ABSTRACT
Objective:To explore the facilitating and inhibitory factors influencing the behavior of young patients to share medical electronic word-of-mouth (eWOM) on internet platforms, so as to provide insights for the improvement of healthcare quality.Methods:In May 2022, 271 undergraduate students from universities in Zhejiang province were selected by convenient sampling to survey their motivations to share eWOM with a self-designed questionnaire. Multiple regression analysis was used to examine the impact of different motivational factors on the sharing intention of young patients.Results:Only 16 respondents (5.9%) had previously published medical eWOM. Egoistic motivation, altruistic motivation, medical experience, and comment habits were significant factors that promoted patients to share eWOM, with egoistic motivation ( β=0.212, P<0.001) having the greatest impact and comment habit ( β=0.139, P=0.003) having the least impact. Distrust, low self-efficacy and involvement, perceived reluctance, and perceived uselessness were significant factors inhibiting patients from publishing eWOM. Of them, distrust ( β=-0.161, P<0.001) and perceived reluctance ( β=-0.161, P=0.001) had the greatest impact, and low self-efficacy and involvement had the least impact ( β=-0.134, P=0.003). Conclusions:To enhance the positive attitude of young patients towards sharing eWOM, it is important to focus on their personal benefits and provide high-quality healthcare experiences. Building trust among patients in the platform is crucial, and efforts should be made to reduce operational barriers. Additionally, educating and raising awareness among young patients regarding the significance and influence of healthcare reviews is important.
ABSTRACT
Objective:To evaluate the quality, content and feasibility of health information on breast cancer treatment in Chinese websites, for reference in standardizing online health information.Methods:In January 2022, three Chinese search engines, namely Baidu, Sogou and Haosou, were used to search with " breast cancer" and " breast cancer treatment" as keywords. The first 50 links identified by each engine were accessed to screen breast cancer treatment health information websites. Subsequently, the DISCERN scoring tool was adopted to evaluate the quality of health information on the websites(16 items). The information content(10 items)assessment was conducted by referring to the " Guidelines and Specifications for Breast Cancer Diagnosis and Treatment of the Chinese Anti-Cancer Association(2019 Edition)". The feasibility of website health information was evaluated with Patient Education Materials Assessment Tool(PEMAT).Results:A total of 19 websites were included, and their service mode was mainly active information service(14 websites). The overall scoring for the quality of health information about breast cancer treatment was 2.0, with the highest score of " clarity of purpose" (3.4). According to the assessment results of information content, these websites were divided into 4 grades: excellent(3), good(11), fair(3), and poor(2). All the websites contained the information on clinical manifestations, etiology, examination and treatment of breast cancer. The overall feasibility of website health information was 44.5%, indicating incomplete feasibility.Conclusions:The Chinese website′s health information on breast cancer treatment is poor in quality and implementation. Hence, it′s urgent to further improve and standardize online health information, establishing a unified evaluation standard and actively exploring the new mode of " Internet+ Medical" service.
ABSTRACT
Under the guidance of national policies on Internet medical services, the scope of medical information services provided by the hospital information system is growing all the way, the interaction with external information is more and more frequent, and the network security risk is higher and higher. The authors analyzed the business types of the hospital′s external information service, the way to connect with the external network and the existing network security problems.Following the principles of information system security level protection 2.0, the authors built a unified extranet secure channel for the hospital under the principles of top-level design, formed an all-round network security protective barrier with strict management measures and technical means, then ensured the stable operation of hospital information system and data security.
ABSTRACT
After recent years′ development, China′s Internet medical service and medical insurance policy system has begun to take shape, but it still needs to be further improved. By combing the connotation and mode of Internet medical services, the evolution of medical insurance payment system and the content of medical insurance payment policy in the United States, the authors put forward that China could further improve the medical insurance payment policy system of Internet medical care, strengthen the multi-point practice management of licensed doctors on the Internet, give full play to the role of commercial insurance in promoting Internet medical care, and rely on information technology means to improve the medical insurance supervision of Internet medical services, then promote the development and management of Internet medical insurance services in China.
