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Social Media Users' Perception of Telemedicine and mHealth in China: Exploratory Study.

JMIR MHealth and UHealth 2018 September 26
BACKGROUND: The use of telemedicine and mHealth has increased rapidly in the People's Republic of China. While telemedicine and mHealth have great potential, wide adoption of this technology depends on how patients, health care providers, and other stakeholders in the Chinese health sector perceive and accept the technology.

OBJECTIVE: To explore this issue, we aimed to examine a social media platform with a dedicated focus on health information technology and informatics in China. Our goal is to utilize the findings to support further research.

METHODS: In this exploratory study, we selected a social media platform-HC3i.cn-to examine the perception of telemedicine and mHealth in China. We performed keyword analysis and analyzed the prevalence and term frequency-inverse document frequency of keywords in the selected social media platform; furthermore, we performed qualitative analysis.

RESULTS: We organized the most prominent 16 keywords from 571 threads into 8 themes: (1) Question versus Answer; (2) Hospital versus Clinic; (3) Market versus Company; (4) Doctor versus Nurse; (5) Family versus Patient; (6) iPad versus Tablet; (7) System versus App; and (8) Security versus Caregiving. Social media participants perceived not only significant opportunities associated with telemedicine and mHealth but also barriers to overcome to realize these opportunities.

CONCLUSIONS: We identified interesting issues in this paper by studying a social media platform in China. Among other things, participants in the selected platform raised concerns about quality and costs associated with the provision of telemedicine and mHealth, despite the new technology's great potential to address different issues in the Chinese health sector. The methods applied in this paper have some limitations, and the findings may not be generalizable. We have discussed directions for further research.

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