• Chester J Donnally, Johnathon R McCormick, Mark A Pastore, Andrew J Sama, Nicholas C Schiller, Deborah J Li, Kevin J Bondar, Kartik Shenoy, Amanda F Spielman, Christopher K Kepler, and Alexander R Vaccaro.
• Rothman Institute at Thomas Jefferson University, Philadelphia, Pennsylvania, USA. Electronic address: chester.donnally@rothmanortho.edu.
• World Neurosurg. 2020 Sep 1; 141: e18-e25.

BackgroundIn the next decade, health care reimbursement will be more aligned to patient clinical outcomes. These outcomes are influenced by the patient's perceived opinion of his or her care. An evaluation into the role of surgeon demographics, social media (SM) accessibility, and office wait times was conducted to identify correlations with these among 3 online review platforms.MethodsA total of 206 (148 orthopedic, 58 neurosurgery trained) spine surgeons were included. Spine surgeon ratings and demographics data from 3 physician rating websites (Healthgrades.com [HG], Vitals.com, Google.com [G]) were collected in November 2019. Using the first 10 search results from G we then identified if the surgeons had publicly accessible Facebook, Twitter, or Instagram (IG) accounts.ResultsThe mean age of the cohort was 54.3 years (±9.40 years), and 28.2% had one form of publicly accessible SM. Having any SM was significantly correlated with higher scores on HG and G. An IG account was associated with significantly higher scores on all 3 platforms, and having a Facebook account correlated with significantly higher scores on HG in multivariate analysis. An office wait time between 16 and 30 minutes and >30 minutes was associated with worse scores on all 3 platforms (all P < 0.05). An academic practice was associated with higher scores on all 3 platforms (P < 0.05).ConclusionsA shorter office wait time and an academic setting practice are associated with higher patient satisfaction scores on all 3 physician review websites. Accessible SM accounts are also associated with higher ratings on physician review websites, particularly IG.Copyright © 2020. Published by Elsevier Inc.

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