Physician Rating Websites in the United States: A systematic review (Preprint)

2021 ◽  
Author(s):  
Meenakshi Bhilwar ◽  
Suzanne A Boren ◽  
Kunal Bhatia
Keyword(s):  
English Language ◽  
Healthcare Delivery ◽  
Healthcare Quality ◽  
Geographic Location ◽  
Quality Of Healthcare ◽  
The United States ◽  
The Us ◽  
Online Ratings ◽  
Physician Rating ◽  
Physician Relationship

BACKGROUND Physician rating websites are gaining popularity, however, data on their usability and influence on healthcare quality is limited. OBJECTIVE to provide an overview of physician rating websites in the US and find answers for the following questions: 1. What are the most commonly studied/rated physician rating websites in the US? 2. Which specialty of physicians/providers are most commonly studied/rated? 3. How many physicians were rated on the studied PRWs? 4. What is the average number of ratings on these websites and are they positive or negative? 5. How does the profile of providers influence their rating? 6. How are PRWs associated with healthcare quality? 7. How PRWs are associated with patient-physician relationship? METHODS A systematic literature search was conducted through Medline for peer-reviewed articles in the English language on studies conducted in the US. RESULTS 33 articles published in peer-reviewed journals were included in the final review. Most of the studies were conducted on surgeons. A significant number of studies observed no correlation of online ratings with gender, geographic location, and years of experience. Additionally, no significant correlation was found between PRWs and healthcare quality. CONCLUSIONS It has been observed that with the current structure of these websites, the reliability of information available on them is rather questionable, and hence more research is required to assess the credibility of these websites along with their cost-effectiveness, effect on the patient-physician relationship, and quality of healthcare delivery.

scholarly journals Association of patients’ perception of quality of healthcare received and colorectal cancer screening uptake: An analysis of two national surveys in the United States

2020 ◽  
Author(s):  
Karan Chawla ◽  
Angesom Kibreab ◽  
Victor & Scott ◽  
Edward L. Lee ◽  
Farshad Aduli ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
United States ◽  
Healthcare Delivery ◽  
Quality Of Healthcare ◽  
Healthcare Services ◽  
The United States ◽  
Crc Screening ◽  
Fair Poor ◽  
National Trends

Objective: It is unknown whether patients’ ratings of the quality of healthcare services they receive truly correlate with the quality of care from their providers. Understanding this association can potentiate improvement in healthcare delivery. We evaluated the association between patients’ ratings of the quality of healthcare services received and uptake of colorectal cancer (CRC) screening. Subject and Methods: We used two iterations of the Health Information National Trends Survey (HINTS) of adults in the United States. HINTS 2007 (4,007 respondents; weighted population=75,397,128) evaluated whether respondents were up-to-date with CRC screening while HINTS 4 cycle 3 (1,562 respondents; weighted population=76,628,000) evaluated whether participants had ever received CRC screening in the past. All included respondents from both surveys were at least 50 years of age, had no history of CRC, and had rated the quality of healthcare services that they had received at their healthcare provider’s office in the previous 12 months. Results: HINTS 2007 data showed that respondents who rated their healthcare as good, or fair/poor were significantly less likely to be up to date with CRC screening compared to those who rated their healthcare as excellent. We found comparable results from analysis of HINTS 4 cycle 3 data with poorer uptake of CRC screening as the healthcare quality ratings of respondents’ reduced. Conclusion: Our study suggested that patients who reported receiving lower quality of healthcare services were less likely to have undergone and be compliant with CRC screening recommendations. It is important to pay close attention to patient feedback surveys in order to improve healthcare delivery.

scholarly journals Proving Chinese Law in the Courts of the United States

Amicus Curiae ◽  
2021 ◽  
Vol 2 (2) ◽  
pp. 188-215
Author(s):  
Richard K Wagner
Keyword(s):  
United States ◽  
English Language ◽  
The United States ◽  
Civil Procedure ◽  
Business Culture ◽  
Republic Of China ◽  
Chinese Law ◽  
Cross Border ◽  
Chinese Business ◽  
The Us

