scholarly journals Differences in Online Consumer Ratings of Health Care Providers Across Medical, Surgical, and Allied Health Specialties: Observational Study of 212,933 Providers

2018 ◽  
Vol 20 (5) ◽  
pp. e176 ◽  
Author(s):  
Timothy Daskivich ◽  
Michael Luu ◽  
Benjamin Noah ◽  
Garth Fuller ◽  
Jennifer Anger ◽  
...  
2017 ◽  
Author(s):  
Timothy Daskivich ◽  
Michael Luu ◽  
Benjamin Noah ◽  
Garth Fuller ◽  
Jennifer Anger ◽  
...  

BACKGROUND Health care consumers are increasingly using online ratings to select providers, but differences in the distribution of scores across specialties and skew of the data have the potential to mislead consumers about the interpretation of ratings. OBJECTIVE The objective of our study was to determine whether distributions of consumer ratings differ across specialties and to provide specialty-specific data to assist consumers and clinicians in interpreting ratings. METHODS We sampled 212,933 health care providers rated on the Healthgrades consumer ratings website, representing 29 medical specialties (n=128,678), 15 surgical specialties (n=72,531), and 6 allied health (nonmedical, nonnursing) professions (n=11,724) in the United States. We created boxplots depicting distributions and tested the normality of overall patient satisfaction scores. We then determined the specialty-specific percentile rank for scores across groupings of specialties and individual specialties. RESULTS Allied health providers had higher median overall satisfaction scores (4.5, interquartile range [IQR] 4.0-5.0) than physicians in medical specialties (4.0, IQR 3.3-4.5) and surgical specialties (4.2, IQR 3.6-4.6, P<.001). Overall satisfaction scores were highly left skewed (normal between –0.5 and 0.5) for all specialties, but skewness was greatest among allied health providers (–1.23, 95% CI –1.280 to –1.181), followed by surgical (–0.77, 95% CI –0.787 to –0.755) and medical specialties (–0.64, 95% CI –0.648 to –0.628). As a result of the skewness, the percentages of overall satisfaction scores less than 4 were only 23% for allied health, 37% for surgical specialties, and 50% for medical specialties. Percentile ranks for overall satisfaction scores varied across specialties; percentile ranks for scores of 2 (0.7%, 2.9%, 0.8%), 3 (5.8%, 16.6%, 8.1%), 4 (23.0%, 50.3%, 37.3%), and 5 (63.9%, 89.5%, 86.8%) differed for allied health, medical specialties, and surgical specialties, respectively. CONCLUSIONS Online consumer ratings of health care providers are highly left skewed, fall within narrow ranges, and differ by specialty, which precludes meaningful interpretation by health care consumers. Specialty-specific percentile ranks may help consumers to more meaningfully assess online physician ratings.


1985 ◽  
Vol 11 (2) ◽  
pp. 195-225
Author(s):  
Karla Kelly

AbstractUntil recently, physicians have been the primary health care providers in the United States. In response to the rising health care costs and public demand of the past decade, allied health care providers have challenged this orthodox structure of health care delivery. Among these allied health care providers are nurse practitioners, who have attempted to expand traditional roles of the registered nurse.This article focuses on the legal issues raised by several major obstacles to the expansion of nurse practitioner services: licensing restrictions, third party reimbursement policies, and denial of access to medical facilities and physician back-up services. The successful judicial challenges to discriminatory practices against other allied health care providers will be explored as a solution to the nurse practitioners’ dilemma.


2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Sysavanh Phommachanh ◽  
Dirk R. Essink ◽  
E. Pamela Wright ◽  
Jacqueline E. W. Broerse ◽  
Mayfong Mayxay

2017 ◽  
Vol 4 ◽  
pp. 205435811773453 ◽  
Author(s):  
Sharanya Ramesh ◽  
Matthew T. James ◽  
Jayna M. Holroyd-Leduc ◽  
Stephen B. Wilton ◽  
Ellen W. Seely ◽  
...  

Author(s):  
Vaibhav Goel Bhartiya ◽  
Prem Chandra ◽  
Himani Sharma

Since the beginning of human civilization, hygiene, health, medicine religious practices and law, are found to be interwoven around each other. On one hand, ancient legal system or religion preaches us about an ideal way of living life, on the other hand, the health care providers, try to identify and observe the religious practices and faith of the patient for providing better treatment. These practices may include prayer, meditation, bathing and cleanliness, dietary needs and astrological beliefs of patient. The history of alliance of law in the religious preaching and religious practices, medicine, and healthcare is very interesting to look at. Since ages, to make people take up cleanliness as a habit, it has been linked to Godliness, for example in Hinduism it is often said that “Swachchta hi Prabhuta hai”. Also, for hundreds of years, religious institutions were responsible for licensing physicians to practice medicine. Thus, religious practices are external activities or functions of human civilizations which works as code of conduct for them. The present piece of work is an attempt to identify the relevance of Article 25 of Indian Constitution for the medical practitioners while treating patients with orthodox patients with deep rooted religious practices which may create hindrances in the treatment too.


2020 ◽  
Author(s):  
Japbani K Nanda ◽  
Jennifer L Hay ◽  
Michael A Marchetti

BACKGROUND The internet is an accessible resource for health care information and is often used by patients to learn about melanoma. The keywords that are used in internet searches can reflect internet users’ interest in specific topics and the public’s awareness of health-related issues. OBJECTIVE This study aims to describe the most frequently used keywords, questions, and corresponding websites in internet searches for melanoma. METHODS This is an observational study using data retrieved from Google Trends, Alexa Internet, SEMrush, Ahrefs, and SE Ranking for the keywords “melanoma” and “skin cancer.” RESULTS Average search interest as per Google Trends was greater for the keyword “skin cancer” than for the keyword “melanoma.” Searches for the top 25 keywords in 3 databases resulted in 34 unique melanoma keywords and 33 unique skin cancer keywords. Melanoma keywords were most frequently related to clinicopathologic classification (n=11, 32%), and skin cancer keywords were most frequently about diagnosis (n=14, 42%). Questions about the prognosis of melanoma appeared most frequently among the most popular melanoma questions, but general questions or questions about the diagnosis of melanoma contributed the greatest proportion of searches by search volume. Skin cancer question searches were most commonly about diagnosis. The highest proportion of searches for popular melanoma and skin cancer keywords most frequently sent traffic to websites from nonprofit organizations and media companies, respectively. CONCLUSIONS We identified common keywords, questions, and websites used to access information about melanoma on the internet. These data may help health care providers and public health professionals when educating and counseling patients and the public about skin cancer.


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