Abstract:
BACKGROUND:In the context of the Affordable Care Act, there is extensive emphasis on making provider quality transparent and publicly available. Online public reports of quality exist, but little is known about how visitors find reports or about their purpose in visiting. OBJECTIVE:To address this gap, we gathered website analytics data from a national group of online public reports of hospital or physician quality and surveyed real-time visitors to those websites. METHODS:Websites were recruited from a national group of online public reports of hospital or physician quality. Analytics data were gathered from each website: number of unique visitors, method of arrival for each unique visitor, and search terms resulting in visits. Depending on the website, a survey invitation was launched for unique visitors on landing pages or on pages with quality information. Survey topics included type of respondent (eg, consumer, health care professional), purpose of visit, areas of interest, website experience, and demographics. RESULTS:There were 116,657 unique visitors to the 18 participating websites (1440 unique visitors/month per website), with most unique visitors arriving through search (63.95%, 74,606/116,657). Websites with a higher percent of traffic from search engines garnered more unique visitors (P=.001). The most common search terms were for individual hospitals (23.25%, 27,122/74,606) and website names (19.43%, 22,672/74,606); medical condition terms were uncommon (0.81%, 605/74,606). Survey view rate was 42.48% (49,560/116,657 invited) resulting in 1755 respondents (participation rate=3.6%). There were substantial proportions of consumer (48.43%, 850/1755) and health care professional respondents (31.39%, 551/1755). Across websites, proportions of consumer (21%-71%) and health care professional respondents (16%-48%) varied. Consumers were frequently interested in using the information to choose providers or assess the quality of their provider (52.7%, 225/427); the majority of those choosing a provider reported that they had used the information to do so (78%, 40/51). Health care professional (26.6%, 115/443) and consumer (20.8%, 92/442) respondents wanted cost information and consumers wanted patient narrative comments (31.5%, 139/442) on the public reports. Health care professional respondents rated the experience on the reports higher than consumers did (mean 7.2, SD 2.2 vs mean 6.2, SD 2.7; scale 0-10; P<.001). CONCLUSIONS:Report sponsors interested in increasing the influence of their reports could consider using techniques to improve search engine traffic, providing cost information and patient comments, and improving the website experience for both consumers and health care professionals.
journal_name
J Med Internet Resjournal_title
Journal of medical Internet researchauthors
Bardach NS,Hibbard JH,Greaves F,Dudley RAdoi
10.2196/jmir.3637subject
Has Abstractpub_date
2015-05-01 00:00:00pages
e102issue
5eissn
1439-4456issn
1438-8871pii
v17i5e102journal_volume
17pub_type
杂志文章abstract:BACKGROUND:Enormous amounts of data are recorded routinely in health care as part of the care process, primarily for managing individual patient care. There are significant opportunities to use these data for other purposes, many of which would contribute to establishing a learning health system. This is particularly t...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.9134
更新日期:2018-05-29 00:00:00
abstract:BACKGROUND:Universities have begun deploying public Internet systems that allow for easy search of their experts, expertise, and intellectual networks. Deployed first in biomedical schools but now being implemented more broadly, the initial motivator of these research networking systems was to enable easier identificat...
journal_title:Journal of medical Internet research
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更新日期:2014-02-07 00:00:00
abstract:BACKGROUND:The mass media have been condemned for encouraging young people to take dietary supplements (DS). Media literacy, which includes authors and audiences (AA), messages and meanings (MM), and representation and reality (RR) domains, is a new approach to teaching young adults to make better informed health decis...
journal_title:Journal of medical Internet research
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更新日期:2020-08-31 00:00:00
abstract:BACKGROUND:Although previous research shows broad differences in the impact of online health information on patient-practitioner decision making, specific research is required to identify and conceptualize patient decision-making styles related to the use of online health information and to differentiate segments accor...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
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更新日期:2019-11-20 00:00:00
abstract:BACKGROUND:Efficiently sharing health data produced during standard care could dramatically accelerate progress in cancer treatments, but various barriers make this difficult. Not sharing these data to ensure patient privacy is at the cost of little to no learning from real-world data produced during cancer care. Furth...
journal_title:Journal of medical Internet research
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abstract:BACKGROUND:The death toll of COVID-19 topped 170,000 in Europe by the end of May 2020. COVID-19 has caused an immense psychological burden on the population, especially among doctors and nurses who are faced with high infection risks and increased workload. OBJECTIVE:The aim of this study was to compare the mental hea...