The volume of disputes heard by United States (US) courts containing a China element continues to be robust even against a backdrop of political rhetoric concerning an economic ‘de-coupling’ of the US and China. These cross-border disputes often involve Chinese parties and special issues, some of which concern Chinese business culture, but many of which involve interpreting questions of Chinese law. How is proving Chinese law accomplished in these cases and how have US courts performed in interpreting Chinese law? This article first discusses the approach to proving Chinese law in US courts. While expert testimony is often submitted and can be valuable to a US court, the applicable US rule offers no standards by which these opinions are to be judged. And, in the China context, without specific guidance, it can be challenging for a judge, unaccustomed with China or the Chinese legal system to determine which version of the law to believe. Moreover, under the applicable rule, the US court can simply ignore competing Chinese law opinions and conduct its own Chinese law legal research, presumably using English language sources. This can lead to interesting interpretations of Chinese law to say the least. The article anchors its discussion in an examination of those recent cases which have interpreted Article 277 of the Civil Procedure Law of the People’s Republic of China. This is the legal provision of Chinese law that can be implicated in certain situations involving cross-border discovery, and there are now numerous Article 277 cases among the reported US decisions. The article analyses Article 277 by placing it within the larger context of Chinese civil procedure and argues that the language used in the provision has a special meaning within Chinese evidence law that has been obscured in those US case decisions interpreting it, leading to erroneous results. The article concludes by offering judges and practitioners some suggestions for interpreting Chinese law in future US cases. Keywords: Chinese law; US courts; Article 277; deposition; cross-border discovery; Hague Evidence Convention; Chinese civil procedure.

scholarly journals The peculiarities of functionality of evaluative lexis in the English-language political discourse (on the text of US mass media)

Litera ◽  
2020 ◽  
pp. 18-28
Author(s):  
Aleksandr Petrovich Evlasev ◽  
Larisa Alekseevna Sychugova
Keyword(s):  
Mass Media ◽  
Political Discourse ◽  
English Language ◽  
Modern Society ◽  
The United States ◽  
Political Life ◽  
The Political ◽  
Public Figures ◽  
The Us ◽  
Ideological Influence

This article is dedicated to examination of the questions of functionality of evaluative lexis in political discourse of the United States. The relevance of the topic is substantiated by the heightened interests of research towards the peculiarities of expressing evaluative meanings in various types of discourse. In modern linguistics, the analysis of functionality of evaluative lexis in the political discourse is of unequivocal interest, since axiological interpretation significantly affects the life of modern society. Research methodology is comprised of the work of such Russian linguists as I. S. Alekseeva, A. A. Ufimtseva, T. A. Znamenskaya, N. D. Arutyunova, and others. Special attention is given to the method of realization of negative evaluations. The goal of this  article consists in the methods of expression of evaluative meanings s using stylistic means, as the language is an effective weapon in the world of politics. The political texts of US mass media served as the material for this research due to the fact that mass media influence the formation of public opinion, the course of political discussions and referendums, rating of political and public figures, political parties, and public organizations. The conducted analysis demonstrates that the US political discourse includes different lexical and stylistic means applied for exertion of ideological influence, as well as formation of certain attitudes on certain realities of political life among the recipients.

scholarly journals The Definition and Scope of Diagnostic Error in the US and How Diagnostic Error is Enabled

2018 ◽  
Vol 3 (1) ◽  
pp. 128-134 ◽  
Author(s):  
Michael Laposata
Keyword(s):  
Patient Outcomes ◽  
Healthcare Delivery ◽  
Quality Of Healthcare ◽  
Developed Countries ◽  
Diagnostic Error ◽  
Cost Of Care ◽  
Contributing Factors ◽  
The Us ◽  
First Time

