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Investigating the effect of online and offline reputation on the provision of online counseling services

《工程管理前沿（英文）》 2022年第9卷第4期页码 563-576 doi: 10.1007/s42524-022-0198-0

摘要： The sustainable development of Internet hospitals and e-health platforms relies on the participation of patients and physicians, especially on the provision of health counseling services by physicians. The objective of our study is to explore the factors motivating Chinese physicians to provide online health counseling services from the perspectives of their online and offline reputation. We collect the data of 141029 physicians from 6173 offline hospitals located in 350 cities in China. Based on the reputation theory and previous studies, we incorporate patients’ feedback as physicians’ online reputation and incorporate physicians’ offline professional status as physicians’ offline reputation. Results show that physicians’ online reputation significantly and positively influence their online counseling behaviors, whereas physicians’ offline reputation significantly and negatively influence their online counseling behaviors. We conclude that physician’s online and offline reputations show a competitive and substitute relationship rather than a complementary relationship in influencing physicians to provide online counseling services in Internet hospitals. One possible explanation for the substitute relationship could be the constraints of limited time and effort of physicians.

关键词： Internet hospitals physicians’ online counseling online reputation offline reputation

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Attitude toward preventive counseling and healthy practices among medical students at a Colombian university

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《医学前沿（英文）》 2015年第9卷第2期页码 251-259 doi: 10.1007/s11684-015-0393-z

摘要：

Unhealthy behaviors of medical students influence their attitudes toward preventive counseling. The burden of chronic diseases is continually growing in developing countries, emphasizing the need for the increased role of general practitioners in preventive counseling. The objective of this study was to describe the effect of medical training on the risk profiles and attitudes of medical students toward preventive counseling in a Colombian university. Students in their first and fifth years of training were surveyed using the “Healthy Doctor= Healthy Patient” questionnaire to assess counseling attitudes; personal practices, such as risky drinking, smoking, inadequate nutrition, and non-compliance with physical activity recommendations; and the university environment. The association among these components was estimated, as well as the effect of the university environment. Risky drinking and smoking decreased from first to fifth year (59.3% vs. 37.1%, P = 0.021 and 31.5% vs. 25.9%, P = 0.51, respectively), whereas inadequate nutrition and non-compliance with physical activity recommendations increased. Physical activity (PA) was associated with positive counseling attitude (ORs: nutrition 7.6; alcohol 5.2; PA 10.6). Areas governed by institutional policies that are emphasized in the curriculum positively affected student practices. PA promoted preventive counseling and healthy lifestyles most effectively. Universities should therefore strengthen their preventive medicine curricula and modify social determinants.

关键词： lifestyle medical students preventive medicine counseling universities schools medical

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流产后避孕咨询与教育对人工流产后妇女避孕行为的影响初探

袁钦钦,许良智,宿宓,聂颖

《中国工程科学》 2014年第16卷第5期页码 34-38

摘要：

探讨对人工流产术后女性加强流产后避孕咨询与教育对其避孕行为的影响。选择2011年8月1 日—2011 年9 月30 日在四川大学华西第二医院妇产科门诊自愿行人工流产术的女性200 人，进行术后常规处理（常规处理组）。选择2011 年10 月25 日—2012 年4 月10 日在四川大学华西第二医院妇产科门诊自愿行人工流产术的女性200 人，流产后常规处理并加强避孕咨询与教育（加强干预组），两组均于术后1 个月、3 个月、6 个月进行随访调查。常规处理组和加强干预组半年后随访率分别为46 %，71.5 %（P<0.01）。常规处理组和加强干预组流产后4 周内性生活的恢复率分别为10.8 %，3.5 %（P<0.05）；半年内加强干预组避孕行为的正确率高于常规处理组(P<0.01)，而且其避孕套、复方口服避孕药（COC）和节育环等现代避孕措施的使用率高于常规处理组(P<0.01)，安全期和体外排精等传统避孕方法使用率低于常规处理组（P<0.01）；常规处理组和加强干预组非意愿妊娠率分别为7.0 %，1.5 %（P>0.05）。研究表明，及时通过加强流产后避孕咨询与教育，能提高人工流产后女性的避孕意识，增加避孕知识，提高正确避孕措施的使用率，更好地促进了女性的生殖健康。

关键词：人工流产流产后咨询与教育避孕行为