journal_title:Journal of medical Internet research
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更新日期:2021-01-18 00:00:00
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journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.9.4.e28
更新日期:2007-09-30 00:00:00
abstract::The use of Web-based methods to deliver and evaluate interventions is growing in popularity, particularly in a health care context. They have shown particular promise in responding to sensitive or stigmatized issues such as mental health and sexually transmitted infections. In the field of domestic violence (DV), howe...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,随机对照试验
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更新日期:2017-03-28 00:00:00
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journal_title:Journal of medical Internet research
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更新日期:2010-12-14 00:00:00
abstract:BACKGROUND:Although web-based interventions for promoting health and health-related behavior can be effective, poor adherence is a common issue that needs to be addressed. Technology as a means to communicate the content in web-based interventions has been neglected in research. Indeed, technology is often seen as a bl...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,评审
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更新日期:2012-11-14 00:00:00
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journal_title:Journal of medical Internet research
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更新日期:2000-01-01 00:00:00
abstract:BACKGROUND:Smartphone apps, fitness trackers, and online social networks have shown promise in weight management and physical activity interventions. However, there are knowledge gaps in identifying the most effective and engaging interventions and intervention features preferred by their users. OBJECTIVE:This 6-month...
journal_title:Journal of medical Internet research
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更新日期:2020-12-08 00:00:00
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journal_title:Journal of medical Internet research
pub_type: 杂志文章
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更新日期:2014-06-19 00:00:00
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journal_title:Journal of medical Internet research
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更新日期:2017-07-04 00:00:00
abstract:BACKGROUND:The implementation of a personal electronic health record (PHR) is a central objective of digitalization policies in the German health care system. Corresponding legislation was passed with the 2015 Act for Secure Digital Communication and Applications in the Health Sector (eHealth Act). However, compared wi...
journal_title:Journal of medical Internet research
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更新日期:2020-01-29 00:00:00
abstract:BACKGROUND:The main German-speaking countries (Germany, Austria, Switzerland) have implemented digital contact tracing apps to assist the authorities' COVID-19 containment strategies. Low user rates can impact contact tracing and thus the ability to control the spread of the novel coronavirus. OBJECTIVE:This study aim...
journal_title:Journal of medical Internet research
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更新日期:2021-01-09 00:00:00
abstract:BACKGROUND:The COVID-19 pandemic has caused major disruptions worldwide since March 2020. The experience of the 1918 influenza pandemic demonstrated that decreases in the infection rates of COVID-19 do not guarantee continuity of the trend. OBJECTIVE:The aim of this study was to develop a precise spread model of COVID...
journal_title:Journal of medical Internet research
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更新日期:2020-09-09 00:00:00
abstract:BACKGROUND:Patients suffering from depression have a high risk of relapse and readmission in the weeks following discharge from inpatient wards. Electronic self-monitoring systems that offer patient-communication features are now available to offer daily support to patients, but the usability, acceptability, and adhere...
journal_title:Journal of medical Internet research
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更新日期:2017-04-21 00:00:00
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journal_title:Journal of medical Internet research
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更新日期:2011-09-25 00:00:00
abstract:BACKGROUND:Web-based self-help interventions for problem drinking are coming of age. They have shown promising results in terms of cost-effectiveness, and they offer opportunities to reach out on a broad scale to problem drinkers. The question now is whether certain groups of problem drinkers benefit more from such Web...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,随机对照试验
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更新日期:2008-11-22 00:00:00
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pub_type: 杂志文章,随机对照试验
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journal_title:Journal of medical Internet research
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更新日期:2012-06-05 00:00:00
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journal_title:Journal of medical Internet research
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更新日期:2013-03-13 00:00:00
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journal_title:Journal of medical Internet research
pub_type: 杂志文章,评审
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更新日期:2014-03-25 00:00:00
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更新日期:2014-10-01 00:00:00
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journal_title:Journal of medical Internet research
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更新日期:2013-11-14 00:00:00
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journal_title:Journal of medical Internet research
pub_type: 杂志文章,评审
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更新日期:2014-07-03 00:00:00
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journal_title:Journal of medical Internet research
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abstract:BACKGROUND:There are few studies on the role of technology delivery mode on health intervention outcomes. Furthermore, the opportunity to examine potential mode effects on a program that is theory-based and integrates principles of communication and decision-making science to influence sexual and reproductive health ou...
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