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Based on the doctor-patient interaction forum of Haodaifu Online,Xunyiwenyao and Youwenbida,taking advantage of the text mining technologies and methods such as Chinese word segmentation,data cleaning and filtering,word frequency statistics,semantic network map and visualization,extract and summarize the symptoms,causes,common drugs,complications,non-drug therapy and nursing method of Deep Vein Thrombosis (DVT),the paper verifies the availability of text mining method in exploring the prevention law and method of diseases and the feasibility of application of doctor-patient interaction Q&A network data source in medical research.
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Objective:The online health community is a new business model which combines of the internet in-formation technology and the medical service. Through analyzing the development of the online health community in China, the author puts forward the policy recommendations to promote the rapid integration of internet technology and the traditional medical services. Methods:The crawler program of collecting data from haodf. com website is built up, and information was gathered from 166 hospitals in Beijing and 12,497 physicians' personal online platform informa-tion was analyzed. Data regarding the development of online health community were analyzed from the aspects of phy-sicians' activity, patients' visits and satisfaction, etc. Results:The information of hospitals and physicians provided by Haodf. com website was mainly gathered from public tertiary level hospitals. The professional titles of the physicians are mainly intermediate and deputy-senior ones. Only one-third of the physicians who opened the personal online pa-ges keep high activity and the patient satisfaction score was very high. Conclusion: The online health community in China has a certain scale and began to gradually change the traditional medical service system thereby altering the mode of medical treatment. However, its development prospects of important factors are based on the data usability and effectiveness of the online perform and deep using in health reform.
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Objective To analyze the negative experience from medical practice of medical students by Balint group case study,and to explore new approach for training doctor-patient communication skills.Methods 10 times of Balint group activities were held in Zhongshan Hospital of Fudan University,with one case each time.Grounded theory approach were applied for analyzing discussion record.Results The cases were occurred in doctor-patient interaction,teamwork,conflict between one's personal life and vocational development planning.Trigger events involved doctor-patient conflict,conflict of values,decision making problem while conffronted with incurable patients,role ambiguity,unfair treatment.Topics of discussion included emotional experience with patients,career development orientation,medical teamwork,clinical education of medical student.Conclusion Through practice of Balint group,medical students in teaching hospital can improve their awareness of complicating psycho-social problem of patients and themselves,as well as handling it.And it can improve the professional identity,professional growth and professional self-identity.
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Introduction: In Southeast Asia there is a big gap between the partnership style now desired by patients and the reality of actual practice, which reflects a more paternalistic style. Asian culture, with its hierarchical social system, less autonomy for members of society and less verbally explicit communication style contributes to this difference. This paper describes the development and validation of a guideline to help doctors in the context of the study to become more patient-centered. Method: To develop a guideline, we triangulated results from previous studies on doctor-patient communication with in-depth interviews with communication skills teachers at an Indonesian School of Medicine. To validate the guideline, we interviewed international experts who had conducted research on this subject in an Asian context. Results: Southeast Asian patients expect more partnership in their consultations. In this respect they do not differ from Western patients. Three other distinct issues emerged from the data. Firstly, the social and cultural context of their communities is very important for Southeast Asian patients compared with patients from the West who, on the whole have more autonomy. Secondly, much of the communication expressed by patients and their families with doctors is non-verbal compared with Western patients. Thirdly, traditional medicine still holds an important place. Conclusion: There is a shifting paradigm towards partnership communication during doctor-patient consultations in Southeast Asian context. Our guideline alienates the skills needed to consult effectively also tabulates what needs to be taught to young doctors in order to enhance their responsiveness to Southeast Asian patients. It builds on Western models of the consultation enriched with contextual examples.
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@#Objective To investigate the effect of Doctor-patient Interaction Model on hemiplegia after acute stroke.Methods 200 cases with mderate to severe hemiplegia were divided into treatment group and the control group with each 100 cases according to whether their family supporting rehabilitation.Cases in treatment group received interaction model rehabilitation.They were assessed with National Institutes of Health Stroke Scale(NIHSS),Fugl-Meyer Assessment(FMA),Barthel Index(BI)10 d,1 month,3 months,6 months,12 months after rehabilitation,and the Geriatric Depression Scale(GDS)1 year after rehabilitation.Results The scores in all the assessment of the cases in the treatment group improve mostly 3 month after rehabilitation(P<0.01),while the BI improved 6-12 month after rehabilitation(P<0.01).The incidence of depression reduced 18% compared with that of the control group(P<0.01).Conclusion Doctor-patient interaction can improve the outcome of patients with moderate to severe hemiplegia.