%0期刊文章%@ 1438-8871 %I Gunther Eysenbach %V 14 %N 5 %P e146 %T患者在互联网上对家庭医生实践的评分:英国国家卫生服务中传统质量测量方法的使用和关联%A Greaves,Felix %A Pape,Utz J %A Lee,Henry %A Smith,Dianna M %A Darzi,Ara %A Majeed,Azeem %A Millett,Christopher %+初级保健和公共卫生系,帝国理工学院,查灵十字医院,伦敦,W6 8RP, 44 7866551172,felixgreaves@gmail.com %K患者体验%K初级护理%K互联网%K质量%D 2012 %7 17.10.2012 %9原始论文%J J医疗互联网Res %G英语%X背景:患者越来越多地在互联网上评价他们的家庭医生,就像他们可能在TripAdvisor上评价一家酒店或eBay上的卖家一样,尽管医生对这一过程感到担忧。目的:本研究旨在检查NHS选择(NHS Choices)的使用情况,这是一个鼓励患者对英格兰家庭实践质量进行评级的政府网站,以及基于网络的患者评级与初级保健中患者体验和临床质量的传统衡量方法之间的联系。方法:我们获得了2009年10月至2010年12月期间在NHS Choices网站上发布的所有(16,952)家庭实践评级。我们检查了患者评分与家庭实践和人群特征之间的关系。对患者体验和临床结果的评级和调查措施之间的联系进行了研究。结果:英国8089个家庭诊所中有61%得到了评级,69%的评级会推荐他们的家庭诊所。服务于年轻人、贫困程度较低和人口密集地区的做法更有可能被评级。与患者体验的调查指标有中度相关性(Spearman ρ 0.37−0.48,P<。001 for all 5 variables), but only weak associations with measures of clinical process and outcome (Spearman ρ less than ±0.18, P<.001 for 6 of 7 variables). Conclusion: The frequency of patients rating their family physicians on the Internet is variable in England, but the ratings are generally positive and are moderately associated with other measures of patient experience and weakly associated with clinical quality. Although potentially flawed, patient ratings on the Internet may provide an opportunity for organizational learning and, as it becomes more common, another lens to look at the quality of primary care. %M 23076301 %R 10.2196/jmir.2280 %U //www.mybigtv.com/2012/5/e146/ %U https://doi.org/10.2196/jmir.2280 %U http://www.ncbi.nlm.nih.gov/pubmed/23076301
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