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Association Between Patient Value Systems and Physician and Practice Attributes Available Online.
Jamie L Welshhans1, Jeffrey J Harmon1, Ira Papel2
1Department of Otolaryngology, Head and Neck Surgery, University of Cincinnati College of Medicine, Cincinnati, Ohio.
JAMA Facial Plastic Surgery
|September 1, 2017
Summary
Facial plastic surgery patients prioritize surgeons who openly share outcome data. Transparency in results significantly influences patient choice, even more than price or training affiliations.
Area of Science:
- Plastic Surgery
- Health Services Research
- Patient-Reported Outcomes
Background:
- Increasing patient out-of-pocket expenses highlight the need to understand surgeon attribute valuation.
- Patient perspectives are crucial in shaping healthcare market dynamics.
Purpose of the Study:
- To determine the relative importance of specific facial plastic surgeon personal and practice attributes from the patient's viewpoint.
- To assess how factors like outcome transparency, training, ratings, and price influence patient selection.
Main Methods:
- An electronic survey using choice-based conjoint analysis was administered to patients.
- Key attributes evaluated included outcome transparency, surgical training affiliations, online ratings, and price.
- Data were collected from patients registered with three private facial plastic surgery practices.
Main Results:
- Outcome transparency was the most valued attribute, significantly impacting patient preference.
- Price was the least valued attribute among the factors studied.
- Surgeons with high outcome transparency achieved a greater market share, even at higher price points or with lower ratings.
Conclusions:
- Facial plastic surgery patients place the highest value on surgeons who provide transparent outcome data.
- High outcome transparency can mitigate the negative impact of lower online ratings or institutional affiliations.
- Outcome transparency is a critical factor in the facial plastic surgery market.

