%0期刊文章%@ 1438-8871 %I JMIR出版物%V 21%卡塔尔世界杯8强波胆分析 N 8% P e14634 %T患者在网上抱怨什么:基于以患者为中心的系统综述与分类框架，刘a，侯静，埃文斯，理查德，夏晨曦，马卫东，京东+华中科技大学同济医学院医学与健康管理学院，武汉市硚口区航空路13号，86 27 83692826，jdma@hust.edu.cn %K以患者为中心的护理%K医疗保健交付%K系统回顾%K分类%D 2019 %7 07.08.2019 %9回顾%J J医学互联网Res %G英文%X背景:由于全球互联网连接广泛，患者在网上对其医疗保健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。 Results: In total, 17 studies from 5 countries were included in this study. 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. %M 31392961 %R 10.2196/14634 %U //www.mybigtv.com/2019/8/e14634/ %U https://doi.org/10.2196/14634 %U http://www.ncbi.nlm.nih.gov/pubmed/31392961