付费会员制对医生评级网站的影响——以德国 Jameda 门户为例：描述性横断面研究。

The Influence of Paid Memberships on Physician Rating Websites With the Example of the German Portal Jameda: Descriptive Cross-sectional Study.

机构信息

Institute of Occupational, Social and Environmental Medicine, Goethe University, Frankfurt, Germany.

出版信息

J Med Internet Res. 2023 Apr 4;25:e39259. doi: 10.2196/39259.

DOI:10.2196/39259

PMID:37014690

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10131693/

Abstract

BACKGROUND

The majority of Germans see a deficit in information availability for choosing a physician. An increasing number of people use physician rating websites and decide upon the information provided. In Germany, the most popular physician rating website is Jameda.de, which offers monthly paid membership plans. The platform operator states that paid memberships have no influence on the rating indicators or list placement.

OBJECTIVE

The goal of this study was to investigate whether a physician's membership status might be related to his or her quantitative evaluation factors and to possibly quantify these effects.

METHODS

Physician profiles were retrieved through the search mask on Jameda.de website. Physicians from 8 disciplines in Germany's 12 most populous cities were specified as search criteria. Data Analysis and visualization were done with Matlab. Significance testing was conducted using a single factor ANOVA test followed by a multiple comparison test (Tukey Test). For analysis, the profiles were grouped according to member status (nonpaying, Gold, and Platinum) and analyzed according to the target variables-physician rating score, individual patient's ratings, number of evaluations, recommendation quota, number of colleague recommendations, and profile views.

RESULTS

A total of 21,837 nonpaying profiles, 2904 Gold, and 808 Platinum member profiles were acquired. Statistically significant differences were found between paying (Gold and Platinum) and nonpaying profiles in all parameters we examined. The distribution of patient reviews differed also by membership status. Paying profiles had more ratings, a better overall physician rating, a higher recommendation quota, and more colleague recommendations, and they were visited more frequently than nonpaying physicians' profiles. Statistically significant differences were found in most evaluation parameters within the paid membership packages in the sample analyzed.

CONCLUSIONS

Paid physician profiles could be interpreted to be optimized for decision-making criteria of potential patients. With our data, it is not possible to draw any conclusions of mechanisms that alter physicians' ratings. Further research is needed to investigate the causes for the observed effects.

摘要

背景

大多数德国人认为选择医生的信息可用性不足。越来越多的人使用医生评级网站并根据提供的信息做出决定。在德国，最受欢迎的医生评级网站是 Jameda.de，它提供按月付费的会员计划。该平台运营商表示，付费会员对评级指标或列表排名没有影响。

目的

本研究的目的是调查医生的会员身份是否与他或她的定量评估因素有关，并可能量化这些影响。

方法

通过 Jameda.de 网站的搜索掩码检索医生资料。指定德国 12 个人口最多的城市的 8 个专业的医生作为搜索标准。使用 Matlab 进行数据分析和可视化。使用单因素方差分析检验 followed by 多重比较检验（Tukey 检验）进行显著性检验。为了分析，根据会员身份将资料分组（非付费、金牌和白金），并根据目标变量（医生评分、每位患者的评分、评估次数、推荐配额、同事推荐次数和资料查看次数）进行分析。

结果

共获取 21837 个非付费资料、2904 个金牌和 808 个白金会员资料。在我们检查的所有参数中，付费（金牌和白金）和非付费资料之间存在统计学上的显著差异。患者评价的分布也因会员身份而异。付费资料的评分更多、整体医生评分更高、推荐配额更高、同事推荐更多，并且比非付费医生的资料更频繁地被访问。在分析的样本中，付费会员套餐内的大多数评估参数都存在统计学上的显著差异。