Bovenzi Cory D, Manges Kirstin A, Krein Howard, Heffelfinger Ryan
Department of Otolaryngology-Head and Neck Surgery, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USA.
National Clinician Scholar-Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Facial Plast Surg Aesthet Med. 2021 Mar-Apr;23(2):78-89. doi: 10.1089/fpsam.2020.0049. Epub 2020 Jul 22.
Physician review websites are now commonly used by patients. However, in facial plastic surgery, the trends and content in these websites are not well studied. We examined online reviews for U.S. facial plastic surgeons, and compared comment content with the most commonly used patient experience survey, the Consumer Assessment of Healthcare Providers and Systems (CAHPS) administered by Press Ganey. A retrospective mixed method study was employed to quantitatively compare online ratings and comments of 100 randomly selected U.S. facial plastic surgeons on vitals.com, healthgrades.com, google.com and zocdoc.com. Qualitative content analysis was utilized to categorize themes present in 957 patient-generated (unverified) comments, and compare these with CAHPS survey questions and themes. The physician review websites had favorable ratings of facial plastic surgeons with 84.55% five-star reviews on Healthgrades and 78.40% on Vitals. These ratings were similar across surgeon age ( = 0.44), gender ( = 0.85), and geographic region ( = 0.29). Of sites examined, Healthgrades and Vitals were most frequently used. Analysis of patient comments identified themes aligning with CAHPS content (e.g., physician interactions, efficiency, and recommendation likelihood), as well as additional themes such as patient's outcome perception (55.28% of comments) and finances (86% of negatively rated reviews). These exploratory results suggest that facial plastic surgeons are generally rated positively online, and the comments left on these websites provide additional feedback that is not currently included in CAHPS surveys. In evaluating the patient experience with facial plastic surgery practices, these websites may prove to be useful.
患者现在经常使用医生评价网站。然而,在面部整形手术领域,这些网站的趋势和内容尚未得到充分研究。我们研究了美国面部整形医生的在线评价,并将评论内容与最常用的患者体验调查——由Press Ganey管理的医疗服务提供者和系统消费者评估(CAHPS)进行了比较。我们采用回顾性混合方法研究,对随机选择的100名美国面部整形医生在vitals.com、healthgrades.com、google.com和zocdoc.com上的在线评分和评论进行定量比较。利用定性内容分析对957条患者生成的(未经核实的)评论中出现的主题进行分类,并将这些主题与CAHPS调查问题和主题进行比较。医生评价网站对面部整形医生的评价较好,Healthgrades上84.55%的评论为五星级,Vitals上为78.40%。这些评分在医生年龄(=0.44)、性别(=0.85)和地理区域(=0.29)方面相似。在所研究的网站中,Healthgrades和Vitals使用最为频繁。对患者评论的分析确定了与CAHPS内容一致的主题(如医生互动、效率和推荐可能性),以及其他主题,如患者对手术结果的看法(55.28%的评论)和费用(86%的负面评价)。这些探索性结果表明,面部整形医生在网上的总体评价较好,这些网站上留下的评论提供了CAHPS调查目前未涵盖的额外反馈。在评估患者对面部整形手术的体验时,这些网站可能会被证明是有用的。