How do patients choose their surgeon? Example of anterior cruciate ligament reconstruction

Chapon, Marie Pauline; Ghabi, Ammar; Choufani, Camille; Caubère, Alexandre; Moynot, Jean Clair; Versier, G.; Wein, Frank; Barbier, Olivier

doi:10.1016/j.otsr.2021.103037

Cited by 11 publications

(13 citation statements)

References 11 publications

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“…Chapon et al reported clarity of information and a surgeon's reputation are the most important factors influencing patients' surgeon selection, confirming that patients are motivated to choose their surgeon based on the core value of the fiduciary relationship. 17 Patients who are awaiting a surgical procedure or are in the post-operative phase are particularly vulnerable to a surgeon's departure. Compared to surgeons with no restrictive covenants, our survey demonstrated a significant majority (60%) of respondents with NCCs had concerns about providing sub-standard care due to their NCC preventing them from leaving their current job and remaining in the area where their family lives.…”

Section: Orthopedic Reviewsmentioning

confidence: 99%

The Impact of a Non-Compete Clause on Patient Care and Orthopaedic Surgeons in the State of Louisiana: Afraid of a Little Competition?

et al. 2022

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Background Non-compete clauses (NCC) are commonly required for physicians practicing in an employed model. With growing pressures driving surgeons to practice in an employed model instead of physician-led practices, the purpose of this survey was to determine the impact of NCCs on orthopaedic surgeons and their patients in Louisiana. Methods A voluntary, single-mode online survey containing 23 questions was created using the Qualtrics XM Platform (Qualtrics, Provo, UT) and distributed to 259 orthopaedic surgeons who are members of the Louisiana Orthopaedic Association. Survey questions assessed the prevalence and details of existing NCCs and perceptions of their impact on surgeons’ practice, patients, and personal life. Results 117 members responded (response rate: 45.2%), of which 91 (77.8%) finished the survey. Nearly half (44%) of respondents had an expired or active NCC in their contract. Most (84.3%) believed NCCs give employers unfair leverage during contract negotiations. NCCs have deterred or would deter 71.4% of respondents from accepting another job offer. Respondents believed NCCs negatively impact patients, including forcing patients to drive long distances to maintain continuity of care (64.4%) and forcing surgeons to abandon their patients if they seek new employment (76.7%). Many respondents reported NCCs also exert significant detrimental effects on their personal life, including mandatory relocation of their family (67.0%). Nearly all (97.8%) believed such clauses have become unreasonable over the last decade with the rise of large hospital conglomerates. Most surgeons (83.7%) believed that removal of NCCs from all orthopaedic surgeons’ contracts would improve the overall healthcare of orthopaedic patients in Louisiana. Conclusion Perceptions of NCCs were overwhelmingly negative among orthopaedic surgeons in Louisiana. Such clauses give employers an unfair advantage during contract negotiations and exert a significant detrimental impact on surgeons and their patients. While NCCs may be reasonable in the business sector and other professions, it is unclear how such clauses benefit surgeons or improve patient care and may be detrimental to both. Study Design Cross-sectional Survey

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Section: Orthopedic Reviewsmentioning

confidence: 99%

The Impact of a Non-Compete Clause on Patient Care and Orthopaedic Surgeons in the State of Louisiana: Afraid of a Little Competition?

et al. 2022

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“…The rise of social media driven research includes orthopedics and sports medicine, with a variety of publications attempting to quantify the social media activity of hospitals and health-care providers 9–11 . Other orthopedic-specific studies have explored aspects of how patients choose physicians including social media and online rating systems 12–14 . As internet usage has become increasingly commonplace, so has the expansion of social media platforms.…”