ABSTRACT
Objective:To explore whether the special training of doctor-patient communication based on practical teaching can develop undergraduates communication skills in emergency environment.Methods:A total of 60 medical undergraduate students of grade three were enrolled randomly and were divided equally into the control group and the training group, with 30 ones in each group. The students in control group were taught with basic theory of doctor-patient communication and required to take part in peer role-playing. Besides the same content of the courses, the students in training group were additionally given case discussion on internet medical care platform and clinical clerkship. Before and after training, self-assessment scale and Maastricht comprehensive evaluation scale were used to evaluate the doctor-patient communication ability of medical students. SPSS 22.0 software was used to analyze the reliability of the scale and ANOVA were adopted to analysis the data.Results:There was no significant difference in communicative skills between the two groups before training. The students of the control group exhibited no significant increase of communicative skills after training. In a contrast, the self-assessments completed by the students in training group improved significantly after the training. The expert-rating communication skills including such overall communication ability and three individual items as exploration, emotion and empathy have improved significantly for the training group after the training. Taking the training courses of doctor-patient communication has a significant impact on overall communication competency for students [ F(time×course)=5.38, P<0.05, Partial η2=0.133)]. Conclusion:The special training of doctor-patient communication with the frame given priority to practice is beneficial to stimulate study interest and improve communication skills for medical undergraduate students. It’s a useful attempt to apply the internet medical care platform to the practice of doctor-patient communication teaching.
ABSTRACT
With the rapid development of Internet, the number of online medical service review websites has gradually increased, whereby more and more patients use those engines to share their experience in health treatment, discuss the quality of medical services or rate physicians, and make more researches on medical institutions and doc-tors just to detailed information on the remedies of their health cases. This paper selected the UK and US as typical cases of countries that have rapidly developed in this field, and focused on UK’s NHS Choices and the United States’ RateMDs, Healthgrades and Yelp websites. Their current status, organization structure, content, characteristics, ex-perience and problems were analyzed and summarized. At present, China’s medical service online review is still in the ascendant, but the relevant policies and academic research are facing scarcity. Based on the situation in China and the experience from the UK and US, this paper proposed policy suggestions as follows: (1) Establishing a na-tional comprehensive medical service platform led by the government or professional and competent association which integrates health information query, retrieval and medical service review functions. (2) Set up a scientific and pro-fessional organization structure for standardized and orderly governance. (3) Combining the subjective reviews with objective quality indicators. (4) Adopting performance evaluation, and so on. All of these concerns are proposed in order to improve the medical service transparency and responsiveness, and to promote the medical service quality im-provement.
ABSTRACT
The use of internet medical big data is conducive to improving the efficiency and quality of health care services,but also contains the problems about the risk of the infringement of the personal information right and privacy right,the hidden dangers of data security,and how to allocate the economic interests of big data.In the internet medical big data ethics,it should establish the regulation principles from four levels of privacy,confidentiality,transparency and identity.In the legal regulation,it should clear the distribution of the economic interests of big data,define the personal information right and data right and have classification protection.
ABSTRACT
The difference between doctor selection needs of the public and medical service at present was analyzed according to the questionnaire investigation of doctor selection habit of the public. The association between the focus on doctor personal information and the importance of different factors influencing doctor selection was analyzed ac-cording to the information searching methods used by the public when they selected their doctor. The effective pre-cision search approaches and methods on the Internet medical platform were proposed, including information searching methods on innovation platform, standardizing the weight of different kinds of information, and perfecting the pushing and recommending mechanisms for doctor selection searching results.
ABSTRACT
Objective:To optimize the hospital outpatient service, solve the problem of poor outpatient queuing and poor medical experience, combined with Mobile Internet Technology to build a mobile application of outpatient services, and achieve the patient as the center of the O2O outpatient service process.Methods: The Hospital Information System be as the basis, with the help of The Service Windows Platform of Alipay, launching The Friendship Hospital Service Window which is a mobile internet medical application. Focus on its technical architecture, functional design and key technical aspects of the analysis.Results: The Friendship Hospital Service Window achieved the transformation of outpatient treatment process, significantly reduced the invalid waiting time for outpatient patients, reduced the hospital labor costs, improved the efficiency of outpatient clinic service.Conclusion: Mobile internet technology application in the outpatient service, improves the patient medical experience, improves the hospital image, inputs new vitality to the development of the hospital.
