@Article{信息:doi 10.2196 / / jmir。5884，作者=“Kool, Rudolf Bertijn和Kleefstra, Sophia Martine和Borghans, Ine和Atsma, Femke和van de Belt, Tom H”，标题=“卫生保健督查人员加强监督对医院在线患者评分的影响:超过43000个在线评分的多层面研究”，期刊=“J Med Internet Res”，年=“2016”，月=“7月”，日=“15”，卷=“18”，数=“7”，页=“e198”，关键词=“评分网站;监督;社交媒体;在线评论;背景:在荷兰，存在质量或安全问题的医院受到荷兰卫生保健监察局(Dutch Health Care Inspectorate)的加强监督，包括频繁的公开或不公开的现场检查等措施。患者评分网站是医疗保健领域即将出现的现象。当卫生保健监察局加强监督时，对病人的评价可能受到感知质量的影响，包括对卫生保健提供者的媒体报道，但没有数据显示两者之间的关系。目的:本研究的目的是调查在卫生保健监察员的加强监督下是否以及如何影响医院的在线患者评分。方法:我们使用2010年1月1日至2015年12月31日荷兰Zorgkaart患者评分网站的数据进行了一项纵向研究。 We compared data of 7 hospitals under intensified supervision with a control group of 28 hospitals. The dataset contained 43,856 ratings. We performed a multilevel logistic regression analysis to account for clustering of ratings within hospitals. Fixed effects in our analysis were hospital type, time, and the period of intensified supervision. Random effect was the hospital. The outcome variable was the dichotomized rating score. Results: The period of intensified supervision was associated with a low rating score for the hospitals compared with control group hospitals; both 1 year before intensified supervision (odds ratio, OR, 1.67, 95{\%} CI 1.06-2.63) and 1 year after (OR 1.79, 95{\%} CI 1.14-2.81) the differences are significant. For all periods, the odds on a low rating score for hospitals under intensified supervision are higher than for the control group hospitals, corrected for time. Time is also associated with low rating scores, with decreasing ORs over time since 2010. Conclusions: Hospitals that are confronted with intensified supervision by the health care inspectorate have lower ratings on patient rating sites. The scores are independent of the period: before, during, or just after the intervention by the health care inspectorate. Health care inspectorates might learn from these results because they indicate that the inspectorate identifies the same hospitals as ``at risk'' as the patients rate as underperformers. ", issn="1438-8871", doi="10.2196/jmir.5884", url="//www.mybigtv.com/2016/7/e198/", url="https://doi.org/10.2196/jmir.5884", url="http://www.ncbi.nlm.nih.gov/pubmed/27421302" }