scholarly journals Tracking patients healthcare experiences during the COVID-19 outbreak: Topic modeling and sentiment analysis of doctor reviews

2021 ◽  
Vol 9 (3A) ◽  
Author(s):  
Adnan M. Shah ◽  
◽  
Xiangbin Yan ◽  
Samia tariq ◽  
Syed Asad A. Shah ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Sentiment Analysis ◽  
Topic Modeling ◽  
Swot Analysis ◽  
Vaccine Development ◽  
Time Slice ◽  
Healthcare Organizations ◽  
Physician Rating ◽  
Physician Rating Website

Emerging voices of patients in the form of opinions and expectations about the quality of care can improve healthcare service quality. A large volume of patients’ opinions as online doctor reviews (ODRs) are available online to access, analyze, and improve patients’ perceptions. This paper aims to explore COVID-19-related conversations, complaints, and sentiments using ODRs posted by users of the physician rating website. We analyzed 96,234 ODRs of 5,621 physicians from a prominent health rating website in the United Kingdom (Iwantgreatcare.org) in threetime slices (i.e., from February 01 to October 31, 2020). We employed machine learning approach, dynamic topic modeling, to identify prominent bigrams, salient topics and labels, sentiments embedded in reviews and topics, and patient-perceived root cause and strengths, weaknesses, opportunities, and threats (SWOT) analyses to examine SWOT for healthcare organizations. This method finds a total of 30 latent topics with 10 topics across each time slice. The current study identified new discussion topics about COVID-19 occurring from time slice 1 to time slice 3, such as news about the COVID-19 pandemic, violence against the lockdown, quarantine process and quarantine centers at different locations, and vaccine development/treatment to stop virus spread. Sentiment analysis reveals that fear for novel pathogen prevails across all topics. Based on the SWOT analysis, our findings provide a clue for doctors, hospitals, and government officials to enhance patients’ satisfaction and minimize dissatisfaction by satisfying their needs and improve the quality of care during the COVID-19 crisis.

scholarly journals 3200 Balancing Cost and Quality of Care in the US and Denmark: Lessons for Nations Transitioning from Volume-Based to Value-Based Care

2019 ◽  
Vol 3 (s1) ◽  
pp. 140-140
Author(s):  
Negin Fouladi ◽  
Margit Malmmose
Keyword(s):  
Decision Making ◽  
Quality Of Care ◽  
Control Strategies ◽  
Decision Makers ◽  
Sources Of Information ◽  
Healthcare Organizations ◽  
Regulatory Oversight ◽  
Physician Practices ◽  
The Us

OBJECTIVES/SPECIFIC AIMS: Promote knowledge translation and evidence-informed decision-making by assessing barriers and facilitators to balancing cost and quality of care within the US state of Maryland and nation of Denmark. METHODS/STUDY POPULATION: Open-ended and semi-structured key-informant interviews were conducted in 2016 and 2017 among high level decision-makers in Maryland (N=21) and the Danish (N=17) healthcare systems, including hospital, local, regional, and cross-organizational administrators and elected officials. The interviews consisted of questions related to: (1) currently practiced and preferred approaches to resource allocation and development and use of quality performance measures, and (2) preferred sources, formats/styles, modes of information, and decision-making strategies based on a shift from volume to quality-driven care. RESULTS/ANTICIPATED RESULTS: Decision-makers in Maryland expressed the need for collaboration in a changing environment, yet increasingly rely on cost and quality outcomes data to drive decisions and note the struggle to identify credible and useful information. Maryland decision-makers also face challenges in regulating utilization and costs without mandated participation of physician practices within the global budget cap model, which is perceived to be a primary driver of healthcare utilization in the hospital sector. Similarly, decision-makers in Denmark conveyed the importance of quantitative data to aid decisions, however, stress collaboration and dialogue as driving factors and important sources of information. Danish decision-makers also express challenges to wide-spread adoption of a quality-driven approach due to unsustained quality assurance regulatory bodies. DISCUSSION/SIGNIFICANCE OF IMPACT: The findings suggest implementation of value-based healthcare is highly driven and influenced by availability of credible data, which may significantly impact development of policies and innovative cost control strategies, and regulatory oversight to promote adoption of quality measures in decision-making. Furthermore, collaboration within and across healthcare organizations remains a key component to health system improvement as it fosters dialogue and sharing of best practices among stakeholders.