ABSTRACT
As a wide field of internet industry, the internet medical is sprouting prosperous with many advanta-ges still, namely promoting the medical resources integration and earlier disease prevention, providing more conven-ient health care services, etc. , but there are still many limitations. By analyzing the role of internet in the promotion of medical services, this article focused on the internet limitations. Ultimately, we put forward we should calmly oper-ate internet and make it as the auxiliary tool for medical care services instead of relying too much on it in order to pro-vide a reference and a basis for the prosperous development of internet medical.
ABSTRACT
We explore the difficulty of the possibility of the way to a “tiered health care system” in China. This means that high-end hospitals treat “serious” diseases and community ones and/or individual clinics focus on“non-serious” diseases. The exploration is done using a new theoretical framework in industrial economics, the plat-forms theory. The research achieved three main results which are as follows:Firstly, it shows that three main obsta-cles to build a“tiered health care system” comprise the employment relationship between doctors and hospitals, hier-archical hospital system, and positive hospital platform externalities, whose interaction enhance the high-end hospitals to be stronger and community ones to become weaker. Secondly, internet medical platforms will help doctors to leave the high-end public hospitals, build individual clinics, and thus achieve a“tiered health care system”. Finally, the“two-tier structure”, adopted by some internet medical platforms, is a possible way to build the “tiered health care system”, and means a large platform including many small professional platforms on one hand and patients on the other hand.
ABSTRACT
Objectives:The objective of this study is to make suggestions for the internet medical development. Methods:Based on the field survey, this paper analyzes three kinds of internet medical mode in China, and sums up the pros and cons. Results:The internet medical has the ability of technically providing healthcare by internet, and meeting the patients’ essential health care requirements. The problems mainly include health insurance, regional dis-tribution, electronic prescription audit, electronic medical record and safekeeping the record files, operation supervi-sion etc. The corresponding countermeasures include elaborating laws, gradually completing the internet medical and health insurance cooperation, the government’s regional division handling, setting up a special supervision department in the hospitals etc. Conclusion:It is important to clear the internet medical related problems and develop a model which is suitable for healthcare institutions.
ABSTRACT
A review of milestones of medical informationization in China,and a description of standardization,integration,intelligence,mobility and regionalization development.These points are aided by an analysis of hospital information platform,hospital operation management system,the technologies of big data and business intelligence,mobile health and regional health for the purpose of advancing medical informationization in China.
ABSTRACT
La aparición del Internet y luego la Web 2.0 han producido una gran transformación en la forma de ver y hacer investigación. La accesibilidad para conseguir documentos y la rapidez para conseguirlos, editarlos y comunicarnos con los demás son ahora características facilitadoras de la investigación. Son muchas las herramientas que constantemente están apareciendo en la Internet y que sirven para hacerla más sencilla y lo más increíble, muchas de ellas sin costo alguno.(AU)
The appearance of the Internet and then the Web 2.0 has produced a great transformation in the way of seeing and carrying out research. The accessibility to get documents and the speed to obtain, edit them and to communicate with others are now enabling characteristics of research. There are many tools that are constantly appearing on the Internet and that serve to make it simpler and more amazing, many of them free of charge.(AU)
ABSTRACT
With the emergence of networked computing and the Internet, this paper addresses the changed medical privacy environment, in which medical data protection now has to be reassessed. It is mainly based on the Korea situation as a country without an omnibus medical data protection law. It touches also on data security, as medical data privacy cannot be effectively protected without strict regimes for data security. The contemporary state of the medical records in Korea stood to gain from the growth of informatics and the spread of trans-institutions data flows. It is in this context that there appears to be a need to review the recent medical records protection acts which are already showing signs of this age both the public sector and private sector. Some recommendations will be adopted to establish baseline principles and goals and to provide guidance on the future work of the medical data privacy act. One of these, the protection of privacy on electronic medical records, recognizes the ubiquitous nature of digital computer and network technologies today. Medical information should be acquired, disclosed and used only in ways that respect an individual's privacy. It should not be improperly altered or destroyed. And medical information should be accurate, timely, complete and relevant to the purpose for which it is provided and used. And it upholds and protects medical data security. For example a right to encrypt personal information effectively, a right to fair treatment in key public infrastructures so that no person is unfairly excluded in a way that would prejudice that person's ability to protect their privacy, a right to human checking of adverse automated decisions and a right to understand such decisions, a right, going beyond the aspiration of the 'openness principle', of disclosure of the collections to which others will have access and which might affect the projection of the profile of the individual concerned.
