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The Quality and Characteristics of Leading General Hospitals’ Websites in China

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Abstract

This paper focuses on the evaluation of quality of hospital websites in China. Leading general hospitals’ websites in China are increasingly used by the public, but research on the quality of these websites in China is few and far between. In this article, we conducted a cross-sectional descriptive infodemiology study to assess the quality and to describe the characteristics of these websites. Using a pre-defined objective criterion based on content, function, design, and management & usage, two well-trained reviewers independently reviewed and analyzed websites of 23 nationally prominent leading general hospitals of China from April to June 2009. Hospital election is on the basis of the best Chinese hospitals published by official and non-official sources combined with experts’ experiences and the research purpose. Results show that websites of most hospitals showed a good performance in website content, showed a normal performance in website function and design, but showed a bad performance in website management & usage. As the public increasingly looks to hospital websites for information and services, leading general hospitals in China need to keep up with increasingly high standards and demands of health-care consumers.

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References

  1. Eisenmann, T., and Pothen, S. T., Online portals, Case Number 9-801-305. Bostan, MA: Harvard Business School, pp. 1–29, 2000.

  2. Kuo, T., Lu, L., Huang, C., and Wu, G., Measuring user’s perceived portal service quality: an empirical study. Total Quality Management and Business Excellence 16(3):309–320, 2005.

    Article  Google Scholar 

  3. Zeithaml, V. A., Parasuraman, A., and Malhotra, A., A conceptual framework for understanding e-service quality: implications for future research and managerial practive. MSI Working Paper Series, No.00-115, Cambridge, MA, 1–49, 2001.

  4. Wang, D., The application of AHP and fuzzy synthetic evaluation in university websites evaluation. Journal of Shandong Agricultural University (Natural Science) 36(2):293–296, 2005. [in Chinese].

    Google Scholar 

  5. Barnes, S., and Vidgen, R., WebQual: an exploration of web-site quality. In: Proceedings of the Eighth European Conference on Information Systems. Vienna, 2000. July 3–5.

  6. Barnes, S., and Vidgen, R., Assessing the quality of auction web sites. Proceedings of the 34th Hawaii International Conference on System Sciences, CD-ROM, Maui, Hawaii, January, 2001.

  7. Barnes, S., and Vidgen, R., Information and interaction quality: evaluating Internet bookshop web sites with WebQual. Proceedings of the Thirteenth Bled Electronic Commerce Conference. Bled, Slovenia, 2000. June 19–21.

  8. Parasuraman, A., Measuring and monitoring services quality. In: Glynn, W., and Barnes, J. (Eds.), Understanding Services Management. Wiley, Chichester, pp. 143–147, 1995.

    Google Scholar 

  9. Tate, M., Evermann, J., Hope, B., and Barnes, S., Perceived service quality in a university web portal: revising the e-qual instrument, hicss, pp.147b, 40th Annual Hawaii International Conference on System Sciences (HICSS’ 07), 2007.

  10. Barnes, S., and Vidgen, R., Data triangulation in action: using comment analysis to refine web quality metrics. In: Proceedings of the 13th European Conference on Information System, Regensburg, Germany, 2005. May 26–28.

  11. Eysenbach, G., Consumer health informatics. BMJ. 320:1713–1716, 2000.

    Article  Google Scholar 

  12. Kim, P., Eng, T. R., Deering, M. J., and Maxfield, A., Published criteria for evaluating health related websites: review. BMJ. 318:647–649, 1999.

    Article  Google Scholar 

  13. Schmidt, K., and Ernst, E., Assessing websites on complementary and alternative medicine for cancer. Ann. Oncol. 15:733–742, 2004.

    Article  Google Scholar 

  14. Cui, L., and Liu, H., Evaluation and analysis of Chinese medical consultation websites. Journal of Medical Intelligence 22(5):16–18, 2001. [in Chinese].

    Google Scholar 

  15. Wang, D., Zhu, L., and Li, M., The application of AHP in the evaluation of hospital website. Journal of Mathematical Medicine 17(5):464–465, 2004. [in Chinese].

    Google Scholar 

  16. King, T., Wheeler, K. L., Robinson, B., and Cabana, M. D., Do the leading children’ s hospitals have quality web sites? a description of children’s hospital web sites. J. Med. Internet Res. 6(2):e20, 2004.

    Article  Google Scholar 

  17. Gruca, T. S., and Wakefield, D. S., Hospital web sites: promise and progress. J. Bus. Res. 57(9):1021–1025, 2004.

    Article  Google Scholar 

  18. Norum, J., Evaluation of Norwegian cancer hospitals’ web sites and explorative survey among cancer patients on their use of the Internet. Med. Internet Res. 3(4):e30, 2001.

    Article  Google Scholar 

  19. Minifie, J. R., Dietert, J., and Middlebrook, B., E-international hospital websites strategy comparisons, Mountain Plains Journal of Business and Economics [Internet], Available from: http://www.mountainplains.org/articles/2005/general/MPMA%20jm13.doc (accessed August 8 2009), 2005.

  20. Llins, G., Rodrguez-lesta, D., Mira, J. J., Lorenzo, S., and Aibar, C., A comparison of websites from Spanish, American and British hospitals. Methods Inf. Med. 47(2):124–130, 2008.

    Google Scholar 

  21. Boscarino, J. A., The public’s perception of quality hospitals II: Implications for patient surveys. Hosp. Health Serv. Adm. 37(1):13–35, 1992.

    Google Scholar 

  22. Jadad, A. R., and Gagliardi, A., Rating health information on the Internet: Navigating to knowledge or to Babel? JAMA 279(8):611–614, 1998.

