J. Med. Internet Res. - An analysis of online evaluations on a physician rating website: evidence from a German public reporting instrument.

Tópicos

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Resumo

CKGROUND: Physician rating websites (PRW) have been gaining in popularity among patients who are seeking a physician. However, little evidence is available on the number, distribution, or trend of evaluations on PRWs. Furthermore, there is no published evidence available that analyzes the characteristics of the patients who provide ratings on PRWs.OBJECTIVE: The objective of the study was to analyze all physician evaluations that were posted on the German PRW, jameda, in 2012.METHODS: Data from the German PRW, jameda, from 2012 were analyzed and contained 127,192 ratings of 53,585 physicians from 107,148 patients. Information included medical specialty and gender of the physician, age, gender, and health insurance status of the patient, as well as the results of the physician ratings. Statistical analysis was carried out using the median test and Kendall Tau-b test.RESULTS: Thirty-seven percent of all German physicians were rated on jameda in 2012. Nearly half of those physicians were rated once, and less than 2% were rated more than ten times (mean number of ratings 2.37, SD 3.17). About one third of all rated physicians were female. Rating patients were mostly female (60%), between 30-50 years (51%) and covered by Statutory Health Insurance (83%). A mean of 1.19 evaluations per patient could be calculated (SD 0.778). Most of the rated medical specialties were orthopedists, dermatologists, and gynecologists. Two thirds of all ratings could be assigned to the best category, "very good". Female physicians had significantly better ratings than did their male colleagues (P<.001). Additionally, significant rating differences existed between medical specialties (P<.001). It could further be shown that older patients gave better ratings than did their younger counterparts (P<.001). The same was true for patients covered by private health insurance; they gave more favorable evaluations than did patients covered by statutory health insurance (P<.001). No significant rating differences could be detected between female and male patients (P=.505). The likelihood of a good rating was shown to increase with a rising number of both physician and patient ratings.CONCLUSIONS: Our findings are mostly in line with those published for PRWs from the United States. It could be shown that most of the ratings were positive, and differences existed regarding sociodemographic characteristics of both physicians and patients. An increase in the usage of PRWs might contribute to reducing the lack of publicly available information on physician quality. However, it remains unclear whether PRWs have the potential to reflect the quality of care offered by individual health care providers. Further research should assess in more detail the motivation of patients who rate their physicians online.

Resumo Limpo

ckground physician rate websit prw gain popular among patient seek physician howev littl evid avail number distribut trend evalu prws furthermor publish evid avail analyz characterist patient provid rate prwsobject object studi analyz physician evalu post german prw jameda method data german prw jameda analyz contain rate physician patient inform includ medic specialti gender physician age gender health insur status patient well result physician rate statist analysi carri use median test kendal taub testresult thirtyseven percent german physician rate jameda near half physician rate less rate ten time mean number rate sd one third rate physician femal rate patient most femal year cover statutori health insur mean evalu per patient calcul sd rate medic specialti orthopedist dermatologist gynecologist two third rate assign best categori good femal physician signific better rate male colleagu p addit signific rate differ exist medic specialti p shown older patient gave better rate younger counterpart p true patient cover privat health insur gave favor evalu patient cover statutori health insur p signific rate differ detect femal male patient p likelihood good rate shown increas rise number physician patient ratingsconclus find most line publish prws unit state shown rate posit differ exist regard sociodemograph characterist physician patient increas usag prws might contribut reduc lack public avail inform physician qualiti howev remain unclear whether prws potenti reflect qualiti care offer individu health care provid research assess detail motiv patient rate physician onlin

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