Differences in Online Consumer Ratings of Health Care Providers Across Medical, Surgical, and Allied Health Specialties: Observational Study of 212,933 Providers
Health care consumers are increasingly using online ratings to select providers, but differences in the distribution of scores across specialties and skew of the data have the potential to mislead consumers about the interpretation of ratings. The objective of our study was to determine whether dist...
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| Veröffentlicht in: | Journal of medical Internet research 2018-05, Vol.20 (5), p.e176-e176 |
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| creator | Daskivich, Timothy Luu, Michael Noah, Benjamin Fuller, Garth Anger, Jennifer Spiegel, Brennan |
| description | Health care consumers are increasingly using online ratings to select providers, but differences in the distribution of scores across specialties and skew of the data have the potential to mislead consumers about the interpretation of ratings.
The objective of our study was to determine whether distributions of consumer ratings differ across specialties and to provide specialty-specific data to assist consumers and clinicians in interpreting ratings.
We sampled 212,933 health care providers rated on the Healthgrades consumer ratings website, representing 29 medical specialties (n=128,678), 15 surgical specialties (n=72,531), and 6 allied health (nonmedical, nonnursing) professions (n=11,724) in the United States. We created boxplots depicting distributions and tested the normality of overall patient satisfaction scores. We then determined the specialty-specific percentile rank for scores across groupings of specialties and individual specialties.
Allied health providers had higher median overall satisfaction scores (4.5, interquartile range [IQR] 4.0-5.0) than physicians in medical specialties (4.0, IQR 3.3-4.5) and surgical specialties (4.2, IQR 3.6-4.6, P |
| doi_str_mv | 10.2196/jmir.9160 |
| format | Article |
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The objective of our study was to determine whether distributions of consumer ratings differ across specialties and to provide specialty-specific data to assist consumers and clinicians in interpreting ratings.
We sampled 212,933 health care providers rated on the Healthgrades consumer ratings website, representing 29 medical specialties (n=128,678), 15 surgical specialties (n=72,531), and 6 allied health (nonmedical, nonnursing) professions (n=11,724) in the United States. We created boxplots depicting distributions and tested the normality of overall patient satisfaction scores. We then determined the specialty-specific percentile rank for scores across groupings of specialties and individual specialties.
Allied health providers had higher median overall satisfaction scores (4.5, interquartile range [IQR] 4.0-5.0) than physicians in medical specialties (4.0, IQR 3.3-4.5) and surgical specialties (4.2, IQR 3.6-4.6, P<.001). Overall satisfaction scores were highly left skewed (normal between -0.5 and 0.5) for all specialties, but skewness was greatest among allied health providers (-1.23, 95% CI -1.280 to -1.181), followed by surgical (-0.77, 95% CI -0.787 to -0.755) and medical specialties (-0.64, 95% CI -0.648 to -0.628). As a result of the skewness, the percentages of overall satisfaction scores less than 4 were only 23% for allied health, 37% for surgical specialties, and 50% for medical specialties. Percentile ranks for overall satisfaction scores varied across specialties; percentile ranks for scores of 2 (0.7%, 2.9%, 0.8%), 3 (5.8%, 16.6%, 8.1%), 4 (23.0%, 50.3%, 37.3%), and 5 (63.9%, 89.5%, 86.8%) differed for allied health, medical specialties, and surgical specialties, respectively.