scholarly journals Hospital Information Systems (HIS) in the Examination Rooms and Wards: Doctors Perceived Positive Impact on Quality of Care and Patient Safety

2018 ◽  
Vol 7 (2.29) ◽  
pp. 871 ◽  
Author(s):  
Lizawati Salahuddin ◽  
Zuraini Ismail ◽  
. .
Keyword(s):  
Patient Safety ◽  
Quality Of Care ◽  
Information Systems ◽  
Positive Impact ◽  
Healthcare Services ◽  
Hospital Information Systems ◽  
Structured Interviews ◽  
Healthcare Organizations ◽  
The Impact

Hospital Information Systems [HIS] is developed to support healthcare organizations in providing efficient, quality, and safe healthcare services. The objective of this study is to identify and describe doctors’ perspective on the impact of HIS use in the examination rooms and wards on quality of care and patient safety. Semi-structured interviews were carried out with thirty one doctors from three Malaysian government hospitals. Thematic qualitative analysis was performed by using ATLAS.ti to deduce the relevant themes. HIS were commonly believed to improve quality of care and patient safety in terms of : [1] accessibility of patients’ record, [2] efficient patient-care, [3] well-structured report viewing, [4] less missing patients’ records, [5] legibility of patients’ records, and [6] safety features. In conclusion, the use of HIS in examination rooms and wards suggests to improve the quality of care and patient safety.  

Towards a Better and Smarter Healthcare and IoT

2019 ◽  
pp. 191-228
Author(s):  
Navin Kumar
Keyword(s):  
Big Data ◽  
Quality Of Care ◽  
Data Analytics ◽  
Big Data Analytics ◽  
Healthcare Systems ◽  
Healthcare Organizations ◽  
Healthcare Data ◽  
Value Based Care ◽  
Rich Data

The amount of healthcare data continues to exponentially grow everyday. The complexity of this data further limits the analytical capabilities of traditional healthcare systems. With value-based care, it is far more imminent for healthcare organizations to control the costs and to improve the quality of care in order to sustain their business. The purpose of the chapter is to gain insights into complexities and challenges that exist in current healthcare systems and how big data analytics and IoT can play a pivotal role to positively influence the quality of care and patient outcomes. The chapter also provides solutions and strategies for building cloud-based data asset that can deliver rich data analytics to both the healthcare systems and the patients.

The Strengths, Weaknesses, Opportunities, and Threats Analysis of Big Data Analytics in Healthcare

2022 ◽  
pp. 1703-1718
Author(s):  
Chaojie Wang
Keyword(s):  
Big Data ◽  
Data Analytics ◽  
Success Factors ◽  
Swot Analysis ◽  
Big Data Analytics ◽  
Clear Understanding ◽  
Healthcare Organizations ◽  
Effective Use ◽  
The Cost

Improving the performance and reducing the cost of healthcare have been a great concern and a huge challenge for healthcare organizations and governments at every level in the US. Measures taken have included laws, regulations, policies, and initiatives that aim to improve quality of care, reduce costs of care, and increase access to care. Central to these measures is the meaningful and effective use of Big Data analytics. To reap the benefits of big data analytics and align expectations with results, researchers, practitioners, and policymakers must have a clear understanding of the unique circumstances of healthcare including the strengths, weaknesses, opportunities, and threats (SWOT) associated with the use of this emerging technology. Through descriptive SWOT analysis, this article helps healthcare stakeholders gain awareness of both success factors and issues, pitfalls, and barriers in the adoption of big data analytics in healthcare.

scholarly journals Health-Literate Healthcare Organizations and Quality of Care in Hospitals: A Cross-Sectional Study Conducted in Tuscany

2020 ◽  
Vol 17 (7) ◽  
pp. 2508
Author(s):  
Guglielmo Bonaccorsi ◽  
Anna Romiti ◽  
Francesca Ierardi ◽  
Maddalena Innocenti ◽  
Marco Del Riccio ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Organizational Health ◽  
Cross Sectional Study ◽  
Perceived Quality ◽  
Public Hospitals ◽  
Sectional Study ◽  
Healthcare Organizations ◽  
Cross Sectional ◽  
Perceived Quality Of Care

