Physician Review Portals Do Not Favor Highly Cited US Ophthalmologists

Skrzypecki, Janusz; Przybek, Joanna

doi:10.1080/08820538.2017.1332234

Cited by 7 publications

(7 citation statements)

References 16 publications

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“…The existing studies that compared PORs with characteristics of providers found that physicians with higher ratings had the following characteristics: (1) female, young age [29,43,46]; (2) more online presence [58]; (3) board-certified with extensive training experiences and graduated from a highly rated medical school [1,89]; (4) active status and years in practice [63]; (5) specialties [37,88]; and (6) locations [86]. However, some studies found no interactions between PORs and either genders, regions, or academic proclivity [46,64,65]. Furthermore, 1 study found surgeons with higher volume of procedures had higher POR ratings and better comments [59].…”

Section: Resultsmentioning

confidence: 99%

What Do Patients Say About Doctors Online? A Systematic Review of Studies on Patient Online Reviews

Hong¹,

Liang²,

Radcliff³

et al. 2019

J Med Internet Res

100

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Background The number of patient online reviews (PORs) has grown significantly, and PORs have played an increasingly important role in patients’ choice of health care providers. Objective The objective of our study was to systematically review studies on PORs, summarize the major findings and study characteristics, identify literature gaps, and make recommendations for future research. Methods A major database search was completed in January 2019. Studies were included if they (1) focused on PORs of physicians and hospitals, (2) reported qualitative or quantitative results from analysis of PORs, and (3) peer-reviewed empirical studies. Study characteristics and major findings were synthesized using predesigned tables. Results A total of 63 studies (69 articles) that met the above criteria were included in the review. Most studies (n=48) were conducted in the United States, including Puerto Rico, and the remaining were from Europe, Australia, and China. Earlier studies (published before 2010) used content analysis with small sample sizes; more recent studies retrieved and analyzed larger datasets using machine learning technologies. The number of PORs ranged from fewer than 200 to over 700,000. About 90% of the studies were focused on clinicians, typically specialists such as surgeons; 27% covered health care organizations, typically hospitals; and some studied both. A majority of PORs were positive and patients’ comments on their providers were favorable. Although most studies were descriptive, some compared PORs with traditional surveys of patient experience and found a high degree of correlation and some compared PORs with clinical outcomes but found a low level of correlation. Conclusions PORs contain valuable information that can generate insights into quality of care and patient-provider relationship, but it has not been systematically used for studies of health care quality. With the advancement of machine learning and data analysis tools, we anticipate more research on PORs based on testable hypotheses and rigorous analytic methods. Trial Registration International Prospective Register of Systematic Reviews (PROSPERO) CRD42018085057; https://www.crd.york.ac.uk/PROSPERO/display_record.php?RecordID=85057 (Archived by WebCite at http://www.webcitation.org/76ddvTZ1C)

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Section: Resultsmentioning

confidence: 99%

What Do Patients Say About Doctors Online? A Systematic Review of Studies on Patient Online Reviews

Hong¹,

Liang²,

Radcliff³

et al. 2019

J Med Internet Res

100

View full text Add to dashboard Cite

show abstract

“…11 In a study of ophthalmologists, ophthalmologists who are highly cited (overall number of citations or Hirsch index) are not rated proportionately to their scientific achievements. 12 In an observational study of 78 physicians in 8 medical and surgical specialties, online ratings did not predict objective measures of quality of care or peer assessment of clinical performance. 13 In a study of 3054 neurosurgeons, higher online ratings were associated with the ranking of the medical school they had attended, recent graduation, and having completed a fellowship.…”

Section: Discussionmentioning

confidence: 97%

“…In a study of 70 surgeons, there was no correlation between patient web reviews and a Quality Clinical Data Registry for hernia surgery . In a study of ophthalmologists, ophthalmologists who are highly cited (overall number of citations or Hirsch index) are not rated proportionately to their scientific achievements . In an observational study of 78 physicians in 8 medical and surgical specialties, online ratings did not predict objective measures of quality of care or peer assessment of clinical performance …”

Section: Discussionmentioning

confidence: 97%

Negative Online Patient Reviews in Headache Medicine

Evans

2018

Headache

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Patients commonly use online reviews in selecting a new physician. There have been no studies of online reviews of headache medicine physicians. To better understand headache medicine physicians’ attitudes and opinions about negative reviews, 2 negative patient reviews were posted to the Southern Headache Society online discussion group and comments were requested. Twenty‐two anonymous comments are provided. The strengths and inadequacies of online physician reviews in other specialties and the possible actions headache medicine physicians should take for negative reviews are discussed. A nationwide survey of online reviews of headache medicine specialists would be of interest.

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“…Interestingly, this phenomenon has associations with lower socioeconomic status in the HCAHPS survey population, 4 and populations of both our elective and trauma patients tend to have lower socioeconomic status. Despite evidence suggesting that increased patient satisfaction is correlated with higher mortality 13 and that ophthalmologists held in high academic standing are not rated proportionately to their achievement by patients on physician review web sites, 14 patients and hospitals may still be reviewed on a percentile basis in online review settings. If patients from our telephone survey respond in the actual HCAHPS or in online reviews of individual physicians with a positively skewed ERT, then we would predict a significant drop in the percentile rankings for physician scores when the average score falls below a score of "5" as noted (Fig.…”

Section: Discussionmentioning

confidence: 99%

Self-Reported Recovery Likelihood Predicts Higher Physician Ratings: A Survey of Patients After Orthopaedic Surgery

Rascoe

Treiman

Gunasekar

et al. 2019

Journal of Orthopaedic Trauma

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Patients/Participants: Three hundred twenty-three trauma patients and 433 elective orthopaedic patients treated at our center by the same surgeons.Intervention: Trauma patients treated surgery for one or more fractures; elective patients treated with hip, knee, or shoulder arthroplasty, or rotator cuff repair.Main Outcome Measurements: Telephone survey regarding patient experience and satisfaction with their care. The survey included questions from Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) surveys, and responses were rated on a 1-5 point Likert scale (5 best).Results: Elective surgery patients had mean age of 56.4 years, and trauma patients were mean 50.3 years of age. Trauma patients rated their likelihood to make a full recovery lower than elective patients (median, interquartile range), 5.0 (1.0) versus 4.0 (2.0) (P , 0.001). After multivariate binary logistic regression, patients who rated the hospital higher ($4 vs. #3) were more likely (odds ratio = 10.0, 95% confidence interval, 6.4-15.8) to score physicians better. Similarly, patients who scored their overall likelihood of recovering $4 compared with #3 were more likely (odds ratio = 3.6, 95% confidence interval, 2.9-5.6) to rate their physicians more positively.Conclusions: Patient perceptions including their likelihood to make a full recovery and their overall impression of the hospital predicted higher physician scores. We conclude that these physician scores are subject to patient perception biases and are not independent of the overall care experience. We recommend HCAHPS and physician ratings' web sites include internal controls, such as the patient perception of overall likelihood to recover, to aid in interpreting survey results.

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Physician Review Portals Do Not Favor Highly Cited US Ophthalmologists

Cited by 7 publications

References 16 publications

What Do Patients Say About Doctors Online? A Systematic Review of Studies on Patient Online Reviews

What Do Patients Say About Doctors Online? A Systematic Review of Studies on Patient Online Reviews

Negative Online Patient Reviews in Headache Medicine

Self-Reported Recovery Likelihood Predicts Higher Physician Ratings: A Survey of Patients After Orthopaedic Surgery

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