physician Rating System: Good or Bad?

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People seeing to sing the praises of their physician or to voice displeasure over his or her practices have increasingly turned to ratings websites.

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But some doctors are taking steps to stop such postings by having patients sign a one-page "gag order" prohibiting them from publishing and airing public comments about the physician before receiving treatment. The gag-order contracts, created by the curative Justice Corp., have not been challenged yet, but raise the ask whether squelching a physician rating is a violation of free speech.

Doctors who have adopted the "gag order" course have no qualms about maybe stifling a patient's First Amendment ownership from going off on a certain curative professional.

"Your reputation is critical," Dr. Nick Slenkovich, a plastic surgeon in the Denver area, said in a modern Angie's List Magazine article. "If you lose it, it's gone."

Ratings and data on condition care have exploded on the Internet. condition ratings websites offer all from a chronicle of doctors in your area to the typical cost for a certain curative procedure, lab test or doctor's visit - all in the name of providing patients and possible patients the most data possible to make decisions about their condition care.

Ratings and profiles abound about physicians, nursing homes and hospitals. And the data is ready and used by corporations, hospitals, consumers and condition plans in production condition care decisions.

With these sites getting millions of hits each month and so much riding on these rankings and ratings, should people be able to post anonymously about a physician or hospital? Some experts feel that by having to supply a name with each physician rating, people would not give an honest estimation of their curative touch and instead give the physician or curative center high marks to avoid uneasiness at their next appointment. Others feel that without registration requirements, disgruntled patients can go off on a tangent against a physician or curative premise when the inpatient might be at some fault as well.

Health institutions, along with hospitals and nursing homes, can get a sense of how they are stacking up against the competition with such ratings and likely won't be impacted by one or two negative ratings from patients. The ratings help hospitals target their strengths and weaknesses and where patients want the premise to be down the road.

But ratings get a tiny more personal with doctors who can be slammed by a disgruntled inpatient or two on a website with not many reviews and that can sway his or her business.

While many of the rating sites are free, there are some that fee for certain data - data that had only been ready to clients, but may have advantage for the public as well.

Some ratings sites don't accept public comment, basing their ratings of the doctors on public and private third-party reports and information. Their experts do the risk adjustments based on demographic characteristics of patients, the severity of patient's illnesses, and differences in procedures and regions, so that viewers of the site are getting an apples-to-apples comparison of doctors and not just one or two people's view of the physician.

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