Digital Health Information and Orthopedic Surgeon Selection in Saudi Arabia: Clinical Competence Remains the Primary Determinant.

Background: Online health information is frequently consulted by patients before clinical encounters and may shape expectations about healthcare providers. In Saudi Arabia, the use of digital platforms is common but there is limited evidence on their role in selecting orthopedic surgeons. Objectives: To examine how patients in Saudi Arabia use online health information when selecting orthopedic surgeons and to explore the selection criteria associated with their decisions. Materials and Methods: A cross-sectional survey was conducted from May to December 2024 among adults attending private orthopedic clinics across five regions of Saudi Arabia. A total of 416 participants completed the survey, of whom 341 who had consulted an orthopedic surgeon in a private setting were included in the final analysis. The questionnaire assessed digital platform use and the importance of clinical, interpersonal and institutional selection criteria, including medical knowledge, surgical skill, bedside manner and hospital reputation. Results: Among participants, 63.6% reported using digital platforms prior to consultation. However, only 42.3% perceived social media popularity as indicative of professional competence. Core clinical attributes were rated highest, with medical knowledge (79.2%) and surgical skill (75.7%) most frequently considered “very important.” While online reviews were moderately valued, they ranked lower than clinical factors. Higher importance assigned to clinical attributes was significantly associated with greater patient satisfaction (p<0.001). Conclusion: Patients in Saudi Arabia commonly use online information when selecting orthopedic surgeons but clinical competence remains the key determinant of choice and satisfaction.