Department of Rehabilitation Sciences The Hong Kong Polytechnic University, Kowloon, Hong Kong SAR, China.
JC School of Public Health and Primary Care The Chinese University of Hong Kong, Shatin, Hong Kong SAR, China.
Front Public Health. 2021 Dec 6;9:757310. doi: 10.3389/fpubh.2021.757310. eCollection 2021.
This study aimed to investigate the importance of providing Internet-based healthcare services based on the preference of a sample of medical students in China. An online best-worst scaling (BWS) survey with Case 1 design was conducted. Balanced independent block design generated 12 choice task profiles for each participant to answer. Descriptive analysis was used to describe the respondents' characteristics; Multinomial and mixed logit regression methods were used to investigate the importance of Internet-based services based on respondents' preferences. A total of 1,296 students completed the online survey and rated "Clinical Service," "Decision Aids," and "Public health" as the three most important services that should be provided through an Internet-based healthcare system. Providing "Medical Education" via the Internet was chosen as the least important service by the respondents. Subgroup analysis indicated that students studying clinical medicine and non-clinical medicine considered providing "Medical Education" and "Public Health," respectively, as more important services than others. This BWS study demonstrated that providing "Clinical Service," "Decision Aids," and "Public Health" through the Internet are the three most important services based on medical students' preferences in China. Further research is needed to investigate how to improve medical students' skills in using internet-based healthcare services in medical education programs.
本研究旨在探讨基于中国医学生样本偏好提供基于互联网的医疗服务的重要性。采用案例 1 设计进行了在线最佳最差标度（BWS）调查。平衡独立块设计为每个参与者生成了 12 个选择任务配置文件来回答。描述性分析用于描述受访者的特征；多项和混合对数回归方法用于根据受访者的偏好调查基于互联网的服务的重要性。共有 1296 名学生完成了在线调查，并将“临床服务”、“决策辅助”和“公共卫生”评为应通过互联网医疗系统提供的三项最重要的服务。受访者选择通过互联网提供“医学教育”作为最不重要的服务。亚组分析表明，学习临床医学和非临床医学的学生分别认为提供“医学教育”和“公共卫生”比其他服务更重要。这项 BWS 研究表明，提供“临床服务”、“决策辅助”和“公共卫生”是中国医学生偏好的基于互联网的三项最重要的服务。需要进一步研究如何在医学教育计划中提高医学生使用基于互联网的医疗服务的技能。
