Arensberg Landon C, Kalender-Rich Jessica, Lee Jaehoon, Gibson Cheryl A
University of Kansas School of Medicine, Kansas City, KS.
Department of Internal Medicine, University of Kansas Medical Center, Kansas City, KS.
Kans J Med. 2022 Sep 21;15(3):347-351. doi: 10.17161/kjm.vol15.17125. eCollection 2022.
According to the 2020 U.S. Census, a Silver Tsunami is looming, with more than 75.4 million persons aged 57 to 75 expected to need more costly medical care. However, a larger wave of 83.1 million Millennials nearing adulthood is approaching rapidly. Therefore, it is important to understand how this population finds their physician and what may influence this decision.
Paper-based surveys were administered to adult patients at primary care and geriatric clinics located at the University of Kansas Medical Center in Kansas City, Kansas. Questions included demographic information, utilization and influence of online reviews, and the effects negative and positive reviews have on a patient's choice of physician. Descriptive statistics were calculated for respondent characteristics and survey responses. Chi-square and McNemar's tests were performed to evaluate differences between age and gender groups, and to determine how influential review ratings are in choosing a physician for medical care. Statistical significance was determined at the 0.05 level.
A sample of 284 patients completed the survey (44.35 ± 17.54 years old [range = 18-90], 60.6% female, 57.4% white). Of Millennials, 67.2% read online reviews before choosing a physician. Millennials were significantly more likely to read online reviews before choosing a physician (p = 0.004) and utilize online resources to search for a new physician (p < 0.001) than older patients.
Millennials were more likely to research online reviews before choosing a physician. Therefore, an online review presence will be beneficial to one's practice to acquire this new wave of patients.
根据2020年美国人口普查，一场“银色海啸”正在逼近，预计有超过7540万年龄在57岁至75岁之间的人将需要更昂贵的医疗护理。然而，更大规模的8310万接近成年的千禧一代正迅速到来。因此，了解这一人群如何找到他们的医生以及哪些因素可能影响这一决定非常重要。
对位于堪萨斯州堪萨斯城的堪萨斯大学医学中心的初级保健和老年诊所的成年患者进行纸质问卷调查。问题包括人口统计学信息、在线评论的使用和影响，以及正面和负面评论对患者选择医生的影响。计算了受访者特征和调查回复的描述性统计数据。进行卡方检验和麦克尼马尔检验以评估年龄和性别组之间的差异，并确定评论评分在选择医疗护理医生方面的影响力。在0.05水平确定统计学显著性。
284名患者完成了调查（年龄44.35±17.54岁[范围=18 - 90岁]，60.6%为女性，57.4%为白人）。在千禧一代中，67.2%在选择医生之前阅读在线评论。与老年患者相比，千禧一代在选择医生之前阅读在线评论的可能性显著更高（p = 0.004），并且利用在线资源寻找新医生的可能性也更高（p < 0.001）。
千禧一代在选择医生之前更有可能研究在线评论。因此，拥有在线评论将有利于个人的医疗业务吸引这新一波患者。
