Background: Online health communities have evolved into digital marketplaces where physicians have to compete for patients. Existing research examines physician-patient dynamics through a patient-centric lens, treating physicians as passive recipients of ratings and reviews, while the strategic role of physician self-disclosure remains unexamined. This gap constrains a comprehensive understanding of how physicians can actively shape patient decisions, making the investigation of strategic self-disclosure imperative. Objective: This study aims to investigate the relationship between physician self-disclosure breadth (scope of information) and depth (detailed expertise) and patient decision-making, as well as whether regional digital health care level (DHL) moderates these relationships. Methods: We conducted a cross-sectional analysis of observational data to test these relationships. Data were collected from China’s online health care platform Haodf from September to December 2024. Self-disclosure breadth (including clinical performance, academic experience, and social reputation), self-disclosure depth (including expertise coverage, richness, and granularity), and patient decision-making (total visits) were captured through manual content coding and quantitative measurement. We used structured content analysis to extract the disclosure components, informational scope, and descriptive details of each profile. Then, using validated operational formulas, we calculated the composite indices for disclosure breadth and depth based on the coded dimensions. The study generated 1798 final physician samples with complete data across 14 focal variables. The hypotheses were tested using an ordinary least squares regression model, and 4 robustness checks were conducted, including variable substitution and different resampling techniques. Results: In the primary ordinary least squares regression models, self-disclosure breadth was significantly and positively associated with patient visits (β=0.255, 95% CI 0.054-0.456; P=.01), as was self-disclosure depth (β=0.098, 95% CI 0.030-0.167; P=.005). The breadth×DHL interaction was positive and significant (β=0.261, 95% CI 0.061-0.461; P=.01). Similarly, the depth×DHL interaction was positive and significant (β=0.070, 95% CI 0.002-0.138; P=.045). It should be noted that the association for self-disclosure breadth was stronger than that of self-disclosure depth. DHL strengthened the relationship between the disclosure strategies with patient visits. This contextual amplification indicates that DHL serves as a critical boundary condition, determining the degree to which physician self-disclosure strategies translate into patient acquisition outcomes. Conclusions: This study reconceptualizes physicians as strategic agents shaping patient decision-making through purposeful self-disclosure. Different from existing studies treating physicians as passive recipients of ratings and reviews, our research demonstrates that physicians can strategically shape patient acquisition through self-disclosure breadth and depth. This study brings new insights to digital health markets by demonstrating that self-disclosure operates as a viable patient acquisition mechanism, wherein the DHL acts as a critical boundary condition. The findings have real-world implications: (1) physicians can leverage evidence-based disclosure strategies, (2) platforms should implement context-adaptive features, and (3) policymakers should prioritize digital infrastructure investments to enhance physicians' competitive capabilities and patient decision-making quality.

arXiv:2512.22933v3 Announce Type: replace Abstract: The rapid spread of multimodal misinformation poses a growing challenge for automated fact-checking systems. Existing approaches, including large vision language models (LVLMs) and deep multimodal fusion methods, often fall short due to limited reasoning and shallow evidence utilization. A key bottleneck is the lack of dedicated datasets that provide complete real-world multimodal misinformation instances accompanied by annotated reasoning processes and verifiable evidence. To address this limitation, we introduce RW-Post, a high-quality and explainable dataset for real-world multimodal fact-checking. RW-Post aligns real-world multimodal claims with their original social media posts, preserving the rich contextual information in which the claims are made. In addition, the dataset includes detailed reasoning and explicitly linked evidence, which are derived from human written fact-checking articles via a large language model assisted extraction pipeline, enabling comprehensive verification and explanation. Building upon RW-Post, we propose AgentFact, an agent-based multimodal fact-checking framework designed to emulate the human verification workflow. AgentFact consists of five specialized agents that collaboratively handle key fact-checking subtasks, including strategy planning, high-quality evidence retrieval, visual analysis, reasoning, and explanation generation. These agents are orchestrated through an iterative workflow that alternates between evidence searching and task-aware evidence filtering and reasoning, facilitating strategic decision-making and systematic evidence analysis. Extensive experimental results demonstrate that the synergy between RW-Post and AgentFact substantially improves both the accuracy and interpretability of multimodal fact-checking.

npj Digital Medicine, Published online: 25 September 2025; doi:10.1038/s41746-025-01956-w

Quality safety and disparity of an AI chatbot in managing chronic diseases: simulated patient experiments