Evidence map›Paper›PMID 31531811›Full record

ArticleJournal of general internal medicine2019

A Comparison of Online Physician Ratings and Internal Patient-Submitted Ratings from a Large Healthcare System.

Kanu Okike, Natalie R Uhr, Sherry Y M Shin, Kristal C Xie, Chong Y Kim, Tadashi T Funahashi, Michael H Kanter

Open access · bronzeAbstract readComparative Study
In one paragraph

Article in Journal of general internal medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.9field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 1 country.

Kanu OkikeHawaii Permanente Medical Group, Kaiser Moanalua Medical Center, Moanalua Road, Honolulu, HI, USA. okike@post.harvard.edu.
Natalie R UhrHarvard University, Cambridge, MA, USA.
Sherry Y M ShinUniversity of California-Los Angeles, Los Angeles, CA, USA.
Kristal C XieBoston University, Boston, MA, USA.
Chong Y KimSouthern California Permanente Medical Group, Pasadena, CA, USA.
Tadashi T FunahashiSouthern California Permanente Medical Group, Pasadena, CA, USA.
Michael H KanterDepartment of Clinical Science, Kaiser Permanente, School of Medicine, Pasadena, CA, USA.
Harvard University Press · USKaiser Permanente · USKaiser Permanente Moanalua Medical Center · USUniversity of California, Los Angeles · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPhysician online ratings are ubiquitous and influential, but they also have their detractors. Given the lack of scientific survey methodology used in online ratings, some health systems have begun to publish their own internal patient-submitted ratings of physicians.

objectiveThe purpose of this study was to compare online physician ratings with internal ratings from a large healthcare system.

designRetrospective cohort study comparing online ratings with internal ratings from a large healthcare system.

settingKaiser Permanente, a large integrated healthcare delivery system.

participantsPhysicians in the Southern California region of Kaiser Permanente, including all specialties with ambulatory clinic visits. MAIN MEASURES: The primary outcome measure was correlation between online physician ratings and internal ratings from the integrated healthcare delivery system.

resultsOf 5438 physicians who met inclusion and exclusion criteria, 4191 (77.1%) were rated both online and internally. The online ratings were based on a mean of 3.5 patient reviews, while the internal ratings were based on a mean of 119 survey returns. The overall correlation between the online and internal ratings was weak (Spearman's rho .23), but increased with the number of reviews used to formulate each online rating.

conclusionsPhysician online ratings did not correlate well with internal ratings from a large integrated healthcare delivery system, although the correlation increased with the number of reviews used to formulate each online rating. Given that many consumers are not aware of the statistical issues associated with small sample sizes, we would recommend that online rating websites refrain from displaying a physician's rating until the sample size is sufficiently large (for example, at least 15 patient reviews). However, hospitals and health systems may be able to provide better information for patients by publishing the internal ratings of their physicians.

Indexed as

Patient SatisfactionAmbulatory Care FacilitiesDelivery of Health Care, IntegratedFemaleHumansInternetMalePhysiciansRetrospective StudiesSurveys and Questionnairespatient satisfactionphysician online ratingsphysician online reviews

Identifiers

PMID31531811
PMCPMC6848281
OpenAlexW2974491096

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.