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For example, Zhao et al [15], analyzed the status of the bidirectional system between Sichuan Provincial People’s Hospital and 21 community health service centers in Chengdu from April 2010 to March 2011, finding that the ratio of downward to upward referrals was only 4.94%.
The notably low downward-to-upward referral ratio in the IBR system may be attributed to several factors.
J Med Internet Res 2025;27:e69765
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Relationship Between Fear of Missing Out and Social Media Fatigue: Cross-Lagged Panel Design
J Med Internet Res 2025;27:e75701
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A summary of the human-chatbot interactions.
a Not applicable.
b In the scoring system, thumb up was assigned as +1, and thumb down was -1.
c The chatbot randomly evaluated 127 participants’ satisfaction score.
JMIR Hum Factors 2025;12:e70034
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