What influence do regional satisfaction indicators have on patient complaint behavior? Analysis of anonymous doctor ratings in Web 2.0

Shortfacts
Relevance for consumer research
The aim of the analysis of anonymous reviews of doctors on Web 2.0 to be carried out as part of this project is not only to measure patient satisfaction, but also to generate a detailed picture of experiences and complaints and to clarify existing “patient myths”. For example, do older people complain more often, more quickly or more intensively than younger people? Are privately insured patients actually treated better and, if so, do they spend less time in the waiting room? To what extent does regional origin influence complaint behavior?
The aim of measuring satisfaction is to achieve a sustainable improvement in the relationship between the practitioner and the patient. Only if the satisfaction of those being treated is adequately interpreted can practitioners optimize their range of services accordingly and satisfy the people who come to their practice. This also has an influence on the success of treatment. Because: those who are satisfied are more likely to adhere to the prescribed treatment and are more likely to accept advice from medical professionals. Other advantages that result are a more trusting relationship, an increased willingness to cooperate and more openness in personal dialog. As patient satisfaction is also a key criterion for the long-term economic success of a practice, the collection and appropriate interpretation of satisfaction data leads to a better understanding of the patient's needs.
Knowledge gain about factors influencing patient satisfaction
In contrast to previous, traditional satisfaction surveys via telephone or other media with (direct) face-to-face contact, our satisfaction measurement via evaluation portals in Web 2.0 enables a more undistorted opinion to be collected. In the anonymity of the Internet, the willingness to express complaints increases, as the person surveyed has no need to hide their honest opinion for reasons of politeness, fear of an unpleasant situation or a violation of the sensitive relationship.
Patient satisfaction is examined from several perspectives. Among other things, health insurance affiliation is important. Here it is assumed that the evaluation behavior of private and statutory health insurance patients differs in terms of their individual experiences. Furthermore, it is assumed that the evaluation criteria (including “waiting time” and “treatment time”) are assigned different relevance depending on the type of health insurance. This goes hand in hand with the assumption that privately insured patients are subject to shorter waiting times. In addition to the health insurance-specific aspects, information on age and gender provides information on the complaint behavior and satisfaction of those treated: It is assumed that men are more satisfied with the services and that complaints about medical services increase with age.
Another special feature of our project is the consideration of regional satisfaction indicators (quality of life, level of income, employment rate) within a country when investigating complaint behavior. To what extent does regional origin influence complaint behavior? Are people from happier regions more likely to complain than people from other, less happy regions? The consideration of such factors, which have an effect on the complaint behavior of the treated persons but have nothing to do with the quality of treatment itself, are essential in order to draw correct conclusions from the measured patient satisfaction.
Implementation – Procedure and systematics

In order to generate a more detailed picture of experiences and complaints, a comprehensive analysis of the online experience reports is being sought. The focus of methodological interest here is the testing of methods from computational linguistics for data collection and analysis of evaluations of medical services.
Computer-aided data generation makes it possible to collect particularly large amounts of data so that they can then be evaluated using specially developed analysis algorithms. In order to take regional satisfaction indicators into account when analyzing the satisfaction of the people treated, a regional breakdown of satisfaction is carried out, as shown in the figure above. This enables patients to make qualified information and complaint behavior in which the service can be compared regionally.