Abstract Background The quality of healthcare in the US has been progressively addressed by 3 reports from the National Academy of Medicine, the latest of which, entitled “Improving Diagnosis in Health Care,” was issued in 2015 from a 21-member panel (the author of this report was a member). The report is a review of the longstanding problem of diagnostic error. The infrastructure of healthcare delivery in the US has inadvertently made diagnostic error a major contributor to the high cost of care and preventable poor patient outcomes. Content This review describes the failures in US healthcare delivery that have led to the overwhelming number of deaths attributable to diagnostic error. Each failure is associated with recommendations to eliminate it. The review begins with a description of the scope of the diagnostic error problem and then discusses each of the issues that need to be addressed to reduce the number of misdiagnoses. Summary The problem of diagnostic error in the US is a large one. Some the contributing factors to this large problem can be resolved at a small expense and with modest change; others require a major overhaul of aspects of medical practice. For the first time, Americans have a “to-do list” to reduce our diagnostic error problem and be on par with other developed countries that are recognized as providing less costly care with better patient outcomes.

Characterizing healthcare delivery in the United States using Census Bureau’s County Business Patterns (2000–2016)

2020 ◽  
Vol 41 (6) ◽  
pp. 723-728
Author(s):  
Astha KC ◽  
Melissa K. Schaefer ◽  
Nimalie D. Stone ◽  
Joseph Perz
Keyword(s):  
Long Term Care ◽  
Healthcare Delivery ◽  
The United States ◽  
Healthcare Sector ◽  
Nursing Facilities ◽  
Term Care ◽  
The North ◽  
The Us ◽  
Care Facilities

AbstractBackground:The US Census Bureau’s County Business Patterns (CBP) series provides a unique opportunity to describe the healthcare sector using a single, national data source.Methods:We analyzed CBP data on business establishments in the healthcare industry for 2000–2016 for all 50 states and the District of Columbia. Setting and facility types were defined using the North American Industry Classification System.Results:In 2016, CBP enumerated 707,634 US healthcare establishments (a 34% increase from 2000); 86.5% were outpatient facilities and services followed by long-term care facilities (12.5%) and acute-care facilities (1.0%). Between 2000 and 2016, traditional facilities such as general medical surgical and surgical hospitals (−0.4%) and skilled nursing facilities (+0.1%) decreased or remained flat, while other long-term care and outpatient providers grew rapidly.Conclusion:This analysis highlights the steady growth and increased specialization of the US healthcare sector, particularly in long-term care and outpatient settings.

scholarly journals Perceived structural vulnerabilities among detained noncitizen immigrants in Minnesota

PLoS ONE ◽  
2021 ◽  
Vol 16 (6) ◽  
pp. e0252232
Author(s):  
Kazumi Tsuchiya ◽  
Olivia Toles ◽  
Christopher Levesque ◽  
Kimberly Horner ◽  
Eric Ryu ◽  
...  
Keyword(s):  
Language Proficiency ◽  
English Language ◽  
The United States ◽  
Third Party ◽  
Structural Determinants ◽  
Immigration Detention ◽  
The Us ◽  
Immigration Reforms ◽  
Collaborative Efforts

Across several decades there has been an unprecedented increase in immigration enforcement including detention and deportation. Immigration detention profoundly impacts those experiencing detention and their family members. An emerging area of research has found that immigrants experience a number of challenges which constrain and limit their decisions, choices, and options for security and integration in the United States due to social, political and structural determinants. These determinants lead to greater structural vulnerabilities among immigrants. The purpose of the current study was to illuminate the perceived vulnerabilities of detained noncitizen immigrants as they are raised and described while attending case hearings at the Bloomington, Minnesota immigration court. Through conducting a thematic analysis of notes derived from third party immigration court observers, three areas of perceived vulnerability were identified. These perceived vulnerabilities include 1) migration and motivations to migrate, 2) structural vulnerabilities (e.g., discrimination, financial insecurity, social ties and family support, stable or fixed residence, English language proficiency, health and mental health) in the US, and 3) challenges in navigating immigration detention. These findings demonstrate that noncitizen immigrants who are undergoing immigration detention are experiencing multiple intersecting vulnerabilities which profoundly impact their lives. Collaborative efforts across sectors are needed to work towards comprehensive immigration reforms including both short-term and long-term solutions to address pressing issues for noncitizens undergoing immigration detention.

