In response to my recent column on patients trusting doctors too much, several readers wrote in about the difficulty of finding or sifting through information on doctors and diseases. Many asked for suggestions, so a couple of weeks ago I contacted several nationally respected leaders in family medicine, pediatrics, internal medicine, oncology, surgery and anesthesia and asked them to share their advice on researching doctors and diseases.
Many of the doctors I spoke to or exchanged e-mail with made commonsense suggestions that were not unexpected. They urged patients to find out which doctors their closest friends really like, to ask a prospective doctor questions like how much experience he or she has with a specific condition or operation, and to make sure that as a patient you feel part of a shared decision-making process and comfortable saying how you feel, or that you don’t understand or that you respectfully disagree.
But many of the physicians also shared links to valuable Web sites, several of which I was unfamiliar with. All the sites are free to the public and accessible to anyone with an Internet connection. When I looked at these sites while writing this column, I became really excited as a patient about the amount of information available. For example, one site from the Department of Health and Human Services called Hospital Compare (www.hospitalcompare.hhs.gov) allows you to select three hospitals within a 25-mile radius of your home. It also lets you compare a wide variety of quality indicators, like the percentage of heart failure patients who were given discharge instructions, the percentage of surgery patients given prophylactic antibiotics at the right time, or the percentage of hospitalized patients who felt that doctors or nurses “always” communicated well (the differences among hospitals surprised me).