Xie Michael, Young Jason, May Collin
Harvard University, Cambridge, Massachusetts, USA.
Harvard Combined Orthopedic Residency Program, Boston, -Massachusetts, USA.
J Child Orthop. 2021 Jun 1;15(3):291-297. doi: 10.1302/1863-2548.15.210013.
To determine the availability and readability of online patient information (OPI) provided by paediatric hospitals in the United States using clubfoot as a model condition.
The websites of the top 95 paediatric hospitals identified using US News & World Report were included. The names of paediatric hospitals and the terms "clubfoot", "clubfeet" and "talipes equinovarus" were entered into the Google search engine. Readability was assessed using five validated metrics and the composite grade level (CGL). The number of unpaid monthly visits was calculated with the Ahrefs Organic Traffic Score (OTS) tool. Data for paediatric hospitals were compared with the same metrics for the top ten Google search results.
Of 95 paediatric hospitals, 29 (30.5%) did not have at least one web page dedicated to clubfoot. The 128 web pages representing 66 paediatric hospitals had an average CGL of 9.4, representing a readability level requiring some high school education. The mean OTS for all paediatric hospitals was 116 estimated visits per month, which was significantly less than that for the top ten Google clubfoot search results (3035.1; p < 0.0001).
Paediatric hospital web pages on clubfoot were visited much less frequently than those from the top ten Google search results. Only two web pages (1.6%) from paediatric hospitals offered OPI on clubfoot that met the American Medical Association recommended reading level (sixth-grade level). Paediatric hospitals should create OPI on clubfoot with appropriate readability and accessibility for patient families.
N/A.
以马蹄内翻足作为典型病症，确定美国儿科学医院提供的在线患者信息（OPI）的可用性和可读性。
纳入了通过《美国新闻与世界报道》确定的排名前95的儿科学医院的网站。将儿科学医院的名称以及“马蹄内翻足”“双侧马蹄内翻足”和“先天性马蹄内翻足”等术语输入谷歌搜索引擎。使用五个经过验证的指标和综合年级水平（CGL）评估可读性。使用Ahrefs自然流量评分（OTS）工具计算每月的无付费访问量。将儿科学医院的数据与谷歌搜索结果排名前十的相同指标进行比较。
在95家儿科学医院中，有29家（30.5%）没有至少一个专门针对马蹄内翻足的网页。代表66家儿科学医院的128个网页的平均CGL为9.4，这意味着其可读性水平需要一定的高中教育程度。所有儿科学医院的平均OTS为每月116次估计访问量，这明显低于谷歌马蹄内翻足搜索结果排名前十的访问量（3035.1；p<0.0001）。
儿科学医院关于马蹄内翻足的网页访问频率远低于谷歌搜索结果排名前十的网页。儿科学医院中只有两个网页（1.6%）提供了符合美国医学协会推荐阅读水平（六年级水平）的关于马蹄内翻足的OPI。儿科学医院应创建可读性和可访问性适宜的关于马蹄内翻足的OPI，以满足患者家庭的需求。
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