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Cao B, Wang D, Wang Y, Hall BJ. Patient Expectation in China: Exploring Patient Satisfaction in Online and Offline Patient-Provider Communication. Front Psychol 2022; 13:888657. [PMID: 35756275 PMCID: PMC9226754 DOI: 10.3389/fpsyg.2022.888657] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2022] [Accepted: 05/06/2022] [Indexed: 11/13/2022] Open
Abstract
Introduction Online patient-provider communication (OPPC) has become an alternative approach to seek medical advice and contact health professionals. However, its penetration rate remains low, and the underlying mechanisms of patient satisfaction with OPPC are underexamined. This study investigates the role of patient expectancy and the expectancy violation of patient-centered communication (PCC) in patient satisfaction in emerging OPPC scenarios by integrating the concepts of PCC and expectancy violation theory (EVT). Method An online survey was conducted in October 2019 among Chinese respondents who experienced OPPC and offline medical services. Results The 471 qualified participants reported high satisfaction with OPPC (mean [M] = 3.63, standard deviation [SD] = 0.81). However, patient satisfaction with OPPC was lower than that in offline medical encounters (M = 3.75, SD = 0.80), and patients suffered a higher expectancy violation of PCC in OPPC scenarios (M = 0.45, SD = 0.76) than in offline medical encounters (M = 0.27, SD = 0.69). Nevertheless, patients' satisfaction with OPPC significantly increased as the frequency of OPPC usage increased (β = 0.209, p < 0.001). This positive relationship was partially mediated by the decrease in the expectancy violation of PCC in OPPC scenarios. Discussion The study can contribute to increasing the adoption of OPPC and reducing the burden of offline medical resources.
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Affiliation(s)
- Bolin Cao
- School of Media and Communication, Shenzhen University, Shenzhen, China
| | - Dongya Wang
- School of Media and Communication, Shenzhen University, Shenzhen, China
| | - Yifan Wang
- School of Media and Communication, Shenzhen University, Shenzhen, China
| | - Brian J. Hall
- Center for Global Health Equity, New York University Shanghai, Shanghai, China
- Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, United States
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Jakob L, Steeb T, Fiocco Z, Pumnea T, Jakob SN, Wessely A, Rothenberger CC, Brinker TJ, French LE, Berking C, Heppt MV. Patient Perception of Mobile Phone Apps for the Care and Prevention of Sexually Transmitted Diseases: Cross-Sectional Study. JMIR Mhealth Uhealth 2020; 8:e16517. [PMID: 33170133 PMCID: PMC7685917 DOI: 10.2196/16517] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2019] [Revised: 08/08/2020] [Accepted: 09/04/2020] [Indexed: 01/06/2023] Open
Abstract
Background In the emerging era of digitalization and electronic health, various health-related apps have been launched, including apps for sexually transmitted diseases. Until now, little has been known about how patients perceive the value of such apps. Objective To investigate patient’s attitudes and awareness toward sexually transmitted disease–related apps in an outpatient sexually transmitted disease clinic setting. Methods A cross-sectional study was conducted at a dermatovenereological outpatient unit between April and July 2019. Patients completed a self-administered questionnaire on their perceptions of the popularity and usefulness of sexually transmitted disease–related apps. Descriptive analysis was performed with expression of categorical variables as frequencies and percentages. For continuous variables, the median, range, and interquartile range were indicated. Contingency tables and chi-square tests were used to investigate associations between sociodemographic data and items of the questionnaire. Results A total of 226 patients were surveyed (heterosexual: 137/193, 71.0%; homosexual: 44/193, 22.8%; bisexual: 12/193, 6.2%); 11.9% (27/225) had previously used health-related apps. Nearly half of the patients (97/214, 45.3%) specifically considered sexually transmitted disease–related apps useful, 47.8% (100/209) voted that they could supplement or support the consultation of a physician. Interestingly, only 35.1% (74/211) preferred a printed patient brochure on sexually transmitted diseases over downloading and using an app, but 64.0% (134/209) would download a sexually transmitted disease–related app recommended by their physician. General information regarding sexually transmitted diseases (93/167, 55.7%), evaluation of skin diseases based on photos or videos (78/167, 53.3%), information on the prevention of sexually transmitted diseases (76/167, 45.5%), mediation of nearby contact points or test sites (74/167, 44.3%), anonymous medical advice (69/167, 41.3%), and calculation of the risk of having a sexually transmitted disease (63/167, 37.3%) were rated as the most important features. Men were more likely than women to find sexually transmitted disease–related apps useful in general (P=.04; χ2=6.28) and to pay for such apps (P=.01; χ2=9.19). Patients aged <40 years would rather download an app recommended by their physician (P=.03; χ2=7.23), whereas patients aged >40 years preferred reading a patient brochure on sexually transmitted diseases (P=.02; χ2=8.14). Conclusions This study demonstrated high general interest in the use of sexually transmitted disease–related apps in this sample of dermatovenereological outpatients. In particular, young age and male sex were significantly associated with a positive perception, underlining the high potential of apps in the prevention and early recognition of sexually transmitted diseases in this group. Future studies are warranted to validate these findings in other populations.
