J. Med. Internet Res. - Social media and rating sites as tools to understanding quality of care: a scoping review.

Tópicos

{ health(1844) social(1437) communiti(874) }
{ health(3367) inform(1360) care(1135) }
{ assess(1506) score(1403) qualiti(1306) }
{ can(774) often(719) complex(702) }
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{ visual(1396) interact(850) tool(830) }
{ patient(2837) hospit(1953) medic(668) }
{ use(1733) differ(960) four(931) }
{ data(1737) use(1416) pattern(1282) }
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{ studi(1119) effect(1106) posit(819) }
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{ drug(1928) target(777) effect(648) }
{ implement(1333) system(1263) develop(1122) }
{ age(1611) year(1155) adult(843) }
{ group(2977) signific(1463) compar(1072) }
{ framework(1458) process(801) describ(734) }
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{ model(2341) predict(2261) use(1141) }
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{ use(976) code(926) identifi(902) }
{ method(2212) result(1239) propos(1039) }
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{ studi(1410) differ(1259) use(1210) }
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Resumo

CKGROUND: Insight into the quality of health care is important for any stakeholder including patients, professionals, and governments. In light of a patient-centered approach, it is essential to assess the quality of health care from a patient's perspective, which is commonly done with surveys or focus groups. Unfortunately, these "traditional" methods have significant limitations that include social desirability bias, a time lag between experience and measurement, and difficulty reaching large groups of people. Information on social media could be of value to overcoming these limitations, since these new media are easy to use and are used by the majority of the population. Furthermore, an increasing number of people share health care experiences online or rate the quality of their health care provider on physician rating sites. The question is whether this information is relevant to determining or predicting the quality of health care.OBJECTIVE: The goal of our research was to systematically analyze the relation between information shared on social media and quality of care.METHODS: We performed a scoping review with the following goals: (1) to map the literature on the association between social media and quality of care, (2) to identify different mechanisms of this relationship, and (3) to determine a more detailed agenda for this relatively new research area. A recognized scoping review methodology was used. We developed a search strategy based on four themes: social media, patient experience, quality, and health care. Four online scientific databases were searched, articles were screened, and data extracted. Results related to the research question were described and categorized according to type of social media. Furthermore, national and international stakeholders were consulted throughout the study, to discuss and interpret results.RESULTS: Twenty-nine articles were included, of which 21 were concerned with health care rating sites. Several studies indicate a relationship between information on social media and quality of health care. However, some drawbacks exist, especially regarding the use of rating sites. For example, since rating is anonymous, rating values are not risk adjusted and therefore vulnerable to fraud. Also, ratings are often based on only a few reviews and are predominantly positive. Furthermore, people providing feedback on health care via social media are presumably not always representative for the patient population.CONCLUSIONS: Social media and particularly rating sites are an interesting new source of information about quality of care from the patient's perspective. This new source should be used to complement traditional methods, since measuring quality of care via social media has other, but not less serious, limitations. Future research should explore whether social media are suitable in practice for patients, health insurers, and governments to help them judge the quality performance of professionals and organizations.

Resumo Limpo

ckground insight qualiti health care import stakehold includ patient profession govern light patientcent approach essenti assess qualiti health care patient perspect common done survey focus group unfortun tradit method signific limit includ social desir bias time lag experi measur difficulti reach larg group peopl inform social media valu overcom limit sinc new media easi use use major popul furthermor increas number peopl share health care experi onlin rate qualiti health care provid physician rate site question whether inform relev determin predict qualiti health careobject goal research systemat analyz relat inform share social media qualiti caremethod perform scope review follow goal map literatur associ social media qualiti care identifi differ mechan relationship determin detail agenda relat new research area recogn scope review methodolog use develop search strategi base four theme social media patient experi qualiti health care four onlin scientif databas search articl screen data extract result relat research question describ categor accord type social media furthermor nation intern stakehold consult throughout studi discuss interpret resultsresult twentynin articl includ concern health care rate site sever studi indic relationship inform social media qualiti health care howev drawback exist especi regard use rate site exampl sinc rate anonym rate valu risk adjust therefor vulner fraud also rate often base review predomin posit furthermor peopl provid feedback health care via social media presum alway repres patient populationconclus social media particular rate site interest new sourc inform qualiti care patient perspect new sourc use complement tradit method sinc measur qualiti care via social media less serious limit futur research explor whether social media suitabl practic patient health insur govern help judg qualiti perform profession organ

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