PDF(Pubmed)
Abstract：
BACKGROUND: Web-based health care has the potential to improve health care access and convenience for patients with limited mobility, but its success depends on active physician participation. The economic returns of internet-based health care initiatives are an important factor that can motivate physicians to continue their participation. Although several studies have examined the communication patterns and influences of web-based health consultations, the correlation between physicians\' communication characteristics and their economic returns remains unexplored.
OBJECTIVE: This study aims to investigate how the linguistic features of 2 modes of physician-patient communication, instrumental and affective, determine the physician\'s economic returns, measured by the honorarium their patients agree to pay per consultation. We also examined the moderating effects of communication media (web-based text messages and voice messages) and the compounding effects of different communication features on economic returns.
METHODS: We collected 40,563 web-based consultations from 528 physicians across 4 disease specialties on a large, web-based health care platform in China. Communication features were extracted using linguistic inquiry and word count, and we used multivariable linear regression and K-means clustering to analyze the data.
RESULTS: We found that the use of cognitive processing language (ie, words related to insight, causation, tentativeness, and certainty) in instrumental communication and positive emotion-related words in affective communication were positively associated with the economic returns of physicians. However, the extensive use of discrepancy-related words could generate adverse effects. We also found that the use of voice messages for service delivery magnified the effects of cognitive processing language but did not moderate the effects of affective processing language. The highest economic returns were associated with consultations in which the physicians used few expressions related to negative emotion; used more terms associated with positive emotions; and later, used instrumental communication language.
CONCLUSIONS: Our study provides empirical evidence about the relationship between physicians\' communication characteristics and their economic returns. It contributes to a better understanding of patient-physician interactions from a professional-client perspective and has practical implications for physicians and web-based health care platform executives.
OBJECTIVE: This study aims to investigate how the linguistic features of 2 modes of physician-patient communication, instrumental and affective, determine the physician\'s economic returns, measured by the honorarium their patients agree to pay per consultation. We also examined the moderating effects of communication media (web-based text messages and voice messages) and the compounding effects of different communication features on economic returns.
METHODS: We collected 40,563 web-based consultations from 528 physicians across 4 disease specialties on a large, web-based health care platform in China. Communication features were extracted using linguistic inquiry and word count, and we used multivariable linear regression and K-means clustering to analyze the data.
RESULTS: We found that the use of cognitive processing language (ie, words related to insight, causation, tentativeness, and certainty) in instrumental communication and positive emotion-related words in affective communication were positively associated with the economic returns of physicians. However, the extensive use of discrepancy-related words could generate adverse effects. We also found that the use of voice messages for service delivery magnified the effects of cognitive processing language but did not moderate the effects of affective processing language. The highest economic returns were associated with consultations in which the physicians used few expressions related to negative emotion; used more terms associated with positive emotions; and later, used instrumental communication language.
CONCLUSIONS: Our study provides empirical evidence about the relationship between physicians\' communication characteristics and their economic returns. It contributes to a better understanding of patient-physician interactions from a professional-client perspective and has practical implications for physicians and web-based health care platform executives.
摘要：
背景：基于Web的医疗保健具有改善行动不便的患者的医疗保健获取和便利性的潜力，但它的成功取决于医生的积极参与。基于互联网的医疗保健计划的经济回报是可以激励医生继续参与的重要因素。尽管一些研究已经检查了基于网络的健康咨询的沟通模式和影响，医生的沟通特征与其经济回报之间的相关性仍未被探索。
目的：本研究旨在探讨两种医患沟通方式的语言特征，器乐和情感，确定医生的经济回报，以患者同意每次咨询支付的酬金来衡量。我们还研究了通信媒体（基于网络的文本消息和语音消息）的调节作用以及不同通信功能对经济回报的复合影响。
方法：我们从4个疾病专科的528名医生那里收集了40,563次基于网络的咨询，中国基于网络的医疗保健平台。使用语言查询和单词计数来提取交流特征，采用多元线性回归和K-均值聚类对数据进行分析。
结果：我们发现使用认知处理语言（即，与洞察力相关的词，因果关系,试探性，和确定性）在工具交流中和情感交流中与积极情绪相关的单词与医生的经济回报呈正相关。然而,大量使用与差异相关的单词可能会产生不利影响。我们还发现，将语音消息用于服务交付会放大认知处理语言的影响，但并未减轻情感处理语言的影响。最高的经济回报与咨询有关，在咨询中，医生很少使用与消极情绪相关的表达；使用更多与积极情绪相关的术语；后来，使用工具性交流语言。
结论：我们的研究提供了关于医生沟通特征与其经济回报之间关系的经验证据。它有助于从专业客户的角度更好地理解患者与医生的互动，并对医生和基于网络的医疗保健平台高管具有实际意义。
目的：本研究旨在探讨两种医患沟通方式的语言特征，器乐和情感，确定医生的经济回报，以患者同意每次咨询支付的酬金来衡量。我们还研究了通信媒体（基于网络的文本消息和语音消息）的调节作用以及不同通信功能对经济回报的复合影响。
方法：我们从4个疾病专科的528名医生那里收集了40,563次基于网络的咨询，中国基于网络的医疗保健平台。使用语言查询和单词计数来提取交流特征，采用多元线性回归和K-均值聚类对数据进行分析。
结果：我们发现使用认知处理语言（即，与洞察力相关的词，因果关系,试探性，和确定性）在工具交流中和情感交流中与积极情绪相关的单词与医生的经济回报呈正相关。然而,大量使用与差异相关的单词可能会产生不利影响。我们还发现，将语音消息用于服务交付会放大认知处理语言的影响，但并未减轻情感处理语言的影响。最高的经济回报与咨询有关，在咨询中，医生很少使用与消极情绪相关的表达；使用更多与积极情绪相关的术语；后来，使用工具性交流语言。
结论：我们的研究提供了关于医生沟通特征与其经济回报之间关系的经验证据。它有助于从专业客户的角度更好地理解患者与医生的互动，并对医生和基于网络的医疗保健平台高管具有实际意义。
