Loma Linda University, School of Medicine, Loma Linda, CA, USA.
Loma Linda University, Department of Dermatology, Loma Linda, CA, USA.
Int J Dermatol. 2024 Apr;63(4):512-516. doi: 10.1111/ijd.17066. Epub 2024 Feb 2.
Patient reviews (PRs) have emerged as a method to assess patient experiences with healthcare in order to improve the quality of care. Both institutional and third-party organizations collect quantitative data and comments from these patient surveys, usually accessible to the public for review. Our study examined dermatologists' perceptions of PRs and assessed their impact on dermatologists.
A survey was sent to the Association of Professors of Dermatology listserv (response rate 30%).
Most respondents disagreed with the statements that PRs are good for doctors (63%), good for patients (58%), helpful for doctors (58%), or that high PRs indicate being a good doctor (65%). The majority disagreed that PRs should be available publicly (60%). Respondents agreed that PRs contribute to depersonalization (60%), energy depletion or exhaustion (55%), added stress at work (70%), negativism/cynicism about work (60%), and diminished professional efficacy (29%). Self-identified female respondents were more likely to agree that PRs added stress to work compared to self-identified males (66% vs. 42%, P < 0.05).
Overall, these findings suggest that PRs may negatively impact dermatologists' well-being and perceived stress levels.
患者评价(PR)已成为评估患者医疗体验以改善医疗质量的一种方法。机构和第三方组织都从这些患者调查中收集定量数据和意见,通常向公众公开供审查。我们的研究调查了皮肤科医生对 PR 的看法,并评估了它们对皮肤科医生的影响。
向皮肤科教授协会的名录列表发送了一份调查(回应率为 30%)。
大多数受访者不同意以下说法:PR 对医生有好处(63%)、对患者有好处(58%)、对医生有帮助(58%)或高 PR 表示是一位好医生(65%)。大多数人不同意 PR 应公开提供(60%)。受访者同意 PR 导致去人性化(60%)、能量消耗或枯竭(55%)、工作压力增加(70%)、对工作的消极/愤世嫉俗(60%)和专业效能降低(29%)。自我认同为女性的受访者比自我认同为男性的受访者更有可能认为 PR 会增加工作压力(66%比 42%,P<0.05)。
总体而言,这些发现表明 PR 可能会对皮肤科医生的幸福感和感知压力水平产生负面影响。