足病医生和足踝矫形外科医生的搜索引擎数字足迹差异：需要加入数字时代。
Differences of Search Engine Digital Footprints Between Podiatrists and Foot and Ankle Orthopaedic Surgeons: A Need to Join the Digital Era.
机构信息
From the Virginia Commonwealth University, School of Medicine (Chiang, Malik, Laubach, and Minchu), Riverside University Health System/University of California, Riverside, Department of General Surgery (Chiang), and The George Washington University of Medicine and Health Sciences, Department of Orthopaedic Surgery (Gu, and Chodos).
出版信息
J Am Acad Orthop Surg. 2022 Aug 15;30(16):780-788. doi: 10.5435/JAAOS-D-22-00189. Epub 2022 Jun 14.
BACKGROUND
Search engines generate lists of the most relevant websites using a keyword or phrase query and are integral in guiding consumer preferences. Digital information is important in the field of medicine, influencing what patients learn about their conditions and who they choose as providers. When two types of healthcare providers, such as podiatry and foot and ankle orthopaedic surgeons (FAOSs), share an overlapping consumer market, whichever group has a larger digital footprint receives increased digital engagement.
METHODS
The Google search engine was used to query nine common foot and ankle-associated terms using a "search term + zip code" format for 150 zip codes divided into urban, suburban, and rural population densities. The first 10 results of each search were classified into one of five categories. Site content was classified as podiatry-oriented, other MD/DO-oriented, or FAOS-oriented. Separately, a ratio between podiatrists and FAOSs was calculated for each population density group. Data were then normalized using this ratio and reanalyzed with the Wilcoxon signed-rank test with significance at P < 0.05.
RESULTS
Of 13,500 total search results, 4,992 (36.9%) were podiatry-oriented, 2,109 (15.6%) were other MD/DO-oriented, and 436 (3.2%) were FAOS-oriented. All geographic areas featured a higher number of podiatry than FAOS-oriented sites. FAOSs have more results per provider in urban areas (P < 0.001), although podiatrists had more in suburban and rural areas (P < 0.001, P < 0.001). Podiatrists have greater digital engagement in descriptive search terms. "Ankle replacement" has greater FAOS engagement in all three geographic areas.
DISCUSSION
Foot and ankle-related Internet search terms results are overwhelmingly composed of podiatry-oriented sites. Per provider, regional differences are demonstrated, with FAOS having more sites in urban areas only. FAOS scope-of-practice terms such as "ankle replacement" still retain greater engagement by FAOSs. Search engine optimization and saturation strategies should be considered.
LEVEL OF EVIDENCE
Level 3 (observational study).
背景
搜索引擎使用关键字或短语查询生成最相关网站的列表，这对于引导消费者的偏好至关重要。数字信息在医学领域很重要，它影响着患者对自己病情的了解以及他们选择的治疗师。当两种类型的医疗保健提供者（如足病医生和足踝矫形外科医生）共享重叠的消费者市场时，拥有更大数字足迹的群体将获得更多的数字参与度。
方法
使用“搜索词+邮政编码”格式，通过谷歌搜索引擎对 150 个邮政编码进行了 9 个常见的足踝相关术语的查询，这些邮政编码分为城市、郊区和农村人口密度。对每个搜索的前 10 个结果进行了分类，归入五个类别之一。网站内容分为足病医生导向、其他 MD/DO 医生导向或足踝矫形外科医生导向。此外，还计算了每个人口密度组中足病医生和足踝矫形外科医生的比例。然后使用该比例对数据进行标准化，并使用 Wilcoxon 符号秩检验重新分析，显著性水平为 P<0.05。
结果
在总共 13500 个搜索结果中，4992 个（36.9%）是足病医生导向的，2109 个（15.6%）是其他 MD/DO 医生导向的，436 个（3.2%）是足踝矫形外科医生导向的。所有地理区域都有更多的足病医生导向的网站。在城市地区，足踝矫形外科医生的搜索结果中每个治疗师的结果更多（P<0.001），尽管在郊区和农村地区，足病医生的搜索结果更多（P<0.001，P<0.001）。足病医生在描述性搜索词中具有更大的数字参与度。在所有三个地理区域中，“踝关节置换”都有更多的足踝矫形外科医生参与。
讨论
与足踝相关的互联网搜索词结果主要由足病医生导向的网站组成。按提供者划分，显示出区域差异，只有在城市地区，足踝矫形外科医生的网站更多。足踝矫形外科医生的实践范围术语，如“踝关节置换”，仍然由足踝矫形外科医生保持着更大的参与度。应该考虑搜索引擎优化和饱和策略。
证据水平
3 级（观察性研究）。
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