Department of Statistics and Mathematics, Zhejiang Gongshang University, Hangzhou 310018, China.
Int J Environ Res Public Health. 2022 Apr 16;19(8):4858. doi: 10.3390/ijerph19084858.
The development of "wise medical" is crucial to global carbon reduction. The medical sector not only has the moral obligation to reduce carbon emissions, but also has the responsibility to provide high-quality services to patients. Existing research mostly focuses on the relationship between low-carbon and wise medical, while ignoring the transformation of wise medical and patients' opinions in the context of low-carbon transition. The paper crawls the text data of comments on the Zhihu platform (a Chinese platform similar to Quora), explores the focus of patients on wise medical through the co-occurrence analysis of high-frequency words, with a focus directly related to the role of wise medical treatment in carbon reduction, and designed a questionnaire accordingly. Using 837 valid questionnaires collected in Zhejiang Province, an XGBoost model was constructed to discuss the main factors affecting patient satisfaction, and the regional heterogeneity among the coastal area of eastern Zhejiang, the plain area of northern Zhejiang and the mountainous area of southwestern Zhejiang is discussed. The results show that patients' focus on wise medical lies mainly in the convenience brought by digitalization and the actual medical effect, and the main factors affecting satisfaction with medical treatment are the flow of people in hospitals, optimization of the medical treatment process, the application of digital platforms, the quality of telemedicine services and the appropriate quality of treatment. In terms of regional differences in Zhejiang Province, wise medical is more developed in the plain area of northern Zhejiang, with better simplified medical treatment processes and the construction of a digital platform, while the mountainous areas of southwestern Zhejiang have better quality in telemedicine services despite the geographical environment. Eastern Zhejiang is somewhere in between.
“智慧医疗”的发展对全球碳减排至关重要。医疗行业不仅有减少碳排放的道德义务，也有向患者提供高质量服务的责任。现有研究大多集中在低碳与智慧医疗的关系上，而忽略了低碳转型背景下智慧医疗与患者意见的转变。本文通过对知乎平台（类似于 Quora 的中文平台）评论文本数据的爬取，运用高频词共现分析方法挖掘患者对智慧医疗的关注点，重点直接涉及智慧医疗在碳减排中的作用，并据此设计问卷。通过在浙江省收集的 837 份有效问卷，构建了 XGBoost 模型，探讨了影响患者满意度的主要因素，并讨论了浙东沿海、浙北平原和浙西南山区的区域异质性。结果表明，患者对智慧医疗的关注主要集中在数字化带来的便利性和实际医疗效果上，影响医疗满意度的主要因素有人流量、医疗流程优化、数字平台应用、远程医疗服务质量和治疗的适宜性。在浙江省的区域差异方面，浙北平原的智慧医疗发展更为先进，简化了医疗流程，建设了数字平台，而尽管地理环境不佳，浙西南山区的远程医疗服务质量却更好。浙东则介于两者之间。
