patients to engage with them via the internet. SM presence did not correlate with higher review scores, displaying that there are many complex factors that go into a physician score outside of SM and internet appearance. Future studies should explore patient comments on these sites to understand additional factors that may optimize a patient's experience.
随着互联网的发展和普及，患者越来越频繁地利用医生评价网站来了解并最终选择他们的医疗服务提供者。这些网站允许患者在公共论坛上评论他们接受的治疗，供其他人查看。随着结果和“质量”指标被用于确定报销公式，在线患者评价可能在不久的将来影响医生的薪酬。因此，医生了解如何在社交媒体和其他互联网网站上最好地展示自己至关重要。
在这项回顾性研究中，我们通过美国髋关节与膝关节外科医师协会（AAHKS）数据库确定了145名关节置换外科医生。然后，从健康评分网（HG）和维塔尔斯网（V）收集外科医生的数据。我们通过谷歌搜索确定外科医生是否有社交媒体（SM）账户。对评分和评论的数量、总体评分、报告的等待时间和医生的SM账户情况进行单变量、双变量和多变量分析。
64%的外科医生有SM账户，有SM账户的年轻外科医生等待时间分布较低。有SM账户与总评分和评论的频率显著较高相关。两个评价网站都显示，有SM账户的年轻医生评分和评论的频率增加，办公室等待时间更短。SM账户情况对两个网站的总体评分均无影响。
拥有SM账户与医生评价网站上评分和评论数量的增加相关，这可能表明这些医生更有可能鼓励患者通过互联网与他们互动。SM账户情况与更高的评价分数无关，这表明除了SM和网络形象之外，还有许多复杂因素会影响医生的评分。未来的研究应该探索患者在这些网站上的评论，以了解可能优化患者体验的其他因素。
