TY -的AU -库尔,鲁道夫Bertijn盟——Kleefstra索菲亚马蒂娜盟——Borghans Ine盟——Atsma Femke AU - van de带,汤姆H PY - 2016 DA - 2016/07/15 TI -的影响,加强医疗监督审计人员对网络医院的病人评级:多层次研究超过43000的在线评级乔- J地中海互联网Res SP - e198六世- 18 - 7 KW -评级网站KW -监督KW——社交媒体KW -在线评论KW -医院AB -背景:在荷兰，有质量或安全问题的医院受到荷兰卫生保健监察局的加强监督，包括经常宣布和不宣布的实地视察和其他措施。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。我们将7家强化监管医院的数据与28家对照组医院的数据进行比较。该数据集包含43856个评级。我们进行了多水平逻辑回归分析，以解释医院内评级的聚类。在我们的分析中，固定效应是医院类型、时间和加强监管的时间。 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. SN - 1438-8871 UR - //www.mybigtv.com/2016/7/e198/ UR - https://doi.org/10.2196/jmir.5884 UR - http://www.ncbi.nlm.nih.gov/pubmed/27421302 DO - 10.2196/jmir.5884 ID - info:doi/10.2196/jmir.5884 ER -