%0期刊文章@ 1438-8871 %I JMIR出版物%V 18% 卡塔尔世界杯8强波胆分析N 12% P e324 %T医生在线评级与护理质量之间的关系%A Okike,Kanu %A Peter-Bibb,Taylor K %A Xie,Kristal C %A Okike,Okike N %+整形外科，Kaiser Permanente Moanalua医疗中心，3288 Moanalua路，檀香山，HI, 96821，美国，1 808 432 7326，okike@post.harvard.edu %K在线评论%K心脏手术%K医生质量%D 2016 %7 13.12.2016 %9原始论文%J J医学互联网资源%G英文%X背景:患者越来越多地使用医生评论网站来寻找“好医生”。然而，据我们所知，之前没有研究检查在线评分和公认的质量测量之间的关系。目的:本研究的目的是评估在线医生评分与公认的质量指标之间的关系:冠状动脉旁路移植(CABG)手术后30天风险调整死亡率。方法:在美国加州、马萨诸塞州、新泽西州、纽约州和宾夕法尼亚州——这些州加起来超过美国人口的四分之一——所有心脏外科医生的风险调整死亡率都被公开报告。从这些报告中，我们记录了在这5个州执业的每名外科医生在孤立性冠脉搭桥手术后30天的死亡率。对于州报告中列出的每一位外科医生，我们进行了基于互联网的搜索，以确定他或她的在线评级。然后我们评估了医生在线评分与风险调整死亡率之间的关系。结果:在州报告中列出的614名外科医生中，我们发现96.1%(590/614)是在线评级的。平均在线评分为4.4分(满分5分)，78.7%(483/614分)的在线评分为4分或以上。 The median number of reviews used to formulate each rating was 4 (range 1-89), and 32.70% (503/1538) of the ratings were based on 2 or fewer reviews. Overall, there was no correlation between surgeon online rating and risk-adjusted mortality rate (P=.13). Risk-adjusted mortality rates were similar for surgeons across categories of average online rating (P>.05), and surgeon average online rating was similar across quartiles of surgeon risk-adjusted mortality rate (P>.05). Conclusions: In this study of cardiac surgeons practicing in the 5 US states that publicly report outcomes, we found no correlation between online rating and risk-adjusted mortality rates. Patients using online rating websites to guide their choice of physician should recognize that these ratings may not reflect actual quality of care as defined by accepted metrics. %M 27965191 %R 10.2196/jmir.6612 %U //www.mybigtv.com/2016/12/e324/ %U https://doi.org/10.2196/jmir.6612 %U http://www.ncbi.nlm.nih.gov/pubmed/27965191