Background Social media has penetrated all walks of life. Chinese Healthcare Institutions are increasingly utilizing social media to connect with their patients for better health service delivery. Current research has focused heavily on the use of social media in developed countries, with few exploring its usage in the context of developing countries, such as China.Objective This study aims to examine China's best hospitals, as recognized by The National Health and Family Planning Commission (NHFPC) of the People's Republic of China, and to map out the landscape of current social media usage by hospitals when engaging with patients.
MethodsWe examined the best 705 hospitals in China, collecting and analyzing their usage of popular Chinese social media applications, Sina Weibo and WeChat. Specific data included: (1) hospital characteristics (i.e. established time, number of beds, hospital type, regions/localities) and (2) status of social media usage on two of the most popular local social media platforms in China (i.e. initiated time, number of followers and number of tweets or posts). We further used a logistic regression model to test the association between hospital characteristics and social media adoption.Results A total of 537 (76.17%) tertiary-referral hospitals have created official accounts on either Sina Weibo or WeChat. Of these, WeChat is more popular than Sina Weibo. In addition, our study suggests that larger and newer hospitals with greater resources are more likely to adopt social media, while hospital type and affiliation to universities are not significant predictors of social media adoption among hospitals.
ConclusionOur study demonstrated that hospitals are more inclined to use WeChat.The move by hospitals from Sina Weibo to WeChat means that patients are seen to be not satisfied by mere communication and now place more value on health services Studies have also discovered certain patterns of social media usage among hospitals; for example, large, urban, not-for-profit hospitals and hospitals that are affiliated with universities or health systems are more likely to operate official social media accounts 2 [7,8]. Despite the recognized rise in social media usage by hospitals, a survey conducted in 2014, that explored the official websites of Italian local health authorities and public hospitals, found a low presence on social media [11].Researchers [12][13][14] have also established that the effects of social media on patient engagement vary between hospitals and that substantial differences exist between social media adoption and the effects produced. Further content analysis revealed that current social media usage in public health agencies enabled the centralization of information distribution, rather than interactive communication, and a strategic communication plan was deemed necessary for expanding reach and fostering interactivity and engagement among patients [12]. A study of local healthcare