Patients are starting to diagnose their doctors via online review sites, so it's important for healthcare practices to maintain their digital reputations. After all, a one-star drop in a rating can reduce a business's revenue by almost 10%, a Harvard Business School study has found. Twenty-three percent of those surveyed for the Journal of the American Medical Association use rating sites such as Healthgrades, Vitals, RateMDs, and ZocDoc. Of those, about one third either chose -- or shunned -- a physician because of these online ratings, the survey of 2,137 adults discovered.