scholarly journals Diverse Caregivers in the United States: Implications for Caregiving Across the Lifespan

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 104-105
Author(s):  
C Grace Whiting ◽  
Rita Choula ◽  
Yanira Cruz ◽  
Lauren Pongan ◽  
Feylyn Lewis
Keyword(s):  
Asian American ◽  
Alaska Native ◽  
Geographic Location ◽  
The United States ◽  
Policy And Practice ◽  
Depth Analysis ◽  
The Us ◽  
Survey Interviews ◽  
Policy Institute ◽  
The Impact

Abstract Caregivers with diverse backgrounds make up an important part of the landscape of caregiving in the US. Their unique experiences have been traditionally under-researched in the field of social sciences and underrecognized by society. To further understand the impact of race, ethnicity, class, gender and sexuality onto caregiving, the National Alliance for Caregiving (NAC) and the AARP Public Policy Institute commissioned an in-depth analysis of the dataset collected from the Caregiving in the US 2020 study, which segments populations based on ethnic and sexual identity, geographic location, and income level. Utilizing survey interviews with 1,392 caregivers in the US, this study found differences amongst the African-American, Latinx, and Asian American-Pacific Islander populations in relation to age, time spent caregiving, ADL/IADLs, caregiving strain and intensity, receipt of formal and informal support, and financial impact. In consideration of the distinct challenges presented by diverse caregiving throughout the lifespan, this presentation will also feature results from a 2020-2021 Diverse Elders Coalition and NAC commissioned study on the unmet caregiving needs in diverse communities. 11 virtual listening sessions were held with 400 caregivers of color, including American Indian/Alaska Native caregivers, and LGBTQ caregivers across the nation. Presentation attendees can expect to learn new insights into the experiences of diverse caregivers, while also gaining a fresh understanding of informal and formal support preferences with a multicultural lens. Finally, this presentation will provide recommendations to further prioritize the needs of historically marginalized caregivers in policy and practice.

scholarly journals Early Pediatric Fractures in a Universally Insured Population within the United States

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Jared A. Wolfe ◽  
Heather Wolfe ◽  
Amanda Banaag ◽  
Scott Tintle ◽  
Tracey Perez Koehlmoos
Keyword(s):  
Risk Factors ◽  
Pediatric Patients ◽  
Age Groups ◽  
Epidemiologic Study ◽  
Geographic Location ◽  
The United States ◽  
Annual Incidence ◽  
Multiple Risk Factors ◽  
The Us ◽  
Common Causes

Abstract Background Musculoskeletal injury, including fracture, is one of the most common causes of morbidity in pediatric patients. The purpose of this epidemiologic study is to determine the prevalence and risk factors for fracture in a large cohort of pediatric patients under the age of 5. Results Of the 233,869 patients included in the study, 13,698 fractures were identified in 10,889 patients. The highest annual incidence was in the 4 year old age group with a rate of 24.2 fractures per 1000 children. The annual incidence within all age groups was 11.7 fractures per 1000 children. The two most common fractures were forearm and humerus fractures. Fracture incidence was increased in male children, patients who live outside the US, and in Caucasian patients. An increase in rate of fracture was also identified in children of officers when compared with children of enlisted service members. There were 35 abuse related fractures in our cohort, with 19 of them occurring in children less than 1 year old. Only three children in our cohort had Osteogenesis Imperfecta. Conclusion Fractures are common injuries in young children with an incidence over the first 5 years of life of 5.86%. Multiple risk factors were also identified including age, race, geographic location and socioeconomic status. The results of this study are an important contribution to epidemiologic and public health literature and serve to characterize the incidence of and risk factors for sustaining an early childhood fracture.

