Factors influencing online orthopedic doctor–patient consultations

Ping, Lei; Zheng, Jianjun; Li, Yun; Li, Zhongjiang; Gao, Fei; Li, Xuesong

doi:10.1186/s12911-021-01709-1

Cited by 6 publications

(3 citation statements)

References 26 publications

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“…Nevertheless, trust is essential in medical consultations. It has been found to influence users' behavior online [22], especially in online medical settings [30]. This study sheds light on the influence of perceived risk, perceived privacy protection, network externalities, cognitive reputation, and interactivity on trust.…”

Section: Discussionmentioning

confidence: 73%

The Roles of Trust and Its Antecedent Variables in Healthcare Consumers’ Acceptance of Online Medical Consultation during the COVID-19 Pandemic in China

et al. 2023

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Online medical consultation (OMC) is generating considerable interest among researchers and practitioners due to the mandatory quarantine measures implemented during the COVID-19 pandemic in China. However, the acceptance rate of OMC has declined over time. This paper aims to empirically investigate OMC acceptance using a proposed research model by integrating the technology acceptance model (TAM) with trust and its antecedent variables. A quantitative self-administered cross-sectional survey was conducted to collect data from 260 healthcare consumers. A partial least squares structural equation modeling method was used to examine the data. Results revealed that healthcare consumers’ behavioral intention was influenced by attitudes, while perceived usefulness and trust significantly influenced behavioral intention through attitude as a mediator. In addition, perceived risk, perceived privacy protection, network externalities, cognitive reputation, and interactivity directly influenced trust. Overall, the research model explained 50% of the variance in attitude and 71% of the variance in behavioral intention. The study’s findings should provide useful insights into making effective design, development, and implementation decisions for OMC services.

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Section: Discussionmentioning

confidence: 73%

The Roles of Trust and Its Antecedent Variables in Healthcare Consumers’ Acceptance of Online Medical Consultation during the COVID-19 Pandemic in China

et al. 2023

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“…Our previous research results suggest that from 2020 to 2022, the consulting volume of senior professional titles was much higher than that of intermediate and low professional titles [ 14 ]. At present, most of the research on factors influencing patients’ medical choices based on internet hospitals discusses the quality of web-based medical service [ 15 , 16 ]; examples include perception factors [ 17 , 18 ] and service quality assessment [ 19 ]. Few studies have reported on factors influencing patients’ choices in internet hospitals inside public hospitals.…”

Section: Introductionmentioning

confidence: 99%

The Relationship Between Static Characteristics of Physicians and Patient Consultation Volume in Internet Hospitals: Quantitative Analysis

Wang,

Shi,

Wang

et al. 2024

JMIR Form Res

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Background Internet medical treatment, also known as telemedicine, represents a paradigm shift in health care delivery. This contactless model allows patients to seek medical advice remotely, often before they physically visit a doctor’s clinic. Herein, physicians are in a relatively passive position, as patients browse and choose their health care providers. Although a wealth of experience is undoubtedly a draw for many patients, it remains unclear which specific facets of a doctor’s credentials and accomplishments patients prioritize during their selection process. Objective Our primary aim is to delve deeper into the correlation between physicians’ static characteristics—such as their qualifications, experiences, and profiles on the internet—and the number of patient visits they receive. We seek to achieve this by analyzing comprehensive internet hospital data from public hospitals. Furthermore, we aim to offer insights into how doctors can present themselves more effectively on web-based platforms, thereby attracting more patients and improving overall patient satisfaction. Methods We retrospectively gathered web-based diagnosis and treatment data from the First Affiliated Hospital of Guangxi Medical University in 2023. These data underwent rigorous analysis, encompassing basic descriptive statistics, correlation analyses between key factors in doctors’ internet-based introductions, and the number of patient consultation visits. Additionally, we conducted subgroup analyses to ascertain the independence of these vital factors. To further distill the essence from these data, we used nonnegative matrix factorization to identify crucial demographic characteristics that significantly impact patient choice. Results The statistical results suggested that there were significant differences in the distribution of consultation volume (P<.001), and the correlation analysis results suggested that there was a strong correlation between the two groups of data (ρ=0.93; P<.001). There was a correlation between the richness of a profile and popularity (P<.001). Patients were more interested in physicians with advanced titles, doctoral degrees, social activities, and scientific achievements (P<.001) as well as other institutional visit experiences (P=.003). More prosperous social activities, scientific achievements, experiences of other institutional visits, and awards were more common among people with advanced professional titles. Doctoral degrees remained attractive to patients when data were limited to senior physicians (P<.001). Patients trusted the medical staff with advanced titles, social activities, scientific achievements, and doctoral degrees (P<.001). Conclusions Patient preferences for choosing a health care provider differed significantly between free and paid consultations. Notably, patients tended to trust doctors with advanced professional titles more and were more likely to seek out those with doctoral qualifications over other professional ranks. Additionally, physicians who actively participated in social events and scientific endeavors often had an advantage in attracting new patients. Given these insights, doctors who invest in enhancing their personal and professional experiences within these domains are likely to see increased popularity and patient satisfaction.

