Challenges in using the internet to evaluate value in orthopaedic surgery.

Background: The Internet is one tool commonly used by patients to seek out healthcare information, including for orthopaedics. Our goal was to determine and compare the availability ("findability") of cost, quality, and patient experience information related to orthopaedic services with and without...

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Publicado en:Current Orthopaedic Practice Vol. 29; no. 1; pp. 1 - 8
Autores principales: Bernstein, David N., Mesfin, Addisu, Bozic, Kevin J.
Formato: research tables/charts Journal Article
Publicado: Lippincott Williams & Wilkins Jan/Feb2018
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Challenges in using the internet to evaluate value in orthopaedic surgery.
      aug:
        au:
          Bernstein, David N.
          Mesfin, Addisu
          Bozic, Kevin J.
        affil: Department of Orthopaedic Surgery, University of Rochester, 601 Elmwood Ave, Box 665, Rochester, NY 14642, USA
      sug:
        subj:
          Orthopedic Surgery
          Health Care Costs
          Health Information
          Internet Utilization
          Human
          Patient Satisfaction
          Quality of Health Care
          World Wide Web
          Bivariate Statistics
          Comparative Studies
          Geographic Factors
          Prevalence
      ab: Background: The Internet is one tool commonly used by patients to seek out healthcare information, including for orthopaedics. Our goal was to determine and compare the availability ("findability") of cost, quality, and patient experience information related to orthopaedic services with and without a geographic identifier. Methods: A list of 21 common search terms was compiled a priori. Using Google, each term was searched with and without a geographic identifier; the top 15 results were recorded. Findability, source of information, website ownership, information available (cost, quality, and/or patient experience), and frequency of website updates were noted. Bivariate analysis was used to compare results. Results: The prevalence of provider websites was significantly higher using the geographic identifier (47% vs. 0%, P =0.023). There was a significantly higher prevalence of patient experience information when using the location-specific search terms (59% vs. 11%, 0.036). However, there was no difference in the prevalence of sites offering cost (0% vs. 0%, P=0.99) or quality (59% vs. 33%, P=0.41) information between the two groups. No website in either search provided cost information. Ownership did not differ between the two search groups: government (0% vs. 11%, P=0.35); non-profit (41% vs. 11%, P =0.19); and for-profit (59% vs. 78%, P=0.42). Conclusions: The Internet can be a rich source of quality and patient experience information for orthopaedic patients. However, the use of search engine optimization and other marketing techniques may limit the ability of patients to receive unbiased and complete information.
      pubtype: Academic Journal
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    language: English
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