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. 2018 Aug 16;20(8):e254. doi: 10.2196/jmir.8868

Table 4.

The taxonomy of Web-based physician reviews (final).

Topic
Physician-related topics


Subtopic: Medical ethics


Explanation Physician’s interpersonal manners and behaviors perceived in the patient-physician interaction, including politeness, decency, patient participation in the treatment process, caring, listened to, understood, taken seriously.


Keywords Kind, good, attitude, medical ethics, patient, considerate, noble, careful, polite, show a patient every consideration, respect, indifference, pressing, unfriendly


Examples 1. This doctor always gets to the treatment room on time and treats me with good manners.
2. At one point, our family member had inappropriate bleeding from several sites on the body which (a doctor) dismissed as unimportant. Eventually we were able to convince other people in the intensive care unit to take care of the situation.


Original topic LDAa topic: 10, 15, 25, 26
Topic from the literature: Medical ethics (Relational conduct)


Frequency (n) 2592

Subtopic: Medical competence


Explanation Patient’s perceptions of the doctor’s competence, experience and knowledge, including accuracy of the diagnostic process and treatment, safe practices or outcomes, observations of missed or correct care, and pain control.


Keywords Good, medical skill, curative effect, turn for the better, improved significantly, high degree of medical skill, recovered, exacerbation, aggravation


Examples 1. His medical skill is so superb that I was soon discharged from the hospital.
2. Doctor Lin is very knowledgeable. He provided me with alternative treatment plans.


Original topic LDA topic: 1, 3, 5, 6, 19, 21, 25, 30
Topic from the literature: Physician knowledge and skill


Frequency (n) 2391

Subtopic: Medical advice and prescription


Explanation The treatment solution given by a physician. It also includes the side effects of medications and treatments.


Keywords Treatment, drug, antibiotics, surgery, insulin, take the medicine, injection, oral drugs, infusion, azithromycin, chemotherapy


Examples 1. Doctor Wang gave Gemcitabine, 5-fluorouracil for the treatment and explained it in detail in view of the different symptoms.
2. I did not get fat. My body shape is normal. No other side effects.


Original topic LDA topic: 4, 9, 12, 18, 23
Topic from the literature: Medicine and advice


Frequency (n) 1910

Subtopic: Communication skills


Explanation Communication skills such as listening skills, asking skills and explaining skills. Make sure the patient is understood and address each patient’s question well.


Keywords Patiently answering question, explicate, cannot understand, do not get it, state of illness, problem, ask, detailed, explain, urge again and again, enjoin, analyze


Examples What doctor Wang said was easily understood. He will patiently explain what you do not understand.


Original topic LDA topic: 2, 7, 17, 24, 27
Topic from the literature: Communication


Frequency (n) 2133
System-related topics

Subtopic: Financing


Explanation The price for similar services, confusion about billing issues, the stress of dealing with billing departments and unexpected out-of-pocket costs.


Keywords Expenses, money, expensive, spend money, cheap, registration fee, waste money, inexpensive, difference, price, expenses for medicine, affordable price


Examples The service is good, but it’s expensive. Your insurance may not cover most of it. [...] Call the hospital and ask for the cost first before you commit to any specialty sessions [...]


Original topic Topic from the literature: Financing


Frequency (n) 1903

Subtopic: Operation process


Explanation Discharge information, responsiveness, clinical environment and equipment, and make an appointment. Discharge information allows patients to report their feeling and experiences related to discharge, such as perceived diagnostic errors and revisits to the emergency department. Responsiveness paid attention to whether the physician was accessible when needed or not, such as when seeking emergency department care or immediate care, when the primary doctor is unavailable. Clinical environment and equipment focus on patients’ perception of the comfort of the environment of the hospital, quality and scarcity of equipment, and efficiency.


Keywords Difficult, make an appointment, see a doctor, flow, service, ward, consulting, wait in line, beds, reexamination, need to be, out of the hospital, online consulting


Examples After I got out of the hospital, doctor Liu called me several times. I told him my recent conditions.
It took a long time before the ambulance reached the hospital. Fortunately, the doctors rescued the little boy from the jaws of death.
I was very comfortable in the emergency room because at least one expert was on duty every night who regularly checked the patients.
The doctor’s office was clean, and the hospital was not crowded. I was comfortable.


Original Topic LDA topic: 8, 11, 13, 16, 29
Topic from the literature: Environment, Business process


Frequency (n) 1934
Patient-related topics

Subtopic: Patient profile


Explanation Patient’s demographic information, including age, sex, address, occupation, diet, hobbies, etc


Keywords Gender, height, age, born, weight, address, habits, allergic, hair


Examples My aunt feels uncomfortable. She is 60 years old.


Original Topic Human annotation



Frequency (n) 2339

Subtopic: Symptom


Explanation Symptom changes and sign changes. Symptom changes refer to subjective discomfort, abnormal feelings, and obvious pathological changes. Sign changes refer to the anomalous changes which could be diagnosed with objective tools.


Keywords Cough, symptoms, transfer, have a fever, abnormal, virus, high blood pressure, diarrhea, serious, catch a cold, thin, swelling, lymph node, bloodshot


Examples I have flu-like symptoms, for example, headache, cough, fever and rhinorrhea.


Original topic LDA topic: 14, 20


Frequency (n) 1606

Subtopic: Diagnosis and pathogenesis


Explanation Disease types, features and pathogenesis.


Keywords Pathogenesis, influencing factor, pneumonia, diabetes, blood pressure, fallopian tubes, function, cause, infertility, congenital, gastric cancer, genetic abnormality


Examples I added a side dish of vegetables for my son. Soon he developed severe diarrhea, 10 times a day.


Original topic LDA topic: 22, 28


Frequency (n) 1666

aLDA: Latent Dirichlet Allocation.