The Effect of Characteristics of Patient Communication on Physician Feedback in Online Health Communities: An Observational Cross-Sectional Study.

With the rapid development of e-health and telemedicine, previous studies have explored the relationship between physician-patient communication and patient satisfaction; however, there is a paucity of research on the influence of the characteristics of patient communication on the characteristics of physician feedback. Based on the communication accommodation theory, as well as the computer-mediated communication theory and media richness theory, this study aimed to explore how characteristics of patient communication influence characteristics of physician feedback in online health communities. We employed a crawler software to download the communication data between 1652 physicians and 105,325 patients from the Good Doctor platform, the biggest online health community in China. We built an empirical model using this data and employed a multilevel model to test our hypotheses using Stata and Python software. The results indicate that the amount of patients' rendered information positively influences the physicians' text (α = 0.123, t = 33.147, P < .001) and voice feedback (ß = 0.201, t = 40.011, P < .001). Patients' hope for help signals and the provision of their electronic health records weaken the effect of the amount of patients' rendered information on physicians' text feedback (α = -0.040, t = -24.857, P < .001; α = -0.048, t = -15.784, P < .001), whereas, it strengthened the effect of the amount of patients' rendered information on physicians' voice feedback (ß = 0.033, t = 14.789, P < .001; ß = 0.017, t = 4.208, P < .001). Moreover, the occurrence of high-privacy diseases strengthened the effect of the amount of patients' presented information on physicians' text and voice feedback (α = 0.023, t = 4.870, P < .001; ß = 0.028, t = 4.282, P < .001). This research contributes to the development of computer-mediated communication theories and sheds light on service delivery in the online health community.

The efficacy and tendency of the gender digital divide and Smart Aging Policy in China.

China is one of the most rapidly aging countries in the world, challenging the sustainable aging. The booming of digital technology is a double-edged sword. According to the Smart Aging Policies (SAPs), digital technology is supposed to be an effective way to address the challenges of the elder care system. However, the digital divide is causing additional problems. In this study, researchers aim to investigate whether the digital divide among older people could lead to gender-based discrepancies in elder care utilization, using data from the "China Elder Care Satisfaction Survey (CECSS)." Through logit regression analysis, in this study, researchers assessed the relationship between gender and digital elder care utilization, indicating the presence of a gender digital divide among older people. Our findings have important implications for facilitating minority groups to benefit more from SAPs and for advancing research on the gender digital divide among elders to promote sustainable aging.

An intelligent medical guidance and recommendation model driven by patient-physician communication data.

Based on the online patient-physician communication data, this study used natural language processing and machine learning algorithm to construct a medical intelligent guidance and recommendation model. First, based on 16,935 patient main complaint data of nine diseases, this study used the word2vec, long-term and short-term memory neural networks, and other machine learning algorithms to construct intelligent department guidance and recommendation model. Besides, taking ophthalmology as an example, it also used the word2vec, TF-IDF, and cosine similarity algorithm to construct an intelligent physician recommendation model. Furthermore, to recommend physicians with better service quality, this study introduced the information amount of physicians' feedback to the recommendation evaluation indicator as the text and voice service quality. The results show that the department guidance model constructed by long-term and short-term memory neural networks has the best effect. The precision is 82.84%, and the F1-score is 82.61% in the test set. The prediction effect of the LSTM model is better than TextCNN, random forest, K-nearest neighbor, and support vector machine algorithms. In the intelligent physician recommendation model, under certain parameter settings, the recommendation effect of the hybrid recommendation model based on similar patients and similar physicians has certain advantages over the model of similar patients and similar physicians.

Double chain system for online and offline medical data sharing via private and consortium blockchain: A system design study.

With the informatization development and digital construction in the healthcare industry, electronic medical records and Internet medicine facilitate people's medical treatment. However, the current data storage method has the risk of data loss, leakage, and tampering, and can't support extensive and secure sharing of medical data. To realize effective and secure medical data storage and sharing among offline medical institutions and Internet medicine platforms, this study used a combined private blockchain and consortium blockchain to design a medical blockchain double-chain system (MBDS). This system can store encrypted medical data in distributed storage mode and systematically integrate the medical data of patients in offline medical institutions and Internet medicine platforms, to achieve equality, credibility, and data sharing among participating nodes. The MBDS system constructed in this study incorporated Internet medicine care services into the current healthcare system and provided new solutions and practical guidance for the future development of collaborative medical care. This study helped to solve the problems of medical data interconnection and resource sharing, improve the efficiency and effect of disease diagnosis, alleviate the contradiction between doctors and patients, and facilitate personal health management. This study has substantial theoretical and practical implications for the research and application of medical data storage and sharing.