scholarly journals Social Media Perceptions of Surgical Cancer Care in the Era of COVID-19: A Global Cross-Sectional Study

2020 ◽  
pp. 1306-1311
Author(s):  
Evan J. Keil ◽  
Sergio M. Navarro ◽  
Hashim Shaikh ◽  
Lilian E. Yao ◽  
Todd M. Tuttle
Keyword(s):  
Social Media ◽  
Cancer Care ◽  
English Language ◽  
Geographic Location ◽  
The United States ◽  
Cross Sectional Study ◽  
Primary Objective ◽  
Sectional Study ◽  
Cross Sectional ◽  
Global Pandemic

PURPOSE The rapid dissemination of information through social media renders a profound lens to evaluate perceptions of emerging topics, especially in the context of a global pandemic. The primary objective of this cross-sectional study was to elucidate trends on social media in the setting of surgical cancer care affected by the COVID-19 pandemic across the globe. METHODS A public search of Twitter from April 1 to 30, 2020, was conducted, which yielded 996 posts related to COVID-19 and cancer. Two authors (E.J.K. and H.S.) individually reviewed all posts and recorded the post category, engagement, author category, and geographic location. Data were then analyzed through descriptive analyses. Only English-language posts were included, and any noncancer- or non-COVID–related posts were excluded from the analysis. RESULTS A total of 734 unique authors from 26 different countries wrote 996 relevant posts that averaged 12.0 likes, 4.7 retweets, and 0.5 hashtags per post. Only 2.3% (23 of 996) of posts included a video. Authors of the included tweets most frequently were friends and families of patients (183; 18.4%), academic institutions or organizations (182; 18.3%), and physicians (138; 13.9%). Topics of importance were cancellations of surgeries (299; 40.1%), COVID-19 education (211; 121.2%), and research studies (93; 9.3%). The United Kingdom and the United States made up 81.5% of the cohort, followed by Canada (6.6%) and India (2.4%). Of posts where a specific type of surgery was identified (196), the most common type mentioned was breast cancer (50; 25.5%), followed by lung cancer (37; 18.9%) and urologic cancer (22; 11.2%). CONCLUSION This analysis provides insight into the resulting impacts of COVID-19 on the global discussion of surgical cancer care.

Negotiating entitlement to language: Calling 911 without English

2014 ◽  
Vol 43 (1) ◽  
pp. 33-59 ◽  
Author(s):  
Chase Wesley Raymond
Keyword(s):  
Language Contact ◽  
English Language ◽  
Social Institutions ◽  
Emergency Situation ◽  
The United States ◽  
Institutional Talk ◽  
The Us ◽  
Translation Services ◽  
The One ◽  
To Receive

AbstractWhen individuals in the United States dial the emergency service telephone number, they immediately encounter some version of the English-language institutional opening “Nine-one-one, what is your emergency?”. What happens, though, when the one placing the call is not a speaker of English? How do callers and call-takers adapt to overcome this added communicative barrier so that they are able to effectively assess the emergency situation at hand? The present study describes the structure of a language negotiation sequence, which serves to evaluate callers' entitlement to receive service in a language other than the institutional default—in our case, requests for Spanish in lieu of English. We illustrate both how callers initially design requests for language, as well as how call-takers subsequently respond to those differing request formulations. Interactions are examined qualitatively and quantitatively to underscore the context-based contingencies surrounding call-takers' preference for English over the use of translation services. The results prove informative not only in terms of how bilingual talk is organized within social institutions, but also more generally with regard to how humans make active use of a variety of resources in their attempts to engage in interaction with one another. (Entitlement, discourse/social interaction, conversation analysis, requests, language contact, institutional talk, Spanish (in the US))*

Sign in / Sign up

Export Citation Format

Share Document