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Objective: This study aims to prioritize service attributes related to doctors' online performance based on patients' reviews on online healthcare platforms (OHPs).
Method: We propose a three-stage framework based on uncertainty reduction theory. First, perceived service attributes are extracted from review texts through aspect-based sentiment analysis using deep learning models. Second, the impact of these attributes on customer satisfaction and subsequent consultation demand is prioritized using extreme gradient boosting and an econometric model, respectively. Third, the service strengths and weaknesses of individual doctors are evaluated, to provide recommendations for targeted improvements through importance-performance analysis.
Results: A dataset of 445,435 reviews involving 49,024 doctors from an OHP were analyzed based on our framework. We find that attributes reducing cognitive uncertainty such as attitude are more influential than those addressing behavioral uncertainty like professional skill or fit uncertainty like overall experience.
Conclusion: We built a three-stage framework for mining the perceived service attributes and ranked their priority, which is conducive to doctors' use of patient feedback on OHPs to adjust their service focus and develop strategies to improve service quality.
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http://dx.doi.org/10.1177/20552076251353320 | DOI Listing |
Parkinsons Dis
September 2025
Northumbria Healthcare NHS Foundation Trust, Newcastle Upon Tyne, UK.
Cognitive impairment in Parkinson's disease (PD) is common, but there is scarce evidence as to how this group of patients can be most effectively assessed and managed. Our quality improvement project evaluated the impact of integrating a PD specialist psychiatrist (PDSP) into an existing multidisciplinary team (MDT) to allow direct referral of patients with cognitive impairment rather than to a separate service. We collected data over 1 year to map the referral trajectories of patients through the new pathway and estimated cost savings by comparison with the previous pathway.
View Article and Find Full Text PDFCureus
August 2025
Division of International Health, Graduate School of Medical and Dental Sciences, Niigata University, Niigata, JPN.
Introduction Rotavirus is the principal pathogen responsible for acute gastroenteritis and severe diarrhea in children worldwide and remains a significant public health threat. However, studies on the association between rotavirus gastroenteritis epidemics and meteorological factors in Japan are still scarce. In this study, we aimed to quantify the short-term effects of meteorological factors on the incidence of rotavirus gastroenteritis in Japan using advanced time-series modeling approaches.
View Article and Find Full Text PDFAm J Hematol
September 2025
Australian Centre for Blood Diseases Monash University, Melbourne, Australia.
Multiple myeloma (MM) is an incurable blood cancer characterized by clonal bone marrow plasmacytosis, hypercalcemia, renal failure, anemia, and osteolytic bone disease. Approximately 20% of NDMM patients, not predicted to have high-risk disease at diagnosis, progress early, despite optimal induction +/- ASCT and lenalidomide maintenance, and are subsequently categorized as functional high-risk (FHR) disease. Standardized risk-stratification models incorporate biomarkers of tumor burden, existence of high-risk cytogenetics, with the presence/absence of plasma cell leukemia/extramedullary disease to attribute high-risk at diagnosis; however, depth/duration of response to novel agent-based induction (NA-IND) as dynamic markers of disease risk have not been defined.
View Article and Find Full Text PDFJ Nucl Med Technol
September 2025
Anatomy and Imaging Department, Faculty of Medicine, Federal University of Minas Gerais, Belo Horizonte, Brazil; and.
Diagnostic reference levels (DRLs) are essential for optimizing radiologic practices and ensuring patient safety. This study aimed to establish typical DRLs for nuclear medicine (NM) procedures performed at a Brazilian public university hospital. A retrospective analysis of 2,609 patient records from 13 routine NM procedures was conducted.
View Article and Find Full Text PDFInt J Infect Dis
September 2025
SAMRC Centre for Tuberculosis Research, Division of Molecular Biology and Human Genetics, Faculty of Health Sciences, Stellenbosch University, Cape Town, South Africa; Department of Microbiology and Biochemistry, Faculty of Natural and Agricultural Sciences, University of the Free State, Bloemfontei
Background: Mycobacterium simiae is a slow-growing environmental nontuberculous mycobacterium (NTM), commonly isolated from soil and water. M. simiae is not known to transmit zoonotically or via human-to-human contact; infection is presumed to occur through direct environmental exposure.
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