Validity of patients' online reviews at direct-to-consumer teleconsultation platforms: a protocol for a cross-sectional study using unannounced standardised patients.
Validity of patients' online reviews at direct-to-consumer teleconsultation platforms: a protocol for a cross-sectional study using unannounced standardised patients.
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DOI：
10.1136/bmjopen-2023-071783
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发表时间：
2023-05-10
期刊：
影响因子：
2.9
通讯作者：
Xu, Dong
中科院分区：
文献类型：
--
作者：
Xie, Yunyun;He, Wenjun;Wan, Yuting;Luo, Huanyuan;Cai, Yiyuan;Gong, Wenjie;Liu, Siyuan;Zhong, Dongmei;Hu, Wenping;Zhang, Lanping;Li, Jiaqi;Zhao, Qing;Lv, Sensen;Li, Chunping;Zhang, Zhang;Li, Changchang;Chen, Xiaoshan;Huang, Wangqing;Wang, Yutong;Xu, Dong
随着直接面向消费者的远程会诊（以下简称为“远程会诊”）越来越受欢迎，越来越多的患者已经在网上留下了他们的远程会诊体验的评论。这些评论可以帮助指导患者确定远程会诊的医生。然而，很少有研究探讨了在线评论的有效性，在评估远程会诊的质量对黄金标准。因此，我们的目标是使用未经宣布的标准化患者（USP）来验证在线评论，以评估远程会诊的技术和以患者为中心的质量。我们假设在线审查结果将更符合以患者为中心的质量，而不是USP评估的技术质量。在这项横断面研究中，代表11种常见初级保健疾病的USP将通过中国三个最大的远程会诊平台随机访问253名医生。每位医生将接受一次基于文本和一次基于语音/视频的USP访视，总计506次USP访视。USP将完成质量检查表，以评估远程会诊期间临床实践指南推荐项目的比例。每次访视后，USP还将完成患者对以患者为中心的感知评级。将使用组内相关系数（ICC）将USP评估结果与在线审查结果进行比较。如果ICC >0.4（p<0.05），我们将假设USP评估的质量和在线评论之间存在合理的一致性。此外，我们将使用相关分析，林氏协调相关系数和Kappa作为补充分析。本研究已获得南方医科大学伦理委员会批准（#南方医学审字（2022）第013号）。研究结果将通过印刷品和社交媒体积极传播，USP工具将提供给其他研究人员。该研究已在中国临床试验注册中心注册（ChiCTR 2200062975）。
As direct-to-consumer teleconsultation (hereafter referred to as ‘teleconsultation’) has gained popularity, an increasing number of patients have been leaving online reviews of their teleconsultation experiences. These reviews can help guide patients in identifying doctors for teleconsultation. However, few studies have examined the validity of online reviews in assessing the quality of teleconsultation against a gold standard. Therefore, we aim to use unannounced standardised patients (USPs) to validate online reviews in assessing both the technical and patient-centred quality of teleconsultations. We hypothesise that online review results will be more consistent with the patient-centred quality, rather than the technical quality, as assessed by the USPs. In this cross-sectional study, USPs representing 11 common primary care conditions will randomly visit 253 physicians via the three largest teleconsultation platforms in China. Each physician will receive a text-based and a voice/video-based USP visit, resulting in a total of 506 USP visits. The USP will complete a quality checklist to assess the proportion of clinical practice guideline-recommended items during teleconsultation. After each visit, the USP will also complete the Patient Perception of Patient-Centeredness Rating. The USP-assessed results will be compared with online review results using the intraclass correlation coefficient (ICC). If ICC >0.4 (p<0.05), we will assume reasonable concordance between the USP-assessed quality and online reviews. Furthermore, we will use correlation analysis, Lin’s Coordinated Correlation Coefficient and Kappa as supplementary analyses. This study has received approval from the Institutional Review Board of Southern Medical University (#Southern Medical Audit (2022) No. 013). Results will be actively disseminated through print and social media, and USP tools will be made available for other researchers. The study has been registered at the China Clinical Trials Registry (ChiCTR2200062975).
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