TY -非盟的刘京盟,侯盛潮AU -埃文斯,理查德•夏盟,至岑溪盟——夏,Weidong AU - Ma,京东PY - 2019 DA - 2019/08/07 TI -病人抱怨什么在线:系统回顾和分类框架基于病人中心论乔- J地中海互联网Res SP - e14634六世- 21 - 8 KW -以病人为中心的护理KW -提供卫生保健KW -系统回顾KW -分类AB -背景:由于全球互联网的广泛连接，患者在网上对他们的医疗经历的投诉越来越普遍。基于以患者为中心的先验框架，可能有助于识别患者在多个环境中在线抱怨的问题类型。它还可以帮助检查以患者为中心的护理(PCC)的决定因素是否反映了患者体验的决定因素。目的:我们研究的目的是建立一个基于患者中心的在线患者投诉分类框架，并检查PCC的决定因素是否反映了患者体验的决定因素。方法:首先，应用最优拟合框架综合技术建立先验框架。其次，检索了包括Web of Science、Scopus和PubMed在内的电子数据库，以查找2000年至2018年6月期间发表的文章。只有收集了患者在线投诉的主要定量数据的研究才被纳入研究范围。第三，采用演绎和归纳的主题分析方法，将认可投诉的主题纳入框架。结果:本研究共纳入5个国家的17项研究。 Patient complaint online taxonomies and theme terms varied. According to our framework, patients expressed most dissatisfaction with patient-centered processes (101,586/204,363, 49.71%), followed by prerequisites (appropriate skills and knowledge of physicians; 50,563, 24.74%) and the care environment (48,563/204,363, 23.76%). The least dissatisfied theme was expected outcomes (3651/204,363, 1.79%). People expressed little dissatisfaction with expanded PCC dimensions, such as involvement of family and friends (591/204,363, 0.29%). Variation in the concerns across different countries’ patients were also observed. Conclusions: Online complaints made by patients are of major value to health care providers, regulatory bodies, and patients themselves. Our PCC framework can be applied to analyze them under a wide range of conditions, treatments, and countries. This review has shown significant heterogeneity of patients’ online complaints across different countries. SN - 1438-8871 UR - //www.mybigtv.com/2019/8/e14634/ UR - https://doi.org/10.2196/14634 UR - http://www.ncbi.nlm.nih.gov/pubmed/31392961 DO - 10.2196/14634 ID - info:doi/10.2196/14634 ER -