Abstract:
BACKGROUND:There has been a recent growth in health provider search portals, where patients specify filters-such as specialty or insurance-and providers are ranked by patient ratings or other attributes. Previous work has identified attributes associated with a provider's quality through user surveys. Other work supports that intuitive quality-indicating attributes are associated with a provider's quality. METHODS:We adopt a data-driven approach to study how quality indicators of providers are associated with a rich set of attributes including medical school, graduation year, procedures, fellowships, patient reviews, location, and technology usage. In this work, we only consider providers as individuals (e.g., general practitioners) and not organizations (e.g., hospitals). As quality indicators, we consider the referral frequency of a provider and a peer-nominated quality designation. We combined data from the Centers for Medicare and Medicaid Services (CMS) and several provider rating web sites to perform our analysis. RESULTS:Our data-driven analysis identified several attributes that correlate with and discriminate against referral volume and peer-nominated awards. In particular, our results consistently demonstrate that these attributes vary by locality and that the frequency of an attribute is more important than its value (e.g., the number of patient reviews or hospital affiliations are more important than the average review rating or the ranking of the hospital affiliations, respectively). We demonstrate that it is possible to build accurate classifiers for referral frequency and quality designation, with accuracies over 85 %. CONCLUSIONS:Our findings show that a one-size-fits-all approach to ranking providers is inadequate and that provider search portals should calibrate their ranking function based on location and specialty. Further, traditional filters of provider search portals should be reconsidered, and patients should be aware of existing pitfalls with these filters and educated on local factors that affect quality. These findings enable provider search portals to empower patients and to "load balance" patients between younger and older providers.
journal_name
BMC Health Serv Resjournal_title
BMC health services researchauthors
Wiley MT,Rivas RL,Hristidis Vdoi
10.1186/s12913-016-1338-1subject
Has Abstractpub_date
2016-03-14 00:00:00pages
90issn
1472-6963pii
10.1186/s12913-016-1338-1journal_volume
16pub_type
杂志文章abstract:BACKGROUND:Among all women who experienced an abortion in Sweden 2017, 45% had previously underwent at least one abortion. This phenomenon of increasing rates of repeat abortions stimulated efforts to improve contraceptive services through a Quality Improvement Collaborative (QIC) with user involvement. The participati...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-020-05799-x
更新日期:2020-10-16 00:00:00
abstract:BACKGROUND:Hospitalized patients are designated alternate level of care (ALC) when they no longer require hospitalization but discharge is delayed while they await alternate disposition or living arrangements. We assessed hospital costs and complications for general internal medicine (GIM) inpatients who had delayed di...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-019-4760-3
更新日期:2019-12-04 00:00:00
abstract:BACKGROUND:The time from a referral for suspected lung cancer is received at a hospital until treatment start has been defined as a quality indicator. Current Norwegian recommendation is that ≥70% should start surgery or radiotherapy within 42 calendar days and systemic therapy within 35 days. However, delays can occur...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-016-1952-y
更新日期:2017-01-17 00:00:00
abstract:BACKGROUND:General practitioners (GPs) adopt clinical practice guidelines to varying degrees. Several factors have been found to influence application of guidelines in practice and the GP is apparently the key actor. Studies are needed to increase our understanding of how GPs' attitudes influence their use of guideline...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-8-218
更新日期:2008-10-22 00:00:00
abstract:BACKGROUND:Team-based approaches to research capacity building (RCB) may be an efficient means to promote allied health research participation and activity. In order to tailor such interventions, a clearer understanding of current patterns of research participation within allied health teams is needed. Different self-r...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-017-1996-7
更新日期:2017-02-06 00:00:00
abstract:BACKGROUND:Pay-for-Performance programs have shown improvement in indicators monitoring adequacy and target achievement in diabetic care. However, less is known regarding the impact of this program on the occurrence and long-term effects of diabetic retinopathy. The objective of this study was to determine the effect o...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-018-3454-6
更新日期:2018-08-15 00:00:00
abstract:BACKGROUND:In response to long waiting lists and problems with access to primary care physiotherapy, several Primary Care Trusts (PCTs) (now Clinical Commissioning Groups CCGs) developed physiotherapy-led telephone assessment and treatment services. The Medical Research Council (MRC) funded PhysioDirect trial was a ran...
