What motivates Chinese physicians to provide online counseling services in Internet hospitals: online reputation or offline reputation? (Preprint)

2020 ◽  
Author(s):  
Ronghua Xu ◽  
Tingting Zhang ◽  
Qingpeng Zhang
Keyword(s):  
Regression Models ◽  
Counseling Services ◽  
Online Counseling ◽  
Consulting Services ◽  
Online Consultation ◽  
Number Of Patients ◽  
Professional Titles ◽  
Online Reputation ◽  
Chinese Physicians ◽  
The City

BACKGROUND Internet hospitals, or e-hospitals, as one kind of e-health platforms in China, provided novel channels through which physicians present their medical or health-care knowledge to patients and provide online counseling services. The sustainable development of Internet hospitals and e-health platforms relied on the participation of both the patients and the physicians, especially on the provision of health consultation services by the physicians. OBJECTIVE The objective of our study was to explore the factors motivating Chinese physicians to provide online health counseling services from the perspectives of their online reputation and offline reputation. METHODS We collected the data of 141,030 physicians from 6,173 offline hospitals and 350 cities on WeDoctor, an Internet hospital platform authorized by the China Health and Family Planning Committee. We selected the physicians’ online consultation volume, the total amount of counseling conversations from all channels of the platform, as the investigated dependent variable, reflecting the actual online counseling behaviors of the physicians in the platform. Based on the reputation theories and prior study, we incorporated patients’ feedback as the physicians’ online reputation (i.e. patients’ comments and their satisfaction scores), and incorporated the physicians’ offline professional status as the offline reputation (i.e. professional titles and the rankings of their offline working hospitals). We also delved the moderated effects of the city levels where the physicians lived offline and the number of patients who were watching the physicians online. Eight research hypotheses were proposed. Step-wise linear regression models were used to test our hypotheses. Durbin-Watson test and robustness tests were also conducted to ensure the fitness and reliability of our models. RESULTS As a result of the regression models, we found that, 1) physicians’ online reputation, including the number of comments written by the patients (beta=0.588, P<0.001), the satisfaction scores (beta=0.034, P<0.01), significantly and positively influence physicians’ online counseling behaviors; 2) Physicians’ offline reputation, including their professional titles (beta=-0.084, P<0.001) and the hospital rankings (beta=-0.163, P<0.001), significantly and negatively influence physicians’ online counseling behaviors; 3) the city levels where the physicians lived strengthen the negative effect between their offline hospital rankings and their online consulting services (beta=-0.177, P<0.001), indicating that physicians of higher offline reputation spend less time on online counseling, possibly due to the relative heavier offline workload; 4) the number of watching patients weakens the positive effect between patients’ comments and physicians’ online consulting services (beta=-0.216, P<0.001), indicating that the watching patients may switch the channels from online consultation to offline hospital visits after using the Internet hospitals. CONCLUSIONS This study contributed to the literature on physicians online counseling behaviors in Internet hospitals by verifying the contrasting effects of the online reputation and the offline reputation. It then contributed to the motivation theory by separating the online reputation from the offline reputation when the acting entities have constraints of limited time and effort. This study can also provide practical insights for the hospital managers to better arrange for the online counseling services and for the policy makers to consider the patients’ online feedback into the overall evaluation of the physicians’ reputation.

scholarly journals An Online Reputation Analysis of the Tourism Industry in Marbella: A Preliminary Study on Open Innovation

2021 ◽  
Vol 7 (2) ◽  
pp. 111
Author(s):  
María Jesús Carrasco-Santos ◽  
Antonio Manuel Ciruela-Lorenzo ◽  
Juan Gabriel Méndez Pavón ◽  
Carmen Cristófol Rodríguez
Keyword(s):  
Quantitative Research ◽  
Tourism Industry ◽  
Future Research ◽  
Full Data ◽  
Tourist Destination ◽  
Specific Advice ◽  
Sociodemographic Profile ◽  
The One ◽  
Online Reputation ◽  
The City

This research analyzed the online reputation of Marbella as a tourist destination and the profiles of the reviewers according to sociodemographic characteristics. A correlational, quantitative research technique was used in this study based on the manual extraction of more than 4000 reviews generated on TripAdvisor. The data used in this study were collected from the TripAdvisor website, taking, as a sample, tourists who had visited the city in the last three years. Ratings that did not provide full data on the variables were excluded. The findings show that Marbella is considered a luxury shopping destination. The preliminary conclusions allow us to generalize about the sociodemographic profile of its tourists. The findings of the study will provide valuable information for Marbella’s Destination Management Organization (DMO). On the one hand, this study highlights the importance of ranking the attractions of the city to create better communication strategies and enhance the appeal of those attractions that receive the best ratings, establishing the true vocation of Marbella as a tourist destination. On the other hand, it provides information on what tourists perceive to be negative elements, allowing the administration to create an improvement plan. The novelty of this research paper is that it delves into Marbella’s online reputation through an analysis of specific attractions’ ratings. Areas that require further attention in future research have been highlighted, along with specific advice on each attraction that contributes to the tourist offerings of the city.

