Exploring sources of patient dissatisfaction in mobile health communication: A text analysis based on structural topic model

Abstract

Understanding online patient dissatisfaction is essential for improving the quality of healthcare services, patient satisfaction, and physician career development. This study is the first to apply the structural topic model to patient satisfaction research based on patient online reviews from a mobile health communication platform, revealing eight negative topics of patient concerns. These topics include under-explored areas such as “go to the hospital for check-ups,” “incomplete counseling,” and “language expression.” Additionally, we incorporated the doctor's title as a covariate in the model to examine how specific topics varied across different conditions. The results indicated that higher-titled doctors were more likely to receive complaints about the cost of treatment and whether the question was answered, whereas lower-titled doctors were more likely to receive complaints related to physician's knowledge, incomplete counseling, and response speed. This study not only enhances our understanding of mobile health services but also provides targeted insights for healthcare providers to improve their services, thereby contributing to the advancement of patient-centered care.