{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T13:47:39Z","timestamp":1777643259262,"version":"3.51.4"},"reference-count":15,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2018,3,1]],"date-time":"2018-03-01T00:00:00Z","timestamp":1519862400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["JAMA Facial Plast Surg"],"published-print":{"date-parts":[[2018,3]]},"abstract":"<jats:sec>\n                    <jats:title>Importance<\/jats:title>\n                    <jats:p>The relative value of facial plastic surgeon personal and practice attributes is relevant to the broader health care system because of increasing out-of-pocket expenses to patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To determine the relative value of specific facial plastic surgeon personal and practice attributes available online from the perspective of patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design, Setting, and Participants<\/jats:title>\n                    <jats:p>\n                      This study consisted of an electronic survey sent to patients by email using choice-based conjoint analysis; surveys were sent between December 2015 and March 2016. Participants had agreed to join email registries to be sent email surveys and promotions at 3 private facial plastic and reconstructive surgery practices. The following surgeon personal and practice attributes and levels were compared: (1) outcome transparency (above average, average, not available); (2) surgical training affiliations (\n                      <jats:italic toggle=\"yes\">US News and World Reports<\/jats:italic>\n                      rankings); (3) online rating site scores (2 [poor], 3, or 4 [excellent] stars); and (4) price ($1\u00d7, $2\u00d7, and $3\u00d7 [\u00d7\u2009=\u2009$1500; average cost was set at $2\u00d7]).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcomes and Measures<\/jats:title>\n                    <jats:p>The relative importance of outcome transparency, surgical training affiliations, online rating scores, and price to prospective patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Overall, 291 patients participated for a completion rate of 68%. Outcome transparency was the most valued attribute (attribute utility range\u2009=\u2009141; attribute importance\u2009=\u200935.2%). Price was the least valued attribute (attribute utility range\u2009=\u200958.59; attribute importance\u2009=\u200915.1%). Assuming top-tier affiliations and 4-star ratings, share of market (SOM) was 75.5% for surgeons with above-average outcome transparency priced at $3\u00d7 compared with those surgeons with no outcomes available priced at $1\u00d7. Holding price constant at $2\u00d7, surgeons with middle-tier affiliations and 2-star online ratings but above average outcomes achieved 48.4% SOM when compared with those surgeons with top-tier affiliations and 4-star online ratings without available outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions and Relevance<\/jats:title>\n                    <jats:p>Facial plastic surgery patients most value surgeons who publish outcomes. Moreover, they are willing to discount poor rating scores and lower-ranked institutional affiliations when outcome transparency is high. This study demonstrates that outcome transparency is crucial in facial plastic surgery markets.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"http:\/\/jamanetwork.com\/journals\/jamafacialplasticsurgery\/pages\/instructions-for-authors\/#SecLevelofEvidence\/Ethnicity\">NA<\/jats:ext-link>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1001\/jamafacial.2017.1146","type":"journal-article","created":{"date-parts":[[2017,9,1]],"date-time":"2017-09-01T00:33:06Z","timestamp":1504225986000},"page":"116-121","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Association Between Patient Value Systems and Physician and Practice Attributes Available Online"],"prefix":"10.1177","volume":"20","author":[{"given":"Jamie L.","family":"Welshhans","sequence":"first","affiliation":[{"name":"Department of Otolaryngology, Head and Neck Surgery, University of Cincinnati College of Medicine, Cincinnati, Ohio"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeffrey J.","family":"Harmon","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Head and Neck Surgery, University of Cincinnati College of Medicine, Cincinnati, Ohio"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ira","family":"Papel","sequence":"additional","affiliation":[{"name":"Facial Plastic Surgery Center, Baltimore, Maryland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard","family":"Gentile","sequence":"additional","affiliation":[{"name":"Gentile Facial Plastic and Aesthetic Laser Center, Youngstown, Ohio"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Devinder","family":"Mangat","sequence":"additional","affiliation":[{"name":"Mangat, Holzapfel, and Lied Plastic Surgery, Cincinnati, Ohio"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patrick","family":"Byrne","sequence":"additional","affiliation":[{"name":"Division of Facial Plastics and Reconstructive Surgery, Department of Otolaryngology\u2013Head and Neck Surgery, Johns Hopkins School of Medicine, Baltimore, Maryland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ryan M.","family":"Collar","sequence":"additional","affiliation":[{"name":"Division of Facial Plastics and Reconstructive Surgery, Department of Otolaryngology\u2013Head and Neck Surgery, University of Cincinnati College of Medicine, Cincinnati, Ohio"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2018,3,15]]},"reference":[{"key":"e_1_3_1_2_2","doi-asserted-by":"publisher","DOI":"10.1177\/002224298204600308"},{"key":"e_1_3_1_3_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.320.7248.1530"},{"issue":"7","key":"e_1_3_1_4_2","doi-asserted-by":"crossref","first-page":"2885","DOI":"10.1167\/iovs.05-1244","article-title":"Views of glaucoma patients on aspects of their treatment: an assessment of patient preference by conjoint analysis","volume":"47","author":"Bhargava JS","year":"2006","unstructured":"Bhargava JS, , Patel B, , Foss AJ, , Avery AJ, , King AJ. 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