Gusho Charles A, Patel Vishal, Lee Linus, Blank Alan T
Department of Orthopedic Surgery, Rush University Medical Center, Chicago, IL 60612, United States.
World J Orthop. 2022 May 18;13(5):472-480. doi: 10.5312/wjo.v13.i5.472.
Understanding how patients choose a provider may improve the overall experience by identifying ways to tailor a clinical practice.
To identify factors that patients consider important when choosing an orthopedic oncologist.
New patients presenting to an orthopedic oncology clinic within a tertiary academic medical center from January 2019 to August 2020 were invited to complete an anonymous survey. The questionnaire consisted of 27 items including a Likert-type assessment of the importance of selection factors.
A total of 101 new patients with a median age of 66 years (range, 14 years to 91 years) responded. Most were referred by another doctor ( = 63, 62.4%), and of the referring providers, the most frequent specialty was orthopedic surgery ( = 32, 51%). Using a Likert-type scale with 1 representing 'least important' and 5 representing 'most important', the most important factor was the hospital reputation (mean, 4.65; SD, 0.85). Additional factors of importance were the number of years in practice (3.87 ± 1.3) and a primary care provider referral (3.71 ± 1.6). Patients younger than 40 years old found social media ( = 0.016) and internet presence ( = 0.035) of their surgeon to be more important than older patients. In contrast, older patients considered care within an academic center to be of greater importance than younger patients ( = 0.014).
This investigation suggests a primary care referral, as well as hospital and physician reputation, are among the most important factors when selecting an orthopedic oncologist. Furthermore, social media utilization appears to be more important for younger patients.
了解患者如何选择医疗服务提供者，或许可以通过找到调整临床实践的方法来改善整体就医体验。
确定患者在选择骨肿瘤医生时认为重要的因素。
邀请2019年1月至2020年8月期间在一家三级学术医疗中心的骨肿瘤门诊就诊的新患者完成一项匿名调查。问卷包含27个项目，其中包括对选择因素重要性的李克特式评估。
共有101名新患者做出回应，中位年龄为66岁（范围为14岁至91岁）。大多数患者是由其他医生转诊而来（n = 63，62.4%），在转诊医生中，最常见的专业是骨科手术（n = 32，51%）。使用1代表“最不重要”、5代表“最重要”的李克特量表，最重要的因素是医院声誉（均值为4.65；标准差为0.85）。其他重要因素包括执业年限（3.87 ± 1.3）和初级保健提供者的转诊（3.71 ± 1.6）。40岁以下的患者认为其外科医生的社交媒体（P = 0.016）和网络形象（P = 0.035）比年长患者更重要。相比之下，年长患者认为在学术中心接受治疗比年轻患者更重要（P = 0.014）。
本调查表明，初级保健提供者的转诊以及医院和医生的声誉是选择骨肿瘤医生时最重要的因素。此外，社交媒体的使用对年轻患者似乎更为重要。
