Xu Tiannan, Ni Ruimei, Wu Hongye, Xu Feng, Song Suqi, Yuan Xiaoping, Zhang Kai
Department of Psychiatry, School of Mental Health and Psychological Sciences, Anhui Medical University, Hefei, China.
Department of Psychiatry, The Fourth Affiliated Hospital of Anhui Medical University, Hefei, China.
Front Psychiatry. 2025 Jun 26;16:1598574. doi: 10.3389/fpsyt.2025.1598574. eCollection 2025.
Haoxinqing, China's largest online mental health platform, facilitates digital psychological care delivery. This study aims to describe the demographics and medical service data of doctors on the Haoxinqing platform and investigate their associations.
The study analyzed the demographic information and medical service data of 11,333 registered physician users on the Haoxinqing platform over a 5-year period.
Among registered physicians, 87.0% were from secondary or tertiary hospitals and were concentrated in eastern provinces (e.g., Guangdong: 918). Female physicians had a lower proportion in senior titles (chief physicians: 19.0% vs. 20.0% for males), although the chi-square analysis indicated a weak association between gender and professional title (Cramer's = 0.051, < 0.001). Text and image consultations dominate (82.1%). Professional titles significantly impacted service volume: chief physicians had 3.85 times more patients (IRR = 3.85, 95% CI [2.11-7.00]) and prescribed 4.16 times more medications (IRR = 4.16, 95% CI [3.21-5.41]) than residents ( < 0.001). Negative binomial regression showed that male physicians had 30% fewer patients than females (IRR = 0.70, 95% CI [0.58-0.85], < 0.001), but the effect size for the association between gender and consultation methods was low (Cramer's = 0.036).
Based on cross-sectional data from China's largest online mental health platform, this study revealed that online services, while supplementing offline medical care, are still influenced by traditional medical hierarchy. Patients' trust in senior physicians and gendered communication norms are critical determinants affecting resource allocation patterns on digital platforms.
中国最大的在线心理健康平台“好心情”，推动了数字心理护理服务的提供。本研究旨在描述好心情平台上医生的人口统计学和医疗服务数据，并调查它们之间的关联。
该研究分析了好心情平台上11333名注册医生用户在5年期间的人口统计学信息和医疗服务数据。
在注册医生中，87.0%来自二级或三级医院，且集中在东部省份（如广东：918人）。女性医生在高级职称中的比例较低（主任医师：男性为20.0%，女性为19.0%），尽管卡方分析表明性别与职称之间的关联较弱（克莱默氏V = 0.051，P < 0.001）。文本和图像咨询占主导（82.1%）。职称对服务量有显著影响：主任医师的患者数量是住院医师的3.85倍（发病率比值比 = 3.85，95%置信区间[2.11 - 7.00]），开药量是住院医师的4.16倍（发病率比值比 = 4.16，95%置信区间[3.21 - 5.41]）（P < 0.001）。负二项回归显示，男性医生的患者比女性少30%（发病率比值比 = 0.70，95%置信区间[0.58 - 0.85]，P < 0.001），但性别与咨询方式之间关联的效应量较低（克莱默氏V = 0.036）。
基于中国最大在线心理健康平台的横断面数据，本研究表明，在线服务虽然补充了线下医疗，但仍受传统医疗等级制度的影响。患者对资深医生的信任和性别化沟通规范是影响数字平台资源分配模式的关键决定因素。
