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Journal Article

Citation

Duan G, Liao X, Yu W, Li G. J. Med. Internet. Res. 2020; ePub(ePub): ePub.

Affiliation

School of Public Administration, Sichuan University, Chengdu, Sichuan, CN.

Copyright

(Copyright © 2020, Centre for Global eHealth Innovation)

DOI

10.2196/13294

PMID

32348253

Abstract

BACKGROUND: For the last decade, doctor-patient contradiction in China has remained prominent, and workplace violence toward medical staff still occurs frequently. However, little is known about the types and laws of propagation of violence against medical staff online.

OBJECTIVE: By using a self-organizing map (SOM), we aimed to explore the microblog propagation law for violent incidents in China that involve medical staff, to classify the types of incidents, and to provide a basis for rapidly and accurately predicting trends in public opinion and developing corresponding measures to improve the relationship between doctors and patients.

METHODS: For the object of study, we selected 60 violent incidents in China involving medical staff which, caused a sensation on the Sina microblog from 2011 to 2018, searched the Web data of the microblog using crawler software, recorded the amount of new tweets every 2 hours, and used the SOM neural network to cluster the number of tweets. A method using polynomial and exponential functions in MATLAB software was applied to predict and analyze the data.

RESULTS: Trends in the propagation of online public opinion regarding the violent incidents were categorized into 8 types: bluff, waterfall, zigzag, steep, abrupt, wave, steep slope, and long slope. The communications exhibited different characteristics. The prediction effect of 4 types of incidents (ie, bluff, waterfall, zigzag, and steep slope) was good and accorded with actual spreading trends.

CONCLUSIONS: Our study found that the more serious the consequences of a violent incident, such as a serious injury or death, the more attention it drew on the microblog, the faster was its propagation speed, and the longer was its duration. In these cases, the propagation types were mostly steep slope, long slope, and zigzag. In addition, the more serious the consequences of a violent incident, the higher popularity it exhibited on the microblog. For acts resulting from patients' dissatisfaction with treatments, the popularity within a week was significantly higher than that of incidents caused by nontherapeutic effects.


Language: en

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