title: Behavioral Analysis of Visitors to a Medical Institution's Website Using Markov Chain Monte Carlo Methods.
abstract: Consistent with the "attention, interest, desire, memory, action" (AIDMA) model of consumer behavior, patients collect information about available medical institutions using the Internet to select information for their particular needs. Studies of consumer behavior may be found in areas other than medical institution websites. Such research uses Web access logs for visitor search behavior. At this time, research applying the patient searching behavior model to medical institution website visitors is lacking.
  
  
  
  We have developed a hospital website search behavior model using a Bayesian approach to clarify the behavior of medical institution website visitors and determine the probability of their visits, classified by search keyword.
  
  
  
  We used the website data access log of a clinic of internal medicine and gastroenterology in the Sapporo suburbs, collecting data from January 1 through June 31, 2011. The contents of the 6 website pages included the following: home, news, content introduction for medical examinations, mammography screening, holiday person-on-duty information, and other. The search keywords we identified as best expressing website visitor needs were listed as the top 4 headings from the access log: clinic name, clinic name + regional name, clinic name + medical examination, and mammography screening. Using the search keywords as the explaining variable, we built a binomial probit model that allows inspection of the contents of each purpose variable. Using this model, we determined a beta value and generated a posterior distribution. We performed the simulation using Markov Chain Monte Carlo methods with a noninformation prior distribution for this model and determined the visit probability classified by keyword for each category.
  
  
  
  In the case of the keyword "clinic name," the visit probability to the website, repeated visit to the website, and contents page for medical examination was positive. In the case of the keyword "clinic name and regional name," the probability for a repeated visit to the website and the mammography screening page was negative. In the case of the keyword "clinic name + medical examination," the visit probability to the website was positive, and the visit probability to the information page was negative. When visitors referred to the keywords "mammography screening," the visit probability to the mammography screening page was positive (95% highest posterior density interval = 3.38-26.66).
  
  
  
  Further analysis for not only the clinic website but also various other medical institution websites is necessary to build a general inspection model for medical institution websites; we want to consider this in future research. Additionally, we hope to use the results obtained in this study as a prior distribution for future work to conduct higher-precision analysis.
authors.affiliation: Faculty of Health Sciences, Graduate School of Health sciences, Hokkaido University, Sapporo, Japan.
authors.forename: Teppei
authors.identifier: 0000-0002-1030-2788
authors.initials: T
authors.lastname: Suzuki
authors.forename: Yuji
authors.identifier: 0000-0003-1851-1960
authors.initials: Y
authors.lastname: Tani
authors.forename: Katsuhiko
authors.identifier: 0000-0001-5474-7861
authors.initials: K
authors.lastname: Ogasawara
mesh_terms: D000072357:Applied Behavior Analysis / Q000379:methods*; D006761:Hospitals / Q000592:standards / Q000706:statistics & numerical data*; D006801:Humans; D057226:Information Seeking Behavior; D020407:Internet / Q000706:statistics & numerical data*; D008390:Markov Chains; D009010:Monte Carlo Method; D017216:Telemedicine / Q000379:methods*; D055815:Young Adult
keywords: Bayesian analysis; Internet; Web marketing; information-seeking behavior; media, social