====== Rating ======

A rating is the [[evaluation]] or [[assessment]] of something, in terms of quality (as with a critic rating a novel), quantity (as with an athlete being rated by his or her statistics), or some combination of both.

[[Patient satisfaction]] [[rating]]s are increasingly used for [[hospital]] [[ranking]]s, referral base and [[physician reimbursement]]. As such, [[online]] [[physician rating websites]] (PRWs) are quickly becoming a topic of interest.
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Hopkins et al., analyzed [[physician reported industry payment]]s received by [[neurosurgeon]]s over four consecutive years as defined by the [[Physician Payments Sunshine Act]] (PPSA). All [[board]]-certified [[neurosurgeon]]s on three widely used [[Physician Rating Websites]] (PRWs).

[[Data]] was collected on average [[rating]], number of ratings and composite ratings. [[Demographics]], [[training]]-related and [[practice]]-related data were also collected. Each [[physician]] was identified and matched to their individually reported [[payment]]s from the PPSA [[database]].

Receiving higher amounts of industrial payments had no correlation to average PRW ratings, however was associated with receiving higher composite PRW ratings (p = 0.0389). Higher composite ratings (p = 0.0389), decreasing age (p = 0.005), being male (OR 1.7960, p = 0.005), completing a fellowship (OR 1.3310, p = 0.0085), having a more complete profile (OR 1.1121, p = 0.0057) and speaking more languages (OR 1.1253, p = 0.03802) all were correlated with receiving more total monetary payments. Training at a top 25 [[residency]] program was predictive of being in the bottom quartile of total monetary payments received (OR 1.676, p = 0.0002).

Patient experience as defined by PRW ratings are likely not strongly influenced by [[industry]] related monetary [[payment]]s, however some relationship may exist. Further study is needed to determine the true relationship between [[industry]] related monetary payments and the [[patient]] [[experience]]
((Hopkins B, Yamaguchi JT, Cloney MB, Shlobin NA, Dahdaleh NS. Effects of the
physician payments sunshine act on the patient experience and perception of care 
amongst neurosurgeons: A comparative study of online PRW ratings and industry
payments. Clin Neurol Neurosurg. 2018 Dec 11;176:127-132. doi:
10.1016/j.clineuro.2018.12.008. [Epub ahead of print] PubMed PMID: 30557766.
)).