journal_title:BMC health services research
pub_type: 杂志文章,随机对照试验
doi:10.1186/s12913-016-1349-y
更新日期:2016-03-28 00:00:00
abstract:BACKGROUND:In the Netherlands, ethnic minority populations visit their general practitioner (GP) more often than the indigenous population. An explanation for this association is lacking. Recently, health literacy is suggested as a possible explaining mechanism. Internationally, associations between health literacy and...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-017-2276-2
更新日期:2017-05-15 00:00:00
abstract:BACKGROUND:Delayed diagnosis of Oral Cancer (OC) can mean a difference in quality and expectancy of life for the patient. This delay could be from the healthcare side, or more importantly from the patient's side. Globally, there are studies enumerating the causes for delays from the patients' side in seeking healthcare...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-019-4521-3
更新日期:2019-10-21 00:00:00
abstract:BACKGROUND:Strengthening primary health care is critical to reducing health inequity between Indigenous and non-Indigenous Australians. The Audit and Best practice for Chronic Disease Extension (ABCDE) project has facilitated the implementation of modern Continuous Quality Improvement (CQI) approaches in Indigenous com...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-10-129
更新日期:2010-05-19 00:00:00
abstract:BACKGROUND:Healthcare workers, in the hospital and in community clinics, are frequently exposed to verbal and physical abuse that can lead to frustration and despair. This study's objectives were to evaluate trends in violence towards hospital and community doctors in the Negev region of Israel and to compare them to t...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-019-4700-2
更新日期:2019-11-26 00:00:00
abstract::The use of mixed methods (combining quantitative and qualitative data) is developing in a variety of forms, especially in the health field. Our own research has adopted this perspective from the outset. We have sought all along to innovate in various ways and especially to develop an equal partnership, in the sense of...
journal_title:BMC health services research
pub_type: 历史文章,杂志文章,评审
doi:10.1186/1472-6963-15-S3-S7
更新日期:2015-01-01 00:00:00
abstract:BACKGROUND:Health care systems initiating major behavioral health programs often face challenges with variable implementation and uneven patient engagement. One large health care system, Veterans Health Administration (VHA), recently initiated the MOVE!® Weight Management Program, but it is unclear if veterans most in ...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-13-511
更新日期:2013-12-10 00:00:00
abstract:BACKGROUND:Industry partnerships can help leverage resources to advance HIV/AIDS vaccine research, service delivery, and policy advocacy goals. This often involves capacity building for international and local non-governmental organizations (NGOs). International volunteering is increasingly being used as a capacity bui...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-13-378
更新日期:2013-10-02 00:00:00
abstract:BACKGROUND:Several countries have developed policies that restrict or limit duration of stay, clinical privileges or the number of residency permits allocated to migrating physicians. Switzerland is currently preparing a new law limiting overall foreign immigration. The impact of such restrictive policies is currently ...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-015-0867-3
更新日期:2015-05-22 00:00:00
abstract:BACKGROUND:For mothers who have just given birth, the postpartum hospital stay is meant to promote an environment where resting, healing and bonding can take place. New mothers, however, face many interruptions throughout the day including multiple visitors and noise caused by medical equipment, corridor conversations ...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-014-0604-3
更新日期:2014-11-29 00:00:00
abstract:BACKGROUND:Guidelines recommend shared decision making (SDM) for determining whether to use statins to prevent cardiovascular events in at-risk patients. We sought to develop a toolkit to facilitate the cross-organizational spread and scale of a SDM intervention called the Statin Choice Conversation Aid (SCCA) by (i) a...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-019-4055-8
更新日期:2019-04-24 00:00:00
abstract:BACKGROUND:Hospitals are merging to become more cost-effective. Mergers are often complex and difficult processes with variable outcomes. The aim of this study was to analyze the effect of mergers on long-term sickness absence among hospital employees. METHODS:Long-term sickness absence was analyzed among hospital emp...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-14-50
更新日期:2014-02-03 00:00:00
