J Am Med Inform Assoc - From health search to healthcare: explorations of intention and utilization via query logs and user surveys.


{ inform(2794) health(2639) internet(1427) }
{ data(1737) use(1416) pattern(1282) }
{ use(2086) technolog(871) perceiv(783) }
{ search(2224) databas(1162) retriev(909) }
{ studi(1119) effect(1106) posit(819) }
{ analysi(2126) use(1163) compon(1037) }
{ survey(1388) particip(1329) question(1065) }
{ import(1318) role(1303) understand(862) }
{ gene(2352) biolog(1181) express(1162) }
{ health(1844) social(1437) communiti(874) }
{ activ(1138) subject(705) human(624) }
{ howev(809) still(633) remain(590) }
{ spatial(1525) area(1432) region(1030) }
{ monitor(1329) mobil(1314) devic(1160) }
{ method(2212) result(1239) propos(1039) }
{ model(3404) distribut(989) bayesian(671) }
{ imag(2830) propos(1344) filter(1198) }
{ record(1888) medic(1808) patient(1693) }
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{ state(1844) use(1261) util(961) }
{ intervent(3218) particip(2042) group(1664) }
{ method(1969) cluster(1462) data(1082) }
{ measur(2081) correl(1212) valu(896) }
{ motion(1329) object(1292) video(1091) }
{ error(1145) method(1030) estim(1020) }
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{ high(1669) rate(1365) level(1280) }
{ cancer(2502) breast(956) screen(824) }
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{ drug(1928) target(777) effect(648) }
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{ implement(1333) system(1263) develop(1122) }
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{ detect(2391) sensit(1101) algorithm(908) }


JECTIVE: To better understand the relationship between online health-seeking behaviors and in-world healthcare utilization (HU) by studies of online search and access activities before and after queries that pursue medical professionals and facilities.MATERIALS AND METHODS: We analyzed data collected from logs of online searches gathered from consenting users of a browser toolbar from Microsoft (N=9740). We employed a complementary survey (N=489) to seek a deeper understanding of information-gathering, reflection, and action on the pursuit of professional healthcare.RESULTS: We provide insights about HU through the survey, breaking out its findings by different respondent marginalizations as appropriate. Observations made from search logs may be explained by trends observed in our survey responses, even though the user populations differ.DISCUSSION: The results provide insights about how users decide if and when to utilize healthcare resources, and how online health information seeking transitions to in-world HU. The findings from both the survey and the logs reveal behavioral patterns and suggest a strong relationship between search behavior and HU. Although the diversity of our survey respondents is limited and we cannot be certain that users visited medical facilities, we demonstrate that it may be possible to infer HU from long-term search behavior by the apparent influence that health concerns and professional advice have on search activity.CONCLUSIONS: Our findings highlight different phases of online activities around queries pursuing professional healthcare facilities and services. We also show that it may be possible to infer HU from logs without tracking people's physical location, based on the effect of HU on pre- and post-HU search behavior. This allows search providers and others to develop more robust models of interests and preferences by modeling utilization rather than simply the intention to utilize that is expressed in search queries.

Resumo Limpo

jectiv better understand relationship onlin healthseek behavior inworld healthcar util hu studi onlin search access activ queri pursu medic profession facilitiesmateri method analyz data collect log onlin search gather consent user browser toolbar microsoft n employ complementari survey n seek deeper understand informationgath reflect action pursuit profession healthcareresult provid insight hu survey break find differ respond margin appropri observ made search log may explain trend observ survey respons even though user popul differdiscuss result provid insight user decid util healthcar resourc onlin health inform seek transit inworld hu find survey log reveal behavior pattern suggest strong relationship search behavior hu although divers survey respond limit certain user visit medic facil demonstr may possibl infer hu longterm search behavior appar influenc health concern profession advic search activityconclus find highlight differ phase onlin activ around queri pursu profession healthcar facil servic also show may possibl infer hu log without track peopl physic locat base effect hu pre posthu search behavior allow search provid other develop robust model interest prefer model util rather simpli intent util express search queri

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