期刊文章JMIR出版物网上医生评级与医生纪律定罪的关系:卡塔尔世界杯8强波胆分析回顾性观察研究:A Liu,Jessica Janine,A Goldberg,Hanna R,A Lentz,Eric JM,A Matelski,John Justin,A Alam,Asim,A Bell,Chaim,内科内科,多伦多大学,多伦多总医院,伊丽莎白街200号,14EN213室,多伦多,ON, M5G 2C4,加拿大,14163403111,jessica.liu@uhn.ca %K质量提高%K患者满意度%K以患者为中心的护理%D 2020 %7 14.5.2020 %9背景:公众普遍使用医生评分网站,但基于网络的医生评分与医疗保健质量之间的关系尚不清楚。目的:我们研究的目的是使用医生纪律信念作为医生质量差的极端标记,并调查纪律医生的评分是否低于非纪律匹配对照。方法:这是一项回顾性的全国性观察性研究,涉及加拿大所有有纪律的医生(751名医生,2000年至2013年)。我们从全国领先的在线医生评分网站上检索了该群体的评分(2005-2015),并根据性别、专业、执业年限和地点检索了751名匹配的对照。我们比较了总体评分(满分为5分)和不当行为类型的平均评分。我们还比较了各种不当行为和惩罚的评分。结果:62.7%(471/751)的被定罪和受处分的医生(病例)有网络评分,64.6%(485/751)的不受处分的医生(对照)有网络评分。在312对匹配的病例对照中,纪律严明的医生总体评分低于对照组(3.62 vs 4.00; P<.001). Disciplined physicians had lower ratings for all types of misconduct and punishment—except for physicians disciplined for sexual offenses (n=90 pairs; 3.83 vs 3.86; P=.81). Sexual misconduct was the only category in which mean ratings for physicians were higher than those for other disciplined physicians (3.63 vs 3.35; P=.003) Conclusions: Physicians convicted for disciplinary misconduct generally had lower web-based ratings. Physicians convicted of sexual misconduct did not have lower ratings and were rated higher than other disciplined physicians. These findings may have future implications for the identification of physicians providing poor-quality care. %M 32406851 %R 10.2196/16708 %U //www.mybigtv.com/2020/5/e16708 %U https://doi.org/10.2196/16708 %U http://www.ncbi.nlm.nih.gov/pubmed/32406851
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