Doctors Fight Back Against Patient Criticism
The anonymous comment on the Web site RateMDs.com was unsparing: “Very unhelpful, arrogant,” it said of a doctor. “Did not listen and cut me off, seemed much too happy to have power (and abuse it!) over suffering people.”

Such reviews are becoming more common as consumer ratings services like Zagat’s and Angie’s List expand beyond restaurants and plumbers to medical care, and some doctors are fighting back.
They’re asking patients to agree to what amounts to a gag order that bars them from posting negative comments online.
“Consumers and patients are hungry for good information” about doctors, but Internet reviews provide just the opposite, contends Dr. Jeffrey Segal, a North Carolina neurosurgeon who has made a business of helping doctors monitor and prevent online criticism.
Some sites “are little more than tabloid journalism without much interest in constructively improving practices,” and their sniping comments can unfairly ruin a doctor’s reputation, Segal said.

Segal said such postings say nothing about what should really matter to patients — a doctor’s medical skills — and privacy laws and medical ethics prevent leave doctors powerless to do anything it.
His company, Medical Justice, is based in Greensboro, N.C. For a fee, it provides doctors with a standardized waiver agreement. Patients who sign agree not to post online comments about the doctor, “his expertise and/or treatment.”
“Published comments on Web pages, blogs and/or mass correspondence, however well intended, could severely damage physician’s practice,” according to suggested wording the company provides.
Segal’s company advises doctors to have all patients sign the agreements. If a new patient refuses, the doctor might suggest finding another doctor. Segal said he knows of no cases where longtime patients have been turned away for not signing the waivers.

"Now you promise you'll say something nice about me online?"
Doctors are notified when a negative rating appears on a Web site, and, if the author’s name is known, physicians can use the signed waivers to get the sites to remove offending opinion.
RateMd’s postings are anonymous, and the site’s operators say they do not know their users’ identities. The operators also won’t remove negative comments.
B.S. Report–Choosing a doctor can be a difficult task. Feedback from prior patients is one of the best ways to assess his or her competence. We use that system when we buy books or other merchandise online at, for instance, Amazon.com, and although it’s hardly foolproof, it does give the consumer an idea of what to expect.
It’s up to the doctors to protect their reputations, just as it’s up to store clerks or restaurant owners to protect theirs. Understandably, ranking a doctor’s performance is subjective and should be broken down into separate criteria.
Doctors bedside manners and communication skills are often the reason for low ratings. Sometimes the complaint or issue is something as basic as actually listening to a patient before recommending the course of treatment.
Other times, it’s whether the patient feels satisfied with his recovery. If you feel the doctor made you well…he was good and competent. If you didn’t recover satisfactorily, then there is a natural inclination to blame the doctor, rightly or not.
There will always be differences…but making patients sign a form limiting their speech is not the answer.