Department of Orthopedic Surgery, NYU Langone Health, 301 East 17 Street, New York, NY, 10003, USA.
Arch Orthop Trauma Surg. 2024 May;144(5):2057-2066. doi: 10.1007/s00402-024-05314-5. Epub 2024 Apr 19.
The importance of identifying how patients choose their healthcare providers has grown with the prevalence of consumer-centric health insurance plans. There is currently a lack of studies exploring the factors associated with how patients select their hip and knee joint arthroplasty surgeons. The purpose of this study was to determine how patients find their arthroplasty providers and the relative importance of various arthroplasty surgeon characteristics.
An electronic mail survey was sent to 3522 patients who had visited our institution for an arthroplasty surgeon office visit between August 2022 and January 2023. The survey consisted of multiple-choice questions, which aimed to inquire about the patients' referral sources for their current arthroplasty surgeon. In addition, patients were requested to rate the significance of 22 surgeon-related factors, on a scale of 1 (Not Important At All) to 5 (Very Important), in choosing their arthroplasty surgeon.
Of the 3522 patients that received the survey, 538 patients responded (15.3%). The most common referral sources were physician referral (50.2%), family/friend referral (27.7%), and self-guided research (24.5%). Of those that were referred by a physician, 54.4% of respondents were referred by another orthopaedic provider. Patients rated board certification (4.72 ± 0.65), in-network insurance status (4.66 ± 0.71), fellowship training (4.50 ± 0.81), bedside manner/personality (4.32 ± 0.86), and facility appearance (4.26 ± 0.81) as the five most important factors in picking an arthroplasty surgeon. Television (1.42 ± 0.83), print (1.50 ± 0.88), and online (1.58 ± 0.93) advertisements, along with social media presence (1.83 ± 1.08), and practice group size (2.97 ± 1.13) were rated as the five least important factors.
Patients are most likely to select an arthroplasty surgeon based on referral from other physicians, namely orthopedic surgeons, in addition to board certification status, in-network insurance, and fellowship training. Overall, these findings highlight the importance of physician credentials and reputation within the orthopaedic community in order to attract and retain patients.
随着以患者为中心的健康保险计划的普及，确定患者选择医疗服务提供者的方式的重要性日益增加。目前，缺乏研究探讨与患者选择髋关节和膝关节关节置换术外科医生相关的因素。本研究的目的是确定患者如何找到他们的关节置换术提供者，以及各种关节置换术外科医生特征的相对重要性。
我们向 2022 年 8 月至 2023 年 1 月期间在我院就诊的 3522 名接受过关节置换术外科医生就诊的患者发送了一封电子邮件调查。该调查包括多项选择题，旨在询问患者当前关节置换术外科医生的转诊来源。此外，患者被要求在 1（完全不重要）到 5（非常重要）的范围内对 22 个与外科医生相关的因素的重要性进行评分，以选择他们的关节置换术外科医生。
在收到调查的 3522 名患者中，有 538 名患者做出了回应（15.3%）。最常见的转诊来源是医生转诊（50.2%）、家人/朋友转诊（27.7%）和自我引导研究（24.5%）。在那些由医生转诊的患者中，54.4%的受访者是由另一位骨科医生转诊的。患者将委员会认证（4.72±0.65）、保险网络内状态（4.66±0.71）、奖学金培训（4.50±0.81）、态度/个性（4.32±0.86）和设施外观（4.26±0.81）评为选择关节置换术外科医生的五个最重要因素。电视（1.42±0.83）、印刷（1.50±0.88）和在线（1.58±0.93）广告以及社交媒体存在（1.83±1.08）和实践小组规模（2.97±1.13）被评为五个最不重要因素。
患者选择关节置换术外科医生的最常见原因是来自其他医生的转介，除了委员会认证状态、保险网络内状态和奖学金培训外，还包括骨科医生。总体而言，这些发现强调了医生的资质和在骨科领域的声誉在吸引和留住患者方面的重要性。
