title: Factors Influencing Patients' Perspectives of Radiology Imaging Centers: Evaluation Using an Online Social Media Ratings Website.
abstract: OBJECTIVE
  The goal of this study was to use patient reviews posted on Yelp.com, an online ratings website, to identify factors most commonly associated with positive versus negative patient perceptions of radiology imaging centers across the United States.
  
  
  METHODS
  A total of 126 outpatient radiology centers from the 46 largest US cities were identified using Yelp.com; 1,009 patient reviews comprising 2,582 individual comments were evaluated. Comments were coded as pertaining to either the radiologist or other service items, and as expressing either a positive or negative opinion. Distribution of comments was compared with center ratings using Fisher's exact test.
  
  
  RESULTS
  Overall, 14% of comments were radiologist related; 86% pertained to other aspects of service quality. Radiologist-related negative comments more frequent in low-performing centers (mean rating ≤2 on 1-5 scale) than high-performing centers (rating ≥4) pertained to imaging equipment (25% versus 7%), report content (25% versus 2%), and radiologist professionalism (25% versus 2%) (P < .010). Other service-related negative comments more frequent in low-performing centers pertained to receptionist professionalism (70% versus 21%), billing (65% versus 10%), wait times (60% versus 26%), technologist professionalism (55% versus 12%), scheduling (50% versus 17%), and physical office conditions (50% versus 5%) (P < .020). Positive comments more frequent in high-performing centers included technologist professionalism (98% versus 55%), receptionist professionalism (79% versus 50%), wait times (72% versus 40%), and physical office conditions (64% versus 25%) (P < .020).
  
  
  CONCLUSIONS
  Patients' perception of radiology imaging centers is largely shaped by aspects of service quality. Schedulers, receptionists, technologists, and billers heavily influence patient satisfaction in radiology. Thus, radiologists must promote a service-oriented culture throughout their practice.
authors.affiliation: Department of Radiology, New York University School of Medicine, New York University Langone Medical Center, New York, New York. Electronic address: ankur.doshi@nyumc.org.
authors.forename: Ankur M
authors.initials: AM
authors.lastname: Doshi
authors.affiliation: Department of Radiology, New York University School of Medicine, New York University Langone Medical Center, New York, New York.
authors.forename: Molly
authors.initials: M
authors.lastname: Somberg
authors.affiliation: Department of Radiology, New York University School of Medicine, New York University Langone Medical Center, New York, New York.
authors.forename: Andrew B
authors.initials: AB
authors.lastname: Rosenkrantz
mesh_terms: D000554:Ambulatory Care Facilities / Q000592:standards*; D003952:Diagnostic Imaging / Q000592:standards*; D005260:Female; D006801:Humans; D008297:Male; D017060:Patient Satisfaction; D011787:Quality of Health Care; D012189:Retrospective Studies; D061108:Social Media; D014481:United States
keywords: Quality; social media