arXiv:2509.09622cs.IR2025-09

分析Reddit医患问答平台数据,发现在线问诊存在显著人群差异。

AskDoc -- Identifying Hidden Healthcare Disparities

  • 通过正则表达式提取用户性别、种族和年龄信息,分析互动模式。
  • 近半数提问未获医生或用户回复,白人男性占主导地位。
  • 适合关注数字健康公平与社交媒体医疗咨询的研究者阅读。

本研究旨在通过AskDoc——一个作为公开医患问答平台的Reddit子版块,了解网络问诊服务中医学建议的提供情况,并探讨此类平台是否反映出现有医疗体系中的障碍与偏见。研究收集了2020年1月至2022年5月期间AskDoc的数据,使用正则表达式识别用户自报的人口学特征(性别、种族、年龄),并进行统计分析以理解用户与医生对提问者的互动情况。结果显示,近一半提问未获得同行或医生的回复;至少90%的用户披露了性别与年龄信息,而80%未披露种族信息。该社区以20至39岁白人男性为主。不同人口群体间存在互动差异,表明当前医生参与度远低于提问者,尽管社交媒体可能拉近患者与医生距离,但实际参与仍不均衡。

原文摘要 · Abstract (English)

The objective of this study is to understand the online Ask the Doctor services medical advice on internet platforms via AskDoc, a Reddit community that serves as a public AtD platform and study if platforms mirror existing hurdles and partiality in healthcare across various demographic groups. We downloaded data from January 2020 to May 2022 from AskDoc -- a subreddit, and created regular expressions to identify self-reported demographics (Gender, Race, and Age) from the posts, and performed statistical analysis to understand the interaction between peers and physicians with the posters. Half of the posts did not receive comments from peers or physicians. At least 90% of the people disclose their gender and age, and 80% of the people do not disclose their race. It was observed that the subreddit is dominated by adult (age group 20-39) white males. Some disparities were observed in the engagement between the users and the posters with certain demographics. Beyond the confines of clinics and hospitals, social media could bring patients and providers closer together, however, as observed, current physicians participation is low compared to posters.

医疗公平社交媒体数据分析

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