Creighton University School of Medicine-Phoenix Regional Campus.
Mayo Clinic Alix School of Medicine, Scottsdale, AZ.
J Pediatr Orthop. 2022;42(5):e533-e537. doi: 10.1097/BPO.0000000000002121.
The growing focus on subjective patient experiences has created an increase in popularity for physician rating websites. The purpose of this study was to characterize extremely negative reviews of pediatric orthopaedic surgeons.
Pediatric orthopaedic surgeons were randomly selected using the Pediatric Orthopaedic Society of North America comprehensive list of surgeons. A search was then performed on Healthgrades.com, Vitals.com, and Yelp.com for 1-star reviews. Reviews were classified into clinical and nonclinical categories. Statistical analyses were performed regarding the frequency of reviews and complaints for each respective category.
Of the 279 one-star reviews categorized, 248 reviews (88.9% of reviews) included nonclinical complaints, and 182 reviews (65.2% of reviews) included clinical complaints. Nonsurgical patients were associated with 255 reviews, and the remaining 24 were related to surgical patients. Of the 430 comments within reviews, 248 referenced nonclinical aspects of care, and 182 referenced clinical care. Clinical factors most frequently noted included clinical disagreement (37%), unclear treatment plan (25%), complication (17%), misdiagnosis (15%), uncontrolled pain (13%), and delay in care (8%). The most addressed nonclinical factors included physician bedside manner (68%), time spent with provider (21%), wait time (18%), unprofessional staff (17%), scheduling issues (9%), cost (8%), and billing (8%). Compared with surgical reviews, nonsurgical reviews were more likely to contain nonclinical complaints (rate ratio: 1.5; P<0.05) and less likely to contain clinical complaints (rate ratio: 0.7; P<0.05). The most common complaint by surgical patients was complications (91.7%).
To our knowledge, this is the first study to examine the factors associated with negative reviews of pediatric orthopaedic surgeons. The majority of reviews of pediatric orthopaedic surgeons were left by nonsurgical patients and were related to nonclinical aspects of care. We also found surgeon-dependent factors such as poor physician bedside manner, unclear treatment plan, or parents' disagreement with treatment plan were the most common reasons for negative reviews.
Level IV.
越来越关注患者的主观体验，使得医生评级网站的人气大增。本研究的目的是描述对儿童骨科医生的极端负面评价。
使用北美小儿骨科协会的综合外科医生名单随机选择小儿骨科医生。然后在 Healthgrades.com、Vitals.com 和 Yelp.com 上搜索 1 星评价。将评价分为临床和非临床两类。对每个类别的评价频率和投诉进行了统计学分析。
在归类的 279 条 1 星评价中，248 条（88.9%的评价）包含非临床投诉，182 条（65.2%的评价）包含临床投诉。非手术患者有 255 条评价，其余 24 条与手术患者有关。在 430 条评价意见中，248 条涉及医疗护理的非临床方面，182 条涉及临床护理。最常提到的临床因素包括临床意见不合（37%）、治疗方案不明确（25%）、并发症（17%）、误诊（15%）、疼痛无法控制（13%）和治疗延误（8%）。最受关注的非临床因素包括医生的态度（68%）、与医生的相处时间（21%）、等待时间（18%）、非专业人员（17%）、预约问题（9%）、费用（8%）和计费（8%）。与手术评价相比，非手术评价更有可能包含非临床投诉（发生率比：1.5；P<0.05），而不太可能包含临床投诉（发生率比：0.7；P<0.05）。手术患者最常见的投诉是并发症（91.7%）。
据我们所知，这是第一项研究调查与儿童骨科医生负面评价相关的因素。大多数对儿童骨科医生的评价都是由非手术患者做出的，与医疗护理的非临床方面有关。我们还发现，医生相关的因素，如不良的医生态度、不明确的治疗计划或父母不同意治疗计划，是负面评价的最常见原因。
IV 级。
