心脏病学家评论中的性别,年龄和患者经验:一个大规模的人工智能启用分析
Andrew Yang1, Fatima Rodriguez1, Jennifer P Woo1
1Department of Medicine, Division of Cardiology, Stanford University, Palo Alto, California, USA.
JACC. Advances
|August 12, 2024
概括
患者评论显示,沟通和信任是积极的心脏病体验的关键. 然而,女性和老年心脏病专家往往会获得较低的评分,这凸显了患者反中的潜在偏见.
科学领域:
- 心脏病学 心脏病学
- 医疗保健服务研究 医疗服务研究
- 自然语言处理自然语言处理.
背景情况:
- 患者越来越多地依赖在线评论来评估心脏病专家,提供对患者满意度驱动因素的见解.
- 关于患者年龄和性别对心脏病专家的感知体验的影响,人们的理解有限.
研究的目的:
- 在在线评论中使用自然语言处理 (NLP),以识别导致患者与心脏病学家的积极和消极体验的因素.
- 分析患者年龄和性别对这些体验的影响.
主要方法:
- 在 Healthgrades (1998-2023) 的 100,334 个在线心脏病学家评论中利用混合效应的后勤回归和情绪分析.
- 分析了按性别和年龄分层的审查数据,以确定评级,情绪和常用短语的趋势.
主要成果:
- 与男性心脏病学家相比,女性心脏病学家的平均评分较低,并且收到积极评论的可能性较低 (OR:0.655).
- 年龄较大的心脏病专家的平均评分低于年轻的心脏病专家 (4.145 ± 0.908 vs 4.348 ± 0.795).
- 积极的评价与诸如与患者共度的时间,明确的解释和患者对提供者的决策的信任等因素相关.
结论:
- 综合护理和患者的信任对于积极的心脏病学评价至关重要.
- 根据心脏病专家的性别和年龄,评级存在显著差异,女性和老年医生收到较低的评价.
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