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Affiliation(s)
- Lena Jakob
- Department of Dermatology and Allergy, University Hospital Munich, Ludwig Maximilian University Munich, Munich, Germany
| | - Theresa Steeb
- Department of Dermatology and Allergy, University Hospital Munich, Ludwig Maximilian University Munich, Munich, Germany.,Department of Dermatology, Universitätsklinikum Erlangen, Friedrich-Alexander-University Erlangen-Nürnberg, Erlangen, Germany.,Deutsches Zentrum für Immuntherapie, Friedrich-Alexander-University Erlangen-Nürnberg, Erlangen, Germany
| | - Zeno Fiocco
- Department of Dermatology and Allergy, University Hospital Munich, Ludwig Maximilian University Munich, Munich, Germany
| | - Teodora Pumnea
- Department of Dermatology and Allergy, University Hospital Munich, Ludwig Maximilian University Munich, Munich, Germany
| | - Sophia Nomi Jakob
- Arbeitsstelle für Diagnostik und Evaluation, Johann Wolfgang Goethe University Frankfurt, Frankfurt, Germany
| | - Anja Wessely
- Department of Dermatology and Allergy, University Hospital Munich, Ludwig Maximilian University Munich, Munich, Germany.,Department of Dermatology, Universitätsklinikum Erlangen, Friedrich-Alexander-University Erlangen-Nürnberg, Erlangen, Germany.,Deutsches Zentrum für Immuntherapie, Friedrich-Alexander-University Erlangen-Nürnberg, Erlangen, Germany
| | | | - Titus Josef Brinker
- National Center for Tumor Diseases, German Cancer Research Center, Heidelberg, Germany.,Department of Dermatology, University Hospital Heidelberg, Heidelberg, Germany
| | - Lars Einar French
- Department of Dermatology, Universitätsklinikum Erlangen, Friedrich-Alexander-University Erlangen-Nürnberg, Erlangen, Germany
| | - Carola Berking
- Department of Dermatology and Allergy, University Hospital Munich, Ludwig Maximilian University Munich, Munich, Germany.,Department of Dermatology, Universitätsklinikum Erlangen, Friedrich-Alexander-University Erlangen-Nürnberg, Erlangen, Germany.,Deutsches Zentrum für Immuntherapie, Friedrich-Alexander-University Erlangen-Nürnberg, Erlangen, Germany
| | - Markus Vincent Heppt
- Department of Dermatology and Allergy, University Hospital Munich, Ludwig Maximilian University Munich, Munich, Germany.,Department of Dermatology, Universitätsklinikum Erlangen, Friedrich-Alexander-University Erlangen-Nürnberg, Erlangen, Germany.,Deutsches Zentrum für Immuntherapie, Friedrich-Alexander-University Erlangen-Nürnberg, Erlangen, Germany
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Wang Y, Li M, Zhao X, Pan X, Lu M, Lu J, Hu Y. Effects of continuous care for patients with type 2 diabetes using mobile health application: A randomised controlled trial. Int J Health Plann Manage 2019; 34:1025-1035. [PMID: 31368137 DOI: 10.1002/hpm.2872] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
- Yanmei Wang
- Department of NursingGongli Hospital of the Second Military Medical University Shanghai China
- School of NursingFudan University Shanghai China
- Department of Postdoctoral officePudong Institution for Health Development Shanghai China
| | - Ming Li
- Department of Director's officeZhoupu Hospital of Pudong New Area Shanghai China
| | - Xinxiang Zhao
- Department of Plastic surgeryGongli Hospital of the Second Military Medical University Shanghai China
| | - Xinxin Pan
- Department of NursingGongli Hospital of the Second Military Medical University Shanghai China
| | - Min Lu
- Department of NursingGongli Hospital of the Second Military Medical University Shanghai China
| | - Jing Lu
- Department of NursingGongli Hospital of the Second Military Medical University Shanghai China
| | - Yan Hu
- School of NursingFudan University Shanghai China
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