ArticleJournal of medical Internet research2022
Patient Activeness During Online Medical Consultation in China: Multilevel Analysis.
Article in Journal of medical Internet research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed.
- Use of WeChat-based patient-doctor interaction improves patient experience ofFrontiers in digital health · 2026Trial
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- Digital Geriatric Medical Care in the Era of Big Data: A Narrative Review and Case Study of a Chinese Aged Care Facility.International journal of general medicine · 2026Review
- Status and analysis of Free Hospital-Based Internet + Nursing Health Consultation Services: a retrospective study.BMC nursing · 2025Article
- What Key Factors Affect Patient Satisfaction on Online Medical Consultation Platforms? A Case Study from China.Healthcare (Basel, Switzerland) · 2025Article
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- Spillover Effects of Paid Functions on Physicians' Unpaid Knowledge Activities: Quasi-Experimental Approach.Journal of medical Internet research · 2024Article
- Development of a Standardized Photo Guideline for Online Hair Transplantation Consultation.Aesthetic plastic surgery · 2024Article
- Preferences of Individuals With Obesity for Online Medical Consultation in Different Demand Scenarios: Discrete Choice Experiments.Journal of medical Internet research · 2024Article
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- Effect of Prosocial Behaviors on e-Consultations in a Web-Based Health Care Community: Panel Data Analysis.Journal of medical Internet research · 2024Article
- The Association Between Linguistic Characteristics of Physicians' Communication and Their Economic Returns: Mixed Method Study.Journal of medical Internet research · 2024Article
- The predation relationship between online medical search and online medical consultation-empirical research based on Baidu platform data.Frontiers in public health · 2024Article
- Article
- Article
- eHealth literacy and doctor-inpatient relationships: The mediating role of eHealth utilization and the moderating role of age.Digital healthArticle
- Constructing RhetoricalInquiry : a journal of medical care organization, provision and financingArticle
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundOnline medical consultation is an important complementary approach to offline health care services. It not only increases patients' accessibility to medical care, but also encourages patients to actively participate in consultation, which can result in higher shared decision making, patient satisfaction, and treatment adherence.
objectiveThis study aims to explore multilevel factors that influence patient activeness in online medical consultations.
methodsA data set comprising 40,505 patients from 300 physicians in 10 specialties was included for multilevel analysis. Patient activeness score (PAS) was calculated based on the frequency and the proportion of patient discourses to the total frequency of doctor-patient interactions. Intraclass correlation coefficients were calculated to identify between-group variations, and the final multilevel regression model included patient- and physician-level factors.
resultsPatients were not equally active in online medical consultations, with PASs varying from 0 to 125.73. Patient characteristics, consultation behavioral attributes, and physician professional characteristics constitute 3 dimensions that are associated with patient activeness. Specifically, young and female patients participated more actively. Patients' waiting times online (β=-.17; P<.001) for physician responses were negatively correlated with activeness, whereas patients' initiation of conversation (β=.83; P<.001) and patient consultation cost (β=.52; P<.001) in online medical consultation were positively correlated. Physicians' online consultation volumes (β=-.10; P=.01) were negatively associated with patient activeness, whereas physician online consultation fee (β=.03; P=.01) was positively associated. The interaction effects between patient- and physician-level factors were also identified.
conclusionsPatient activeness in online medical consultation requires more scholarly attention. Patient activeness is likely to be enhanced by reducing patients' waiting times and encouraging patients' initiation of conversation in online medical consultation. The findings have practical implications for patient-centered care and the improvement of online medical consultation services.
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