Section: Introductionmentioning

confidence: 99%

Cross-platform social media analysis regarding ACL injury and surgery

Hasley

Bukowiec

Zaifman

et al. 2023

Current Orthopaedic Practice

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Background: Anterior cruciate ligament (ACL) injury affects a broad patient population, but there is limited knowledge on how ACL injury is discussed across social media platforms. This study aims to develop an extensive snapshot of the social media milieu for understanding who uses social media platforms, what topics users discuss, and how these platforms vary regarding ACL injury and surgery. Methods: We utilized a qualitative, descriptive design with quantitative statistical analysis including Kruskal-Wallis tests and Fisher’s Exact tests with post hoc analyses to examine new posts across Facebook, Instagram, Twitter, and TikTok using ACL-specific search terms from August 2021 to January 2022. Posts were analyzed by authorship, content characterization, and engagement. Results: Across social media sites, 760 posts were examined involving ACL surgery and injury. There was statistically significant difference among the platforms when comparing categories of authorship (P<0.001). There were statistically significant differences where physicians (P<0.001) and patients (P<0.001) posted, with physicians representing 20.6% and 19.5% of posts on Facebook and Twitter, respectively. TikTok displayed the highest patient authorship (83.5%) and greatest content engagement. There were also significant differences among platforms regarding content characterization (P<0.001). Conclusions: This study breaks down a snapshot of social media revolving around ACL injury and surgery demonstrating differences in authorship, content, and engagement of posts across platforms. These findings demonstrate the frequent use of social media by patients to address unmet clinical needs and can help surgeons and patients connect on the same platforms. Level of Evidence: Level IV.

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“…In today’s social media-driven world, the question arises as to whether patients use these sources of information to decide on a dentist. The influence of social media was shown to be less decisive for the choice of a surgeon than “word-of-mouth” [ 18 , 30 ] and the quality of the information provided during the consultation [ 30 ]. Other authors demonstrated that the influence of social media sources was also important to patients [ 16 , 31 ].…”

Section: Introductionmentioning

confidence: 99%

What Counts for the Old and Oldest Old?—An Analysis of Patient Criteria for Choosing a Dentist—Part I: Awareness and Selection Criteria, Infrastructure, and Dental Office Equipment

Nitschke

Chlingensperg

Schrock

et al. 2022

IJERPH

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Utilization of a dentist is influenced by many factors. The aim of this study is to present the factors relating to how patients become aware of a dentist, according to which criteria they select the dentist, and which factors in the infrastructure, equipment of dental offices, and human interactions are important for patients. A telephone survey with 466 participants (female 59.9%) in three age groups (ag 1: 35–50 years, ag 2: 70–84 years, ag 3: >85 years) in three German cities was conducted. Data were analyzed with respect to age, gender, and place of residence. Hardly any differences in the selection of the dentist and the selection criteria applied were found between the sexes, the age groups, or the places of residence. Recommendation seems to be the major aspect regarding how patients become aware of or select their dentist (n = 278, 65.6%), while modern technologies, e.g., the internet, play a subordinate role (n = 31, 7.3%). The unimportance of modern technologies increases significantly with the increase in age. As age increases, factors such as infrastructure (e.g., elevator available (ANOVA p < 0.001; Bonferoni correction: significant differences between ag 1 and ag 2 p < 0.001, ag 1 and ag 3 p < 0.001, and ag 2 and ag 3 p = 0.009); accessibility by wheelchair (ANOVA p < 0.001; Bonferoni correction: significant differences between ag 1 and ag 2 p = 0.006; and ag 1 and ag 3 p < 0.001); etc.) and dental office equipment become significantly important and influence the choice of dentist, while the importance of good parking facilities significantly decreased with age (ANOVA p = 0.003; Bonferoni correction: significant differences between ag 1 and ag 3 p = 0.004, and ag 2 and ag 3 p = 0.023). With increasing age, e.g., the importance of a television in the waiting room (ANOVA p = 0.012; Bonferoni correction: significant differences between ag 1 and ag 3 p = 0.014; and ag 2 and ag 3 p = 0.011), a modern waiting room (ANOVA p < 0.001; Bonferoni correction: significant differences between ag 1 and ag 3 p < 0.001; and ag 2 and ag 3 p < 0.001) or the possibility to visualize the oral situation on a screen decreases significantly (ANOVA p < 0.001; Bonferoni correction: significant differences between ag 1 and ag 2 p < 0.001; ag 1 and ag 3 p < 0.001, and ag 2 and ag 3 p < 0.001). If dentists want to welcome and treat older people, they should adapt the accessibility, infrastructure and equipment of their practice to the needs of older people in order to be able to guarantee continuous lifelong dental care regardless of the need for assistance or care.

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How do patients choose their surgeon? Example of anterior cruciate ligament reconstruction

Cited by 11 publications

References 11 publications

The Impact of a Non-Compete Clause on Patient Care and Orthopaedic Surgeons in the State of Louisiana: Afraid of a Little Competition?

The Impact of a Non-Compete Clause on Patient Care and Orthopaedic Surgeons in the State of Louisiana: Afraid of a Little Competition?

Cross-platform social media analysis regarding ACL injury and surgery

What Counts for the Old and Oldest Old?—An Analysis of Patient Criteria for Choosing a Dentist—Part I: Awareness and Selection Criteria, Infrastructure, and Dental Office Equipment

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