Surgery of Petroclival Meningiomas: Report of 24 Cases

Neurosurgery ◽  
1989 ◽  
Vol 24 (1) ◽  
pp. 12-17 ◽  
Author(s):  
Madjid Samii ◽  
Mario Ammirati ◽  
Ahmed Mahran ◽  
Walter Bini ◽  
Abholgasse Sepehrnia
Keyword(s):  
Cranial Nerve ◽  
Transverse Sinus ◽  
Surgical Approaches ◽  
Common Symptom ◽  
City Hospital ◽  
Petroclival Meningiomas ◽  
Number Of Patients ◽  
Microsurgical Techniques ◽  
Total Tumor Removal ◽  
The City

Abstract Twenty-four patients with petroclival meningiomas were operated upon at the neurosurgical clinic of the City Hospital of Hannover between 1978 and 1987. Seventeen were women and seven men; the mean age was 45 years. Symptoms were usually present for more than 2 years before the diagnosis was made. The most common symptom was disturbance of gait; the most common preoperative sign was cranial nerve deficit, mainly of the 7th and 8th nerves. Preoperative neuroradiological evaluation included computed tomography and four-vessel cerebral angiography. Fifteen patients (62%) had a tumor larger than 2.5 cm in its major diameter. The surgical approaches used were the retromastoid, pterional, subtemporal, and combined retromastoid-subtemporal. We developed a modification of the retromastoid-subtemporal approach with preservation of the transverse sinus and used this in the last 2 patients. There was no postoperative death; 11 patients (46%) suffered postoperative complications, mainly in the form of cranial nerve deficits, often reversible. “Total” tumor removal was achieved in 17 patients (71%). Twenty patients (83%) were independent at the time of discharge from the hospital. With accurate neuroradiological evaluation, careful choice of the surgical approach, and sound application of microsurgical techniques, petroclival meningiomas may be “totally” and safely resected in a significant number of patients.

scholarly journals Perceptions towards Online Counseling among University of Jordan Students

2017 ◽  
Vol 11 (12) ◽  
pp. 68 ◽  
Author(s):  
Adel Tannous
Keyword(s):  
Counseling Services ◽  
Online Counseling ◽  
Online Questionnaire ◽  
Face To Face ◽  
Adequate Information ◽  
Life Problems ◽  
The Face ◽  
University Of Jordan ◽  
High Level ◽  
Use Of Internet

Technology and the use of internet has taken counseling service beyond the face-to-face to online counseling services. Online counseling has been available and widely used as more people are going online. Therefore this research aims to examine the perceptions of University of Jordan students toward online counseling. A sample of 210 respondents were selected to complete online questionnaire that contains two aspects of knowledge about and attitude toward online Counseling. The results of the study indicated that respondents have adequate information about the field of online counseling. However, face to face counseling was not the first preferences for most of the respondents. They have a positive attitude and a high level of preferring toward online counseling, and they believe that online counseling is an essential part of their way to deal with daily life problems. The results also indicated that social media is most effective way that help respondents to get online counseling, and it has tremendous effect on respondent's life. 

scholarly journals Prevalence of Chlamydia trachomatis infection among women seen at the lower genital tract pathology clinic, Jundiaí School of Medicine, Brazil

2011 ◽  
Vol 9 (3) ◽  
pp. 332-336
Author(s):  
João Bosco Ramos Borges ◽  
Ana Carolina Marchesini ◽  
Luciana Francine Bocchi De Stefani ◽  
Marcus Vinícius Gonçalves Belintani ◽  
Thaís Andrea dos Santos
Keyword(s):  
Chlamydia Trachomatis ◽  
Human Papilloma Virus ◽  
Genital Tract ◽  
Human Papilloma Virus Infection ◽  
Papilloma Virus ◽  
Chlamydia Trachomatis Infection ◽  
Screening Programs ◽  
Lower Genital Tract ◽  
Number Of Patients ◽  
The City

