ArticleJMIR medical informatics2026
Accessibility and Decision-Supportive Quality of Benign Breast Disease Articles on Chinese Hospital WeChat Public Accounts: Nationwide Cross-Sectional Study.
Article in JMIR medical informatics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
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Authors and funding
15 authors.
Funding
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Abstract
Background: Shared decision-making (SDM) is critical for managing clinically ambiguous conditions such as benign breast disease (BBD), requiring reliable health information. In China, WeChat public accounts (WPAs) run by hospitals serve as a major health information channel, yet their quality remains unevaluated. Objective: This study aimed to evaluate the quality of BBD-related articles on hospital WPAs in China. Methods: Using a multistage stratified random sampling approach, we conducted a nationwide survey examining the quality of articles published from January 2020 to November 2024. The articles were evaluated for accessibility (readability, image quality, and user-friendliness) and SDM readiness (credibility, balance, and decision relevance) using validated instruments and content analysis. Results: Among 276,617 articles from 158 sampled hospitals, 464 were related to BBD. Accessibility was generally good: 72.4% (336/464) were written at a junior high school reading level. Visual presentation was acceptable, although only 10.2% (42/410) had complete image labeling. The Patient Education Materials Assessment Tool for Printable Materials (PEMAT-P) scores showed moderate understandability (mean 73.6%, SD 17.3%) but limited actionability (mean 50%, SD 23.2%). For SDM readiness, the mean Quality Evaluation Scoring Tool (QUEST) score was 14.9 (SD 4.7) out of 28, with treatment-related articles scoring lower than prevention-related articles ( Conclusions: WPA articles on BBD showed good accessibility but substantial gaps in SDM support, particularly in information balance and decision relevance. Standardized guidelines and quality improvements are needed to enhance patient-centered online health services.
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Registered trials
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