abstract:BACKGROUND:Hospitals in European countries apply a wide range of quality improvement strategies. Knowledge of the effectiveness of these strategies, implemented as part of an overall hospital quality improvement system, is limited. METHODS/DESIGN:We propose to study the relationships among organisational quality impro...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-10-281
更新日期:2010-09-24 00:00:00
abstract:BACKGROUND:The engagement of citizens in the development of evidence-based screening programs is internationally supported. The aim of our research was to explore the motivations and reasons of adult citizens in Austria for attending periodic health examinations (PHE) as well as their satisfaction with the way PHE are ...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-018-3640-6
更新日期:2018-10-30 00:00:00
abstract:BACKGROUND:Predicting pharmacy service fees is crucial to sustain the health insurance budget and maintain pharmacy management. However, there is no evidence on how to predict pharmacy service fees at the population level. This study compares the status of pharmacy services and constructs regression model to project an...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-018-3067-0
更新日期:2018-05-03 00:00:00
abstract:BACKGROUND:Acute myocardial infarction (AMI) is one of the more frequent reasons diabetic patients are admitted to hospital, and there are reports that the long-term prognosis after an AMI is much worse in these patients than in non-diabetic patients. This study aims to compare hospital admissions and costs in Spanish ...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-10-59
更新日期:2010-03-08 00:00:00
abstract:BACKGROUND:Globally, almost 4 million newborns die during the first 4 weeks of life every year. By increased use of evidence-based knowledge in the healthcare system a large proportion of these neonatal deaths could be prevented. But there is a severe lack of knowledge on effective methods for successful implementation...
journal_title:BMC health services research
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1186/1472-6963-11-239
更新日期:2011-09-27 00:00:00
abstract:BACKGROUND:For a patient, drug switches are not desirable (either between a brand-name drug and a generic drug, or between two generic drugs of the same active substance). Research into the causes of drug switches, and related adverse drug reactions, is hampered by the absence of quantitative data on drug switches. ME...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-020-05494-x
更新日期:2020-07-13 00:00:00
abstract:BACKGROUND:Strong management skills are key to improving performance of health systems. Action learning, a technique to develop management skills, has been used successfully with health managers but not usually among lower level managers or in low and middle-income countries (LMICs). METHODS:This study uses a qualitat...
journal_title:BMC health services research
pub_type: 杂志文章,多中心研究
doi:10.1186/s12913-018-3693-6
更新日期:2018-11-29 00:00:00
abstract:BACKGROUND:Patients' satisfaction is an important indicator for quality of care. Measuring healthcare quality and improving patient satisfaction have become increasingly prevalent, especially among healthcare providers and purchasers of healthcare. This is mainly due to the fact that consumers are becoming increasingly...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-10-149
更新日期:2010-06-02 00:00:00
abstract:BACKGROUND:In most Western countries burn centres have been developed to provide acute and critical care for patients with severe burn injuries. Nowadays, those patients have a realistic chance of survival. However severe burn injuries do have a devastating effect on all aspects of a person's life. Therefore a well-org...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-015-0973-2
更新日期:2015-08-01 00:00:00
abstract:BACKGROUND:A large mental health treatment gap exists among conflict-affected populations, and Syrian refugees specifically. Promising brief psychological interventions for conflict-affected populations exist such as the World Health Organization's Problem Management Plus (PM+) and the Early Adolescent Skills for Emoti...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-020-05677-6
更新日期:2020-08-26 00:00:00
abstract:BACKGROUND:Migration has been shown to be associated with negative mental health outcomes. Moreover, migrants tend to underutilise mental health services. The current study aimed to assess the association between predictors, divided into three groups (predisposing, enabling and need), and two outcome variables: (1) pas...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-018-3504-0
更新日期:2018-09-06 00:00:00
abstract:BACKGROUND:Understanding the factors that influence the hospital length of stay (LOS) for patients with stroke will help in discharge planning and stroke unit management. We explored how intravenous thrombolysis (IVT) affects LOS in an acute-care hospital setting. METHODS:We analyzed adult patients with ischemic strok...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-015-1080-0
更新日期:2015-09-23 00:00:00