Subject(s)
Humans , Computer Security , Computers , Disclosure , Electronic Health Records , Informatics , Internet , Jurisprudence , Korea , Medical Records , Prejudice , Privacy , Private Sector , Public SectorABSTRACT
This study was designed to identify the factors relating to the retrieval of medical information from the Internet by patients at a general hospital in Seoul. A questionnaire survey was carried out for 440 inpatients and outpatients who visited the general hospital by 20 educated nurses between 24 and 25 October, 2002. The collected data were analyzed to evaluate the relationship between socioeconomic characteristics and Internet use, and opinions about medical information on the Internet and Internet use, by t-tests or chi-square tests. A logistic regression analysis was applied to find models explaining the factors affecting Internet use and the search for medical on the Internet. According to our logistic regression analysis, the younger, better educated, higher income, and singles showed a higher Odds ratio for Internet use. Age, education period, income and confidence level of the Internet contents were statistically significant in the search for medical information on the Internet(p< 0.05). The results showed the customers characteristics, needs, and problems with using the Internet in medical area on the customer s views. These results would be useful for building marketing strategies using the Internet as a way of servicing and communicating with the patients.
Subject(s)
Humans , Education , Hospitals, General , Information Storage and Retrieval , Inpatients , Internet , Logistic Models , Marketing , Odds Ratio , Outpatients , Surveys and Questionnaires , SeoulABSTRACT
Internet medical counseling is increasing through the recent diffusion of super-high speed network. It provides not only medical information but also substantial Internet counseling(home medical care or telemedicine) that may rander definite diagnosis and treatment on line. But Internet medical counseling is still prohibited since Korean medical law stipulates the principle of facing treatment. Soon if will be possible to deliver Internet medical counseling under the revised bill of Korean medical law on telemedicine and electronic medical record. Therefore, I would like to give some legal information and advice that merit attention when medical personnel deliver Internet medical counseling. First, in case of substantial Internet medical counseling, it would be desirable to allow Internet counseling as the second treatment with the trust between doctor and patient being the first. Internet counseling should replace facing treatment only when the latter is practically not possible. It should be initiated not by physicians??soliutation but by requests from patients themselves. Of course, full explanation about the practice, including any potential disadvantages to the patients, should be provided. Second, counseling contents should be recorded and the hard copies of the Q-and-A should be kept with signature on. Patients privacy should not be infringed. Third, in case of Internet medical counseling, medical personnel has the same responsibility as that in the facing treatment. And it is stipulated in the revised bill of Korean medical law that if there is no definite evidence that acknowledges remote doctor's fault, resident doctor has the responsibility. But this could make a resident doctor hesitate to practice telemedicine, and enough discussion should follow on this. Internet medical counseiling gives a big opportunity to provide highly developed medical techniques overcoming the geographic barrier of distance, but it also might be dangerous enough to threaten patient's life by providing wrong information and cause effluence of private inforamtion. Therefore, it is necessary to facilitate public opinion regarding the Internet medical counseling on its limit and regulation.
Subject(s)
Humans , Counseling , Diagnosis , Diffusion , Electronic Health Records , Internet , Jurisprudence , Privacy , Public Opinion , TelemedicineABSTRACT
By the way of searching engines and finding website linkages, the author retrieved the domestic and foreign medical ethics information resources on internet,enumerated some main websites related to medical ethics, analyzed the present condition,and suggested that we should hasten the construction of medical ethics information resources on internet.