Exploring the Effect of Market Conditions on Price Premiums in the Online Health Community.

Online health communities allow doctors to fully use existing medical resources to serve remote patients. They broaden and diversify avenues of interaction between doctors and patients using Internet technology, which have built an online medical consultation market. In this study, the theory of supply and demand was adopted to explore how market conditions of online doctor resources impact price premiums of doctors' online service. Then, we investigated the effect of the stigmatized diseases. We used resource supply and resource concentration to characterize the market conditions of online doctor resources and a dummy variable to categorize whether the disease is stigmatized or ordinary. After an empirical study of the dataset (including 68,945 doctors), the results indicate that: (1) the supply of online doctor resources has a significant and negative influence on price premiums; (2) compared with ordinary diseases, doctors treating stigmatized diseases can charge higher price premiums; (3) stigmatized diseases positively moderate the relationship between resource supply and price premiums; and (4) the concentration of online doctor resources has no significant influence on price premiums. Our research demonstrates that both the market conditions of online doctor resources and stigmatized diseases can impact price premiums in the online medical consultation market. The findings provide some new and insightful implications for theory and practice.

Identifying the perceptive users for online social systems.

In this paper, the perceptive user, who could identify the high-quality objects in their initial lifespan, is presented. By tracking the ratings given to the rewarded objects, we present a method to identify the user perceptibility, which is defined as the capability that a user can identify these objects at their early lifespan. Moreover, we investigate the behavior patterns of the perceptive users from three dimensions: User activity, correlation characteristics of user rating series and user reputation. The experimental results for the empirical networks indicate that high perceptibility users show significantly different behavior patterns with the others: Having larger degree, stronger correlation of rating series and higher reputation. Furthermore, in view of the hysteresis in finding the rewarded objects, we present a general framework for identifying the high perceptibility users based on user behavior patterns. The experimental results show that this work is helpful for deeply understanding the collective behavior patterns for online users.

Quantifying the effect of investors' attention on stock market.

The investors' attention has been extensively used to predict the stock market. Different from existing proxies of the investors' attention, such as the Google trends, Baidu index (BI), we argue the collective attention from the stock trading platforms could reflect the investors' attention more closely. By calculated the increments of the attention volume for each stock (IAVS) from the stock trading platforms, we investigate the effect of investors' attention measured by the IAVS on the movement of the stock market. The experimental results for Chinese Securities Index 100 (CSI100) show that the BI is significantly correlated with the returns of CSI100 at 1% significance level only in 2014. However, it should be emphasized that the correlation of the new proposed measure, namely IAVS, is significantly at 1% significance level in 2014 and 2015. It shows that the effect of the measure IAVS on the movement of the stock market is more stable and significant than BI. This study yields important invest implications and better understanding of collective investors' attention.

Knowledge diffusion of dynamical network in terms of interaction frequency.

In this paper, we present a knowledge diffusion (SKD) model for dynamic networks by taking into account the interaction frequency which always used to measure the social closeness. A set of agents, which are initially interconnected to form a random network, either exchange knowledge with their neighbors or move toward a new location through an edge-rewiring procedure. The activity of knowledge exchange between agents is determined by a knowledge transfer rule that the target node would preferentially select one neighbor node to transfer knowledge with probability p according to their interaction frequency instead of the knowledge distance, otherwise, the target node would build a new link with its second-order neighbor preferentially or select one node in the system randomly with probability 1 - p. The simulation results show that, comparing with the Null model defined by the random selection mechanism and the traditional knowledge diffusion (TKD) model driven by knowledge distance, the knowledge would spread more fast based on SKD driven by interaction frequency. In particular, the network structure of SKD would evolve as an assortative one, which is a fundamental feature of social networks. This work would be helpful for deeply understanding the coevolution of the knowledge diffusion and network structure.

Roles of mixing patterns in the network reconstruction.

Compressive sensing is an effective way to reconstruct the network structure. In this paper, we investigate the effect of the mixing patterns, measured by the assortative coefficient, on the performance of network reconstruction. First, we present a model to generate networks with different assortativity coefficients, then we reconstruct the network structure by using the compressive sensing method. The experimental results show that when the assortativity coefficient r=0.2, the accuracy of the network reconstruction reaches the maximum value, which suggests that the compressive sensing is more effective for uncovering the links of social networks. Moreover, the accuracy of the network reconstruction will be higher as the network size increases.