Online consumer ratings of health care providers are highly left skewed, fall within narrow ranges, and differ by specialty, which precludes meaningful interpretation by health care consumers. Specialty-specific percentile ranks may help consumers to more meaningfully assess online physician ratings.</description><identifier>ISSN: 1438-8871</identifier><identifier>ISSN: 1439-4456</identifier><identifier>EISSN: 1438-8871</identifier><identifier>DOI: 10.2196/jmir.9160</identifier><identifier>PMID: 29743150</identifier><language>eng</language><publisher>Canada: Gunther Eysenbach MD MPH, Associate Professor</publisher><subject>Consumers ; Medical personnel ; Normality ; Observational studies ; Original Paper ; Patient satisfaction ; Physicians ; Ratings & rankings ; Skewness</subject><ispartof>Journal of medical Internet research, 2018-05, Vol.20 (5), p.e176-e176</ispartof><rights>Timothy Daskivich, Michael Luu, Benjamin Noah, Garth Fuller, Jennifer Anger, Brennan Spiegel. Originally published in the Journal of Medical Internet Research (http://www.jmir.org), 09.05.2018.</rights><rights>Copyright Gunther Eysenbach MD MPH, Associate Professor May 2018</rights><rights>Timothy Daskivich, Michael Luu, Benjamin Noah, Garth Fuller, Jennifer Anger, Brennan Spiegel. Originally published in the Journal of Medical Internet Research (http://www.jmir.org), 09.05.2018. 2018</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c403t-fa9a3e2cb0e6cd70258e7269f6ea4b3c25fc5fcb35372c7cb12991637f82b8e43</citedby><cites>FETCH-LOGICAL-c403t-fa9a3e2cb0e6cd70258e7269f6ea4b3c25fc5fcb35372c7cb12991637f82b8e43</cites><orcidid>0000-0002-1730-9616 ; 0000-0002-4608-6896 ; 0000-0002-7540-3272 ; 0000-0002-7968-7313 ; 0000-0003-4977-7833 ; 0000-0002-3897-5941</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,723,776,780,860,881,27901,27902,30976</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29743150$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Daskivich, Timothy</creatorcontrib><creatorcontrib>Luu, Michael</creatorcontrib><creatorcontrib>Noah, Benjamin</creatorcontrib><creatorcontrib>Fuller, Garth</creatorcontrib><creatorcontrib>Anger, Jennifer</creatorcontrib><creatorcontrib>Spiegel, Brennan</creatorcontrib><title>Differences in Online Consumer Ratings of Health Care Providers Across Medical, Surgical, and Allied Health Specialties: Observational Study of 212,933 Providers</title><title>Journal of medical Internet research</title><addtitle>J Med Internet Res</addtitle><description>Health care consumers are increasingly using online ratings to select providers, but differences in the distribution of scores across specialties and skew of the data have the potential to mislead consumers about the interpretation of ratings.
The objective of our study was to determine whether distributions of consumer ratings differ across specialties and to provide specialty-specific data to assist consumers and clinicians in interpreting ratings.
We sampled 212,933 health care providers rated on the Healthgrades consumer ratings website, representing 29 medical specialties (n=128,678), 15 surgical specialties (n=72,531), and 6 allied health (nonmedical, nonnursing) professions (n=11,724) in the United States. We created boxplots depicting distributions and tested the normality of overall patient satisfaction scores. We then determined the specialty-specific percentile rank for scores across groupings of specialties and individual specialties.
Allied health providers had higher median overall satisfaction scores (4.5, interquartile range [IQR] 4.0-5.0) than physicians in medical specialties (4.0, IQR 3.3-4.5) and surgical specialties (4.2, IQR 3.6-4.6, P<.001). Overall satisfaction scores were highly left skewed (normal between -0.5 and 0.5) for all specialties, but skewness was greatest among allied health providers (-1.23, 95% CI -1.280 to -1.181), followed by surgical (-0.77, 95% CI -0.787 to -0.755) and medical specialties (-0.64, 95% CI -0.648 to -0.628). As a result of the skewness, the percentages of overall satisfaction scores less than 4 were only 23% for allied health, 37% for surgical specialties, and 50% for medical specialties. Percentile ranks for overall satisfaction scores varied across specialties; percentile ranks for scores of 2 (0.7%, 2.9%, 0.8%), 3 (5.8%, 16.6%, 8.1%), 4 (23.0%, 50.3%, 37.3%), and 5 (63.9%, 89.5%, 86.8%) differed for allied health, medical specialties, and surgical specialties, respectively.