ABSTRACT Objective: To estimate the prevalence of Chlamydia trachomatis in a population with a high risk of sexually transmitted diseases and to compare data of the literature and the relationship of infection with the presence of human papilloma virus induced lesions. Methods: A total of 28 hybrid capture tests for C. trachomatis were collected from patients referred to the Municipal Health Division of the city of Jundiaí (SP) for the lower genital tract pathology. The results were compared with findings in the literature, and with the test results from a general population of the city of Jundiaí. Results: Of the 28 tests, 3 (10.7%) were positive. We did not find a positive association between C. trachomatis infection and the presence or aggravation of intraepithelial cervical cancer. Conclusion: Our findings showed a high prevalence of C. trachomatis infection in the population studied, but no association with human papilloma virus infection. Because the number of patients assessed was small, it is difficult to generalize from our findings. We suggest there is a need to expand screening programs for C. trachomatis, mainly in symptomatic patients and in those patients with cervical changes.

scholarly journals A PIECEWISE GROWTH MODEL FOR MODELING THE ACCUMULATED NUMBER OF COVID-19 CASES IN THE CITY OF CAMPO GRANDE

2021 ◽  
Vol 39 (1) ◽  
pp. 240
Author(s):  
Erlandson Ferreira SARAIVA ◽  
Leandro SAUER ◽  
Basílio De Bragança PEREIRA ◽  
Carlos Alberto de Bragança PEREIRA
Keyword(s):  
Growth Model ◽  
Health Department ◽  
World Health ◽  
Mathematical Study ◽  
Number Of Patients ◽  
Technical Report ◽  
The World ◽  
The Government ◽  
Health Organization ◽  
The City

In December of 2019, a new coronavirus was discovered in the city of Wuhan, China. The World Health Organization officially named this coronavirus as COVID-19. Since its discovery, the virus has spread rapidly around the world and is currently one of the main health problems, causing an enormous social and economic burden. Due to this, there is a great interest in mathematical models capable of projecting the evolution of the disease in countries, states and/or cities. This interest is mainly due to the fact that the projections may help the government agents in making decisions in relation to the prevention of the disease. By using this argument, the health department of the city (HDC) of Campo Grande asked the UFMS for the development of a mathematical study to project the evolution of the disease in the city. In this paper, we describe a modeling procedure used to fit a piecewise growth model for the accumulated number of cases recorded in the city. From the fitted model, we estimate the date in which the pandemic peak is reached and project the number of patients who will need treatment in intensive care units. Weekly, was sent to HDC a technical report describing the main results.

scholarly journals Pengaruh Kompetensi dan Kegiatan Komite Audit terhadap Kualitas Audit

2019 ◽  
Vol 14 (1) ◽  
pp. 25-36
Author(s):  
Dayu Swispa Pamantau
Keyword(s):  
Regression Models ◽  
Audit Committee ◽  
Audit Quality ◽  
Analysis Method ◽  
Linear Regression Models ◽  
High Competence ◽  
The City ◽  
A Company

The accuracy of the determination of policies within a company is determined by the quality of the resulting audit by the auditor. Audit quality will be higher when the auditor assigned to have high competence in the field of audit, in addition to the quality of the audit will be better if the activities of the audit committee to provide oversight of internal party activities. Therefore, this study purpose to determine the effect of the competence and activities of the audit committee on audit quality. The study was conducted at the KAP region of the city of Padang and Pekanbaru. The sample used was 43 respondents. The analysis method used is to use multiple linear regression models. Based on the results of hypothesis testing results found that the competence and activities of the audit committee have a significant effect on audit quality auditors working in KAP of Padang and Pekanbaru city.

scholarly journals An unexpectedly high occurrence of aciclovir-induced neuropsychiatric symptoms in patients treated for herpesvirus CNS infection: a prospective observational study

2019 ◽  
Vol 74 (12) ◽  
pp. 3565-3572 ◽  
Author(s):  
Johan Lindström ◽  
Anders Helldén ◽  
Jan Lycke ◽  
Anna Grahn ◽  
Marie Studahl
Keyword(s):  
Risk Factors ◽  
Renal Function ◽  
Medical Records ◽  
Regression Models ◽  
Prospective Observational Study ◽  
Neuropsychiatric Symptoms ◽  
Cns Infection ◽  
Albumin Ratio ◽  
Number Of Patients ◽  
The Impact