The concept of Health-Literate Healthcare Organization (HLHO) concerns the strategies by which healthcare organizations make it easier for people to navigate, understand, and use information and services to take care of their health. The aims of this study were to validate the HLHO-10 questionnaire in the Italian language; to measure the degree of implementation of the 10 attributes of HLHOs in a sample of hospitals placed in Tuscany; and to assess the association between the degree of implementation of the 10 attributes of HLHOs and the perceived quality of care. This was a cross-sectional study where data were collected using a self-administered questionnaire including three sections: a descriptive section, a section focused on the perceived quality, and the Italian version of the HLHO-10 questionnaire. A total amount of 405 healthcare managers answered the questionnaire (54.9%). The analysis shows that the HLHO score is significantly associated with the type of hospitals: accredited private hospitals have higher HLHO scores. Moreover, the perceived quality increases with the increasing of the HLHO score, with the highest coefficient for local public hospitals. In conclusion, Organizational Health Literacy culture should be an integral element for the management to improve the quality of care.

Physician Rating Websites and Use or Non-Use of a Physician After Reading These Reviews

2021 ◽  
Vol 19 (2) ◽  
pp. 55-73
Author(s):  
Joshua Fogel ◽  
Viviane Wahba
Keyword(s):  
College Students ◽  
Health Insurance ◽  
Behavioral Control ◽  
Perceived Health ◽  
Healthcare Organizations ◽  
Physician Visits ◽  
Physician Practices ◽  
Key Factor ◽  
Physician Rating ◽  
Physician Rating Website

This study is about use and non-use of a physician after reading physician rating website (PRW) reviews. College students (n=796) were surveyed about demographics, self-rated perceived health, health insurance, recent physician visits, and many PRW review topics. The study found that a number of PRWs read or typically read PRW reviews; trust, behavioral control, and intentions were each positively associated with increased odds for use and non-use of a physician. Women were associated with increased odds for use of a physician. Writing a PRW review was associated with increased odds for non-use of a physician. In conclusion, healthcare organizations and managers of physician practices should encourage patients to write reviews on PRWs with the hope that the majority of the reviews will be positive. As reviews read is a key factor influencing choosing to use and not use a physician, this way there will be a number of reviews for consumers to read.

Telehealth Before and During the COVID-19 Pandemic: What are Healthcare Workers Saying? (Preprint)

2021 ◽  
Author(s):  
Pascal Nitiema
Keyword(s):  
Quality Of Care ◽  
Health Professionals ◽  
Healthcare Workers ◽  
Discussion Forum ◽  
Average Score ◽  
Healthcare Organizations ◽  
Online Discussion Forum ◽  
Textual Data ◽  
Sentiment Score

BACKGROUND The COVID-19 pandemic and the lockdowns for controlling the spread of the infection have led to a surge in telehealth adoption by many healthcare organizations. It is unclear how this pandemic has impacted health professionals’ view about telehealth. The analysis of textual data such as comments posted on a discussion forum can uncover information that may not be captured by a structured survey. OBJECTIVE To examine the opinions of healthcare workers about telehealth services during the timeframe of March 2013 through December 2020. METHODS Comments about telehealth posted by healthcare workers from at least 46 countries were collected from an online discussion forum dedicated to health professionals. The analysis included the computation of sentiment scores from the textual data and the use of structural topic modeling to identify the topics of discussions as well as the factors that may be associated with the prevalence of these topics. RESULTS The analysis of the comments revealed positive opinions about the perceived benefits of telehealth services before and during the pandemic, especially the ability to reach patients who cannot come to the health facility for diverse reasons. However, opinions about these benefits were less positive during the pandemic compared to the pre-pandemic period Specific issues raised during the pandemic included technical difficulties encountered during telehealth sessions and the inability to perform certain care routines through telehealth platforms. While comments on the quality of care provided through telehealth were associated with a negative sentiment score overall, the average score was less negative during the pandemic compared to the pre-pandemic period, signaling a shift in opinion on the quality of telehealth services. Also, the analysis uncovered obstacles to the adoption of telehealth, including the absence of adequate legal dispositions for telehealth services and issues regarding the payment of these services by health insurance organizations. CONCLUSIONS : Enhancing the adoption of telehealth services beyond the pandemic requires addressing issues related to the quality of care, payment of services, and legal dispositions for delivering these services. CLINICALTRIAL

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