Online consumer ratings of health care providers are highly left skewed, fall within narrow ranges, and differ by specialty, which precludes meaningful interpretation by health care consumers. Specialty-specific percentile ranks may help consumers to more meaningfully assess online physician ratings.</description><subject>Consumers</subject><subject>Medical personnel</subject><subject>Normality</subject><subject>Observational studies</subject><subject>Original Paper</subject><subject>Patient satisfaction</subject><subject>Physicians</subject><subject>Ratings & rankings</subject><subject>Skewness</subject><issn>1438-8871</issn><issn>1439-4456</issn><issn>1438-8871</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><recordid>eNpdkdtqGzEQhkVJaA7tRV-gCHLTQJzqsCf1omCcNCmkuNTttdBqR46MVnKlXUMeJ28auU7StEKggfn0z_D_CL2j5JxRUX1c9TaeC1qRV-iQFryZNE1N917UB-gopRUhjBSCvkYHTNQFpyU5RPcX1hiI4DUkbD2ee2c94Fnwaewh4h9qsH6ZcDD4GpQbbvFMRcDfY9jYDmLCUx1DSvgbdFYrd4YXY1zuKuU7PHXOQvf0dbEGbXNlIX3C8zZB3GT54JXDi2Hs7rZTGGVngvO_E96gfaNcgreP7zH69eXy5-x6cjO_-jqb3kx0QfgwMUooDky3BCrd1YSVDdSsEqYCVbRcs9LofFte8prpWreUiWwZr03D2gYKfow-73TXY9tDp8EPUTm5jrZX8U4GZeW_HW9v5TJsZCkaUjRVFvjwKBDD7xHSIHubNDinPIQxSUZ4TUpREpbRk__QVRhj9iFTNB9GScUzdbqj_lgcwTwvQ4ncBi-3wctt8Jl9_3L7Z_Ipaf4AY_Oq6Q</recordid><startdate>20180509</startdate><enddate>20180509</enddate><creator>Daskivich, Timothy</creator><creator>Luu, Michael</creator><creator>Noah, Benjamin</creator><creator>Fuller, Garth</creator><creator>Anger, Jennifer</creator><creator>Spiegel, Brennan</creator><general>Gunther Eysenbach MD MPH, Associate Professor</general><general>JMIR Publications</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>E3H</scope><scope>F2A</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-1730-9616</orcidid><orcidid>https://orcid.org/0000-0002-4608-6896</orcidid><orcidid>https://orcid.org/0000-0002-7540-3272</orcidid><orcidid>https://orcid.org/0000-0002-7968-7313</orcidid><orcidid>https://orcid.org/0000-0003-4977-7833</orcidid><orcidid>https://orcid.org/0000-0002-3897-5941</orcidid></search><sort><creationdate>20180509</creationdate><title>Differences in Online Consumer Ratings of Health Care Providers Across Medical, Surgical, and Allied Health Specialties: Observational Study of 212,933 Providers</title><author>Daskivich, Timothy ; Luu, Michael ; Noah, Benjamin ; Fuller, Garth ; Anger, Jennifer ; Spiegel, Brennan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c403t-fa9a3e2cb0e6cd70258e7269f6ea4b3c25fc5fcb35372c7cb12991637f82b8e43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Consumers</topic><topic>Medical personnel</topic><topic>Normality</topic><topic>Observational studies</topic><topic>Original Paper</topic><topic>Patient satisfaction</topic><topic>Physicians</topic><topic>Ratings & rankings</topic><topic>Skewness</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Daskivich, Timothy</creatorcontrib><creatorcontrib>Luu, Michael</creatorcontrib><creatorcontrib>Noah, Benjamin</creatorcontrib><creatorcontrib>Fuller, Garth</creatorcontrib><creatorcontrib>Anger, Jennifer</creatorcontrib><creatorcontrib>Spiegel, Brennan</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Library & Information Sciences Abstracts (LISA)</collection><collection>Library & Information Science Abstracts (LISA)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of medical Internet research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Daskivich, Timothy</au><au>Luu, Michael</au><au>Noah, Benjamin</au><au>Fuller, Garth</au><au>Anger, Jennifer</au><au>Spiegel, Brennan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Differences in Online Consumer Ratings of Health Care Providers Across Medical, Surgical, and Allied Health Specialties: Observational Study of 212,933 Providers</atitle><jtitle>Journal of medical Internet research</jtitle><addtitle>J Med Internet Res</addtitle><date>2018-05-09</date><risdate>2018</risdate><volume>20</volume><issue>5</issue><spage>e176</spage><epage>e176</epage><pages>e176-e176</pages><issn>1438-8871</issn><issn>1439-4456</issn><eissn>1438-8871</eissn><abstract>Health care consumers are increasingly using online ratings to select providers, but differences in the distribution of scores across specialties and skew of the data have the potential to mislead consumers about the interpretation of ratings.
