Economic Evaluation of an Investment in Medical Websites and Medical Web-Based Services


Factors that Affect Survivability of the Medical Websites



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18.3Factors that Affect Survivability of the Medical Websites


While examining the factors that affect the popularity and excellence of the medical websites, we had used the “Lifetime” variable as a criterion to further filter the final candidate medical websites for the final classification of the most and less successful medical websites. Although this final classification resulted in some quite interesting findings, it was considered necessary to form a second classification based on the duration in which the medical websites were/are online or in other words, the lifetime of the websites. Although the data concerning the lifespan of the medical websites in some cases may be inaccurate since WayBack machine launched in 1996, (as there are no archiving data before that year) and Google tools may present the lifespan of the domain rather than the specific period that the domain was hosting a medical website, these cases were considered small in number and not having a significant impact on the validity of the outcomes of the analysis.

Following the same methodological steps as in the previous section, the medical websites were ranked according to their “Lifetime” variable value and the 50 “oldest” and the 50 “youngest” websites were chosen and the same descriptive metrics were calculated as it was done before, concerning the assessment that affected the excellence of the websites according to their traffic flow rank and overall popularity. Almost all of the medical websites in the sample were established more than 10-12 years ago. Since the choice of the 50 “youngest” medical websites included more websites with lifespan between 1-6 years, it is implied that other factors affect the survivability of the medical websites and the results are be affected from the inclusion of “new-born” medical websites.

It is interesting that from the 50 websites with the greater lifespan, 25% of them were appearing also in the 100 “highest ranked” medical websites according to the global rank as criterion of ranking and 18% was appearing also in the 50 medical websites of the final classification of the most successful ones, ranked according to all criteria. Moreover, from the medical websites with the lower lifespan value, also 26% of them were appearing in the 50 less successful websites, ranked according to all criteria, and 41% of them were appearing to the 100 “lowest ranked” medical websites of our sample, according to the global rank criterion.

Table 21, presents the metrics that appear to exhibit the greatest difference between the medical websites with high and low lifespan values. The highest ranked medical websites in this classification include a greater percentage of websites offering the “Ask a doctor” interactive medical application/service, they have also greater participation in social networks with 64% of them offering links for communication via social networks, and more average “Facebook likes” than the lowest ranked websites according to their “lifespan” value as ranking criterion. In addition to these, they present a higher average global rank, reputation among the Alexa tool users, a greater percentage of visits referred from search engines, a much greater percentage of total Internet users visiting the website as well as more unique visits and a greater number of websites that include their links. Finally, they include a greater percentage of websites that have as source of income donations, sponsorships and financial support from non-for-profit organizations and charity institutions, in contrast to the lower ranked medical websites (according to lifespan) that present a greater percentage compared to the highest ranked of websites that have as source of income the product promotion and online shopping websites.


Table : Metrics of the longest- and shortest- lived medical websites

Medical Websites with the greatest lifespan

Medical Websites with the shortest lifespan

Characteristic

Percentage/ Number

Characteristic

Percentage/ Number

Interactive service offering

58%

Interactive service offering

50%

Online websites

90%

Online websites

84%

Specific health problem

28%

Specific health problem

22%

General Health

26%

General Health

24%

Drug info

4%

Drug info

4%

Medical resources

24%

Medical resources

26%

Medical products

4%

Medical products

0%

Medical Education

10%

Medical Education

16%

Kids health

4%

Kids health

6%

Senior Health

0

Senior Health

2%

Profit organizations

24%

Profit organizations

38%

Non-profit private organizations

68%

Non-profit private organizations

58%

Non-profit governmental

8%

Non-profit governmental

4%

Ask a doctor

8%

Ask a doctor

10%

Find a doc/local care

34%

Find a doc/local care

14%

Drug symptom checker

6%

Drug symptom checker

8%

Other

12%

Other

22%

Social network

64%

Social network

44%

Certification

8%

Certification

18%

Value for patients

70%

Value for patients

74%

Blog

20%

Blog

20%

Average global rank

1458672

Average global rank

1181102

Average reputation

19709

Average reputation

14304

Average % of visits referred form search engines

26.2%

Average % of visits referred form search engines

23.2%

Average time on website

4 min

Average time on website

3 min

Average lifetime

15.2 years

Average lifetime

4.5 years

Average fraction of total Internet users visiting the website

0.051%

Average fraction of total Internet users visiting the website

0.017%

Average unique visits

287826

Average unique visits

176381

Average linked websites

900

Average linked websites

848

Governmental funding

8%

Governmental funding

10%

Products/services/shop

22%

Products/services/shop

34%

Donations/sponsors/support from non-profit org./grants

34%

Donations/sponsors/support from non-profit org./grants

18%

Membership/registration

14%

Membership/registration

8%

University/research/project funding

12%

University/research/project funding

16%

Partners/mother profit org.

2%

Partners/mother profit org.

2%

Advertisements

8%

Advertisements

8%

Average Google rank

6.34

Average Google rank

5.53

Average Facebook likes

903

Average Facebook likes

417



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