Abstract Background Aciclovir is effective in herpesvirus infections of the CNS. Aciclovir-induced neuropsychiatric symptoms (AINS) have been reported and are associated with high CSF concentrations of aciclovir metabolite 9-carboxymethoxymethylguanine (CMMG). Risk factors except for renal failure have not been explored, and disruption of the blood–brain barrier (BBB) in acute CNS infection may be of interest. Objectives To investigate the impact of risk factors on aciclovir and CMMG concentrations, and to relate the results to AINS. Methods We investigated 21 consecutively included, consenting patients treated with aciclovir or valaciclovir for herpesvirus CNS infection. Regression models were constructed to study the impact of risk factors including BBB disruption, as measured with CSF:serum albumin ratio, on CSF aciclovir and CMMG concentrations. Medical records were assessed retrospectively to identify patients with AINS. Results Increased CSF:serum albumin ratio, as well as decreased renal function and high aciclovir doses, was associated with increased aciclovir and CMMG concentrations in the CSF. We identified five patients with new neuropsychiatric symptoms; four of those were considered to have AINS and had increased CSF CMMG concentrations. Only one patient without suspicion of AINS had an increased CSF CMMG concentration. Conclusions In patients with herpesvirus CNS infections, BBB disruption is associated with increasing aciclovir and CMMG CSF concentrations. We also found an unexpectedly high number of patients with AINS. Evaluation of CSF:serum albumin ratios, renal function and CSF concentrations of aciclovir and CMMG may all contribute to the optimization of aciclovir dosing and avoidance of AINS.

Changes in cigar sales following implementation of a local policy restricting sales of flavoured non-cigarette tobacco products

2019 ◽  
pp. tobaccocontrol-2019-055004 ◽  
Author(s):  
Todd Rogers ◽  
Ashley Feld ◽  
Doris G Gammon ◽  
Ellen M Coats ◽  
Elizabeth M Brown ◽  
...  
Keyword(s):  
Rhode Island ◽  
Regression Models ◽  
Policy Impact ◽  
Local Policy ◽  
Cigarette Tobacco ◽  
Tobacco Products ◽  
Cross Border ◽  
Retail Outlets ◽  
The City ◽  
Specific Impact

IntroductionOn 3 January, 2013, the city of Providence, Rhode Island, began enforcing a restriction on the retail sale of all non-cigarette tobacco products with a characterising flavour other than tobacco, menthol, mint or wintergreen. We assessed the policy impact on cigar sales—which comprise 95% of flavoured non-cigarette tobacco products sold through conventional tobacco retail outlets (eg, convenience stores, supermarkets) in Providence—over time and in comparison to the rest of the state (ROS).MethodsWeekly retail scanner sales data were obtained for January 2012 to December 2016. Cigar sales were categorised into products labelled with explicit-flavour (eg, Cherry) or concept-flavour (eg, Jazz) names. Regression models assessed changes in prepolicy and postpolicy sales in Providence and ROS.ResultsAverage weekly unit sales of flavoured cigars decreased prepolicy to postpolicy by 51% in Providence, while sales increased by 10% in ROS (both p<0.01). The Providence results are due to a 93% reduction in sales of cigars labelled with explicit-flavour names (p<0.01), which did not change significantly in ROS. Sales of cigars labelled with concept-flavour names increased by 74% in Providence and 119% in ROS (both p<0.01). Sales of all cigars—flavoured and otherwise—decreased by 31% in Providence (p<0.01). We detected some evidence of product substitution and cross-border purchasing.ConclusionsThe Providence policy had a city-specific impact on retail sales of flavoured cigars, which was attenuated by an increase in sales of concept flavour-named cigars. Products with concept-flavour names may avoid enforcement agency detection, and their continued sale undermines the intent of the policy.

scholarly journals Implementation of Fuzzy Tsukamoto Algorithm in Determining the Level of Financial Distress in Microfinance Institutions

2018 ◽  
Author(s):  
Andysah Putera Utama Siahaan ◽  
Andre Hasudungan Lubis
Keyword(s):  
Financial Institutions ◽  
Financial Distress ◽  
Business Development ◽  
Community Empowerment ◽  
Microfinance Institutions ◽  
For Profit ◽  
Turnover Ratio ◽  
Consulting Services ◽  
The City ◽  
Existing Data

Fuzzy Tsukamoto is one method that is very flexible and tolerant of existing data. Fuzzy Tsukamoto has the advantage of being more intuitive, accepted by many, more suitable for the input received from humans rather than machines. Microfinance institutions are specialized financial institutions established to provide business development services and community empowerment, either through loans or financing in micro-scale businesses to members and the community, deposit management, and the provision of business development consulting services that are not solely for profit. The purpose of this study is to apply the fuzzy Tsukamoto method to determine the level of financial distress in microfinance institutions in the city of Medan based on the variables Liquidity Ratio, Age Firm, and Cumulative Profitability Ratio, Profitability Ratio, Financial Structure Ratio, Capital Turnover Ratio.

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