The objective of our study was to determine whether distributions of consumer ratings differ across specialties and to provide specialty-specific data to assist consumers and clinicians in interpreting ratings.
We sampled 212,933 health care providers rated on the Healthgrades consumer ratings website, representing 29 medical specialties (n=128,678), 15 surgical specialties (n=72,531), and 6 allied health (nonmedical, nonnursing) professions (n=11,724) in the United States. We created boxplots depicting distributions and tested the normality of overall patient satisfaction scores. We then determined the specialty-specific percentile rank for scores across groupings of specialties and individual specialties.
Allied health providers had higher median overall satisfaction scores (4.5, interquartile range [IQR] 4.0-5.0) than physicians in medical specialties (4.0, IQR 3.3-4.5) and surgical specialties (4.2, IQR 3.6-4.6, P<.001). Overall satisfaction scores were highly left skewed (normal between -0.5 and 0.5) for all specialties, but skewness was greatest among allied health providers (-1.23, 95% CI -1.280 to -1.181), followed by surgical (-0.77, 95% CI -0.787 to -0.755) and medical specialties (-0.64, 95% CI -0.648 to -0.628). As a result of the skewness, the percentages of overall satisfaction scores less than 4 were only 23% for allied health, 37% for surgical specialties, and 50% for medical specialties. Percentile ranks for overall satisfaction scores varied across specialties; percentile ranks for scores of 2 (0.7%, 2.9%, 0.8%), 3 (5.8%, 16.6%, 8.1%), 4 (23.0%, 50.3%, 37.3%), and 5 (63.9%, 89.5%, 86.8%) differed for allied health, medical specialties, and surgical specialties, respectively.
Online consumer ratings of health care providers are highly left skewed, fall within narrow ranges, and differ by specialty, which precludes meaningful interpretation by health care consumers. Specialty-specific percentile ranks may help consumers to more meaningfully assess online physician ratings.</abstract><cop>Canada</cop><pub>Gunther Eysenbach MD MPH, Associate Professor</pub><pmid>29743150</pmid><doi>10.2196/jmir.9160</doi><orcidid>https://orcid.org/0000-0002-1730-9616</orcidid><orcidid>https://orcid.org/0000-0002-4608-6896</orcidid><orcidid>https://orcid.org/0000-0002-7540-3272</orcidid><orcidid>https://orcid.org/0000-0002-7968-7313</orcidid><orcidid>https://orcid.org/0000-0003-4977-7833</orcidid><orcidid>https://orcid.org/0000-0002-3897-5941</orcidid><oa>free_for_read</oa></addata></record> |
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| source | Applied Social Sciences Index & Abstracts (ASSIA); DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; PubMed Central Open Access |
| subjects | Consumers Medical personnel Normality Observational studies Original Paper Patient satisfaction Physicians Ratings & rankings Skewness |
| title | Differences in Online Consumer Ratings of Health Care Providers Across Medical, Surgical, and Allied Health Specialties: Observational Study of 212,933 Providers |
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