• David A Hanauer, Kai Zheng, Dianne C Singer, Achamyeleh Gebremariam, and Matthew M Davis.
• Division of General Pediatrics, Department of Pediatrics; Center for Computational Medicine and Bioinformatics; Comprehensive Cancer Center; Michigan Institute for Clinical and Health Research; School of Information; Institute for Healthcare Policy and Innovation; hanauer@med.umich.edu.
• Pediatrics. 2014 Oct 1;134(4):e966-75.

Background And ObjectiveThe US public is increasingly using online rating sites to make decisions about a variety of consumer goods and services, including physicians. We sought to understand, within the context of other types of rating sites, parents' awareness, perceptions, and use of physician-rating sites for choosing primary care physicians for their children.MethodsThis cross-sectional, nationally representative survey of 3563 adults was conducted in September 2012. Participants were asked about rating Web sites in the context of finding a primary care physician for their children and about their previous experiences with such sites.ResultsOverall, 2137 (60%) of participants completed the survey. Among these respondents, 1619 were parents who were included in the present analysis. About three-quarters (74%) of parents were aware of physician-rating sites, and about one-quarter (28%) had used them to select a primary care physician for their children. Based on 3 vignettes for which respondents were asked if they would follow a neighbor's recommendation about a primary care physician and using multivariate analyses, respondents exposed to a neighbor's recommendation and positive online physician ratings were significantly more likely to choose the recommended physician (adjusted odds ratio: 3.0 [95% confidence interval: 2.1-4.4]) than respondents exposed to the neighbor's recommendation alone. Conversely, respondents exposed to the neighbor's recommendation and negative online ratings were significantly less likely to choose the neighbor children's physician (adjusted odds ratio: 0.09 [95% confidence interval: 0.03-0.3]).ConclusionsParents are beginning to use online physician ratings, and these ratings have the potential to influence choices of their children's primary care physician.Copyright © 2014 by the American Academy of Pediatrics.

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