Unveiling patient-centric interactions in virtual consultation: A comprehensive text mining approach.

IF 2.2 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES
Health Informatics Journal Pub Date : 2025-01-01 Epub Date: 2025-03-17 DOI:10.1177/14604582251327093
Yuxi Vania Shi, Sherrie Komiak
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引用次数: 0

Abstract

This study aims to explore patient perceptions and interactions with virtual consultation (VC) systems to understand the factors influencing their adoption and satisfaction. We analyzed 21,839 patient reviews from four major virtual consultation platforms-MDLive, Doctor on Demand, Maple, and HealthTap-collected from publicly accessible sources. Sentiment analysis, word frequency analysis, topic modeling using Latent Dirichlet Allocation (LDA), and association rule mining were used to extract insights. The findings reveal a generally positive sentiment among patients, with recurring themes focusing on app functionality and the important role of doctors in the virtual consultation experience. Virtual consultation systems were found to play a dual role: as a communicator during initial interactions and as a medium facilitating patient-doctor communication. The analysis also identified key doctor-related factors, categorized by the Theory of Planned Behavior, including attitudes (e.g., empathy), subjective norms (e.g., cultural competence), and perceived behavioral control (e.g., time management). The study provides valuable insights for enhancing healthcare system design and improving virtual consultation quality. However, limitations include potential bias in patient reviews, limited platform focus, and the lack of demographic data. Future research should explore advanced machine learning techniques and investigate relationships between different factors to improve virtual healthcare.

在虚拟咨询中揭示以患者为中心的互动:一种全面的文本挖掘方法。
本研究旨在探讨患者对虚拟会诊(VC)系统的看法和互动,以了解影响其采用和满意度的因素。我们分析了来自四个主要虚拟咨询平台(mdlive、Doctor on Demand、Maple和healthtap)的21,839例患者评论,这些评论来自可公开访问的来源。使用情感分析、词频分析、使用潜在狄利克雷分配(Latent Dirichlet Allocation, LDA)的主题建模和关联规则挖掘来提取见解。调查结果显示,患者普遍持积极态度,反复出现的主题是应用程序的功能和医生在虚拟咨询体验中的重要作用。研究发现,虚拟会诊系统发挥着双重作用:在最初的互动中充当传播者,同时作为促进医患沟通的媒介。分析还确定了与医生相关的关键因素,这些因素根据计划行为理论进行了分类,包括态度(如移情)、主观规范(如文化能力)和感知行为控制(如时间管理)。本研究为加强医疗保健系统设计,提高虚拟会诊质量提供了有价值的见解。然而,局限性包括患者评价的潜在偏倚,有限的平台焦点,以及缺乏人口统计数据。未来的研究应该探索先进的机器学习技术,并调查不同因素之间的关系,以改善虚拟医疗。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Health Informatics Journal
Health Informatics Journal HEALTH CARE SCIENCES & SERVICES-MEDICAL INFORMATICS
CiteScore
7.80
自引率
6.70%
发文量
80
审稿时长
6 months
期刊介绍: Health Informatics Journal is an international peer-reviewed journal. All papers submitted to Health Informatics Journal are subject to peer review by members of a carefully appointed editorial board. The journal operates a conventional single-blind reviewing policy in which the reviewer’s name is always concealed from the submitting author.
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