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“…They only need to provide disease and symptom information to doctors, and then, the online doctors screen the information provided by the patients and make judgments via e-consultation [ 1 ]. Compared with non–real-time informational interactions in online medical communities, e-consultation enables patients to obtain the doctors’ response within a short time [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

Influence of E-consultation on the Intention of First-Visit Patients to Select Medical Services: Results of a Scenario Survey

Qi¹,

Cui²,

Li³

et al. 2023

J Med Internet Res

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Background E-consultation is expected to improve the information level of patients, affect patients’ subsequent judgments of medical services, and guide patients to make a reasonable medical selection in the future. Thus, it is important to understand the influence mechanism of e-consultation on patients’ medical selection. Objective This study aims to explore the changes in first-visit patients’ understanding of disease and medical resources after e-consultation as well as the choice of follow-up medical services. Methods Patients’ medical selection before and after e-consultation was compared using a scenario survey. Based on the service characteristics of the e-consultation platform, representative simulation scenarios were determined, and parallel control groups were set up considering the order effect in comparison. Finally, a total of 4 scenario simulation questionnaires were designed. A total of 4164 valid questionnaires were collected through the online questionnaire collection platform. Patients’ perception of disease severity, evaluation of treatment capacity of medical institutions, selection of hospitals and doctors, and other outcome indicators were tested to analyze the differences in patients’ evaluation and choice of medical services before and after e-consultation. Additionally, the results’ stability was tested by regression analysis. Results In scenario 1 (mild case), before e-consultation, 14.1% (104/740) of participants considered their conditions as not serious. After e-consultation, 69.5% (539/775) of them considered their diseases as not serious. Furthermore, participants’ evaluation of the disease treatment capacity of medical institutions at all levels had improved after using e-consultation. In scenario 3 (severe case), before e-consultation, 54.1% (494/913) of the participants believed their diseases were very serious. After e-consultation, 16.6% (157/945) considered their diseases were very serious. The evaluation of disease treatment capacity of medical institutions in nontertiary hospitals decreased, whereas that of tertiary hospitals improved. In both mild and severe cases, before e-consultation, all of the participants were inclined to directly visit the hospital. After e-consultation, more than 71.4% (553/775) of the patients with mild diseases chose self-treatment, whereas those with severe diseases still opted for a face-to-face consultation. After e-consultation, patients who were set on being treated in a hospital, regardless of the disease severity, preferred to select the tertiary hospitals. Of the patients with mild diseases who chose to go to a hospital, 25.7% (57/222) wanted to consult online doctors face-to-face. By contrast, 56.4% (506/897) of the severe cases wanted to consult online doctors face-to-face. Conclusions E-consultation can help patients accurately enhance their awareness of the disease and guide them to make a more reasonable medical selection. However, it is likely that e-consultation makes online medical services centralized. Additionally, the guiding effect of e-consultation is limited, and e-consultation needs to be combined with other supporting systems conducive to medical selection to play an improved role.

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Factors influencing online orthopedic doctor–patient consultations

Cited by 6 publications

References 26 publications

The Roles of Trust and Its Antecedent Variables in Healthcare Consumers’ Acceptance of Online Medical Consultation during the COVID-19 Pandemic in China

The Roles of Trust and Its Antecedent Variables in Healthcare Consumers’ Acceptance of Online Medical Consultation during the COVID-19 Pandemic in China

The Relationship Between Static Characteristics of Physicians and Patient Consultation Volume in Internet Hospitals: Quantitative Analysis

Influence of E-consultation on the Intention of First-Visit Patients to Select Medical Services: Results of a Scenario Survey

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