    Article  Google Scholar 

  23. Silberg, W. M., Lundberg, G. D., and Musacchio, R. A., Assessing, controlling, and assuring the quality of medical information on the Internet: Caveant lector et viewor-Let the reader and viewer beware. JAMA 277(15):1244–1245, 1997.

    Article  Google Scholar 

  24. Wyatt, J. C., Commentary: measuring quality and impact of the World Wide Web. BMJ 314(7098):1879–1881, 1997.

    Article  Google Scholar 

  25. Cline, R. J. W., and Haynes, K. M., Consumer health information seeking on the Internet: the state of the art. Health Educ. Res. 16(6):671–692, 2001.

    Article  Google Scholar 

  26. Ferguson, T., Online patient-helpers and physicians working together: a new partnership for high quality health care. BMJ 321:1129–1132, 2000.

    Article  Google Scholar 

  27. Chu, S. W., Using chopsticks and a fork together: challenges and strategies of developing a Chinese/English bilingual web site. Technical Communication. Second Quarter, 206–219, 1999.

  28. Dinev, T., and Hart, P., Internet privacy concerns and social awareness as determinants of intention to transact. Int. J. Electron. Commer. 10(2):7–29, 2005.

    Article  Google Scholar 

  29. The appraisement and election of national “the Best 100s Hospitals” is announced. People’s Daily Online. [Internet]. Available from: http://www.people.com.cn/rmrb/199909/27/newfiles/wzb_19990927001014_3.html (accessed on December, 25, 2009)

  30. The best top ten general hospitals of China., China Daily. [Internet]. Available from: http://www.chinadaily.com.cn/hqph/2006-04/24/content_575281.htm (accessed on December 22, 2009), 2006.

  31. Adler, K. G., Web portals in primary care: an evaluation of patient readiness and willingness to pay for online services. J. Med. Internet Res. 8(4):e26.

  32. Ge, W., A study on the readability of accounting narratives of Chinese listed companies. Journal of Ningbo University (Liberal Arts Edition) 20(1):108–113, 2007. [in Chinese].

    Google Scholar 

  33. Jing, X., Study on the readability of Chinese literature textbook: estimation on the grade. Education Research Information 5:10–17, 1995. [in Chinese].

    Google Scholar 

  34. Kunst, H., Groot, D., Latthe, P. M., Latteh, M., and Khan, K. S., Accuracy of information on apparently credible websites: survey of five common health topics. BMJ 324:581–582, 2002.

    Article  Google Scholar 

  35. Eysenbach, G., Powell, J., Kuss, O., and Sa, E.-R., Empirical studies assessing the quality of health information for consumers on the world wide web: a systematic review. JAMA 287(20):2691–2700, 2002.

    Article  Google Scholar 

  36. Landis, R. J., and Koch, G. G., The measurement of observer agreement for categorical data. Biometrics 33:159–174, 1977.

    Article  MATH  MathSciNet  Google Scholar 

  37. Grady, L. O., Accessibility compliance rates of consumer-oriented Canadian health care web sites. Med. Inform. Internet Med. 30(4):287–295, 2005.

    Article  Google Scholar 

  38. Weinberger, M., Ferguson, J. A., Westmoreland, G., Mamlin, L. A., Segar, D. S., etc., Can raters consistently evaluate the content of focus groups? Social Science & Medicine. 46(7), 929-933, 1998.

    Google Scholar 

  39. Charnock, D., Shepperd, S., Needham, G., and Gann, R., Discern: an instrument for judging the quality of written consumer health information on treatment choices. J. Epidemiol. Community Health 53:105–111, 1999.

    Article  Google Scholar 

  40. Web development. Wikipedia, the free encyclopedia. [Internet]. Available from: http://en.wikipedia.org/wiki/Web_development. accessed on December 28, 2009.

  41. Gardiner, M. M., and Christie, B., Applying cognitive psychology to user-interface design. John Wiley & Sons, Inc., New York, 1987.

    Google Scholar 

  42. Pallen, M., Guide to the internet: the world wide web. BMJ. 311:1552–1556, 1995.

    Article  Google Scholar 

  43. Randeree, E., and Rao, H. R., E-health and assurance: curing hospital websites. Int. J. Electronic Healthcare 1(1):33–46, 2004.

    Article  Google Scholar 

  44. Business Service Industry. Health Internet Ethics: Ethical Principles for Offering Internet Health Services to Consumers [Internet]. Available at: http://findarticles.com/p/articles/mi_m0EIN/is_2000_May_7/ai_61924654/ (accessed July 24, 2009).

  45. Dyer, K. A., Ethical challenges of medicine and health on the Internet: a review. J. Med. Internet Res. 3(2):e23, 2001.

    Article  MathSciNet  Google Scholar 

  46. Rodrigues, R., Ethical and legal issues in interactive health communications: a call for international cooperation. J. Med. Internet Res. 2(1):e8, 2000.

    Article  Google Scholar 

  47. Xu, J. H., EU protection of Internet privacy with laws and regulations & its revelations. Information Studies: Theory & Application 32(5):117–120, 2009. [In Chinese].

    Google Scholar 

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Correspondence to Zhenghong Wang.

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Liu, X., Bao, Z., Liu, H. et al. The Quality and Characteristics of Leading General Hospitals’ Websites in China. J Med Syst 35, 1553–1562 (2011). https://doi.org/10.1007/s10916-010-9432-0

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  • DOI: https://doi.org/10.1007/s10916-010-9432-0

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