Patient-centred medicine is a healthcare approach that focuses on patients’ wants, needs and preferences. An obstacle to implement patient-centred medicine is the difficulty of obtaining data that is relevant and representative of the whole society. In 2019, the Spanish Society of Cardiology highlighted eight trends that would exert a determining influence on the future of cardiology: “demographics”, “economic environment”, “political environment”, “citizens’ expectations”, “incorporation of women”, “technological innovation”, “health levels and cardiovascular risk factors” and “healthcare organisation and management”. In order to assess these trends from a pacient-centred approach, the aim of this study is to evaluate the opinions of the individuals who are part of Spanish society, regarding the eight trends identified by the Spanish Society of Cardiology, using natural language processing tools to analyse the communications expressed by citizens in digital ecosystems and official channels of communication. We analysed communications published between 2007 and 2019. Natural language processing identified 17 areas of opinion that support the eight trends. We evaluated the impact of each area of opinion based on the standard metrics of online reputation: presence, emotion and reach. Thus, 257,456 communications were analysed. The most relevant trend was “healthcare organisation and management” (54% of the total impact), followed by “health levels and cardiovascular risk factors” and “demographics” (14% and 10%, respectively). The least relevant trend was “citizens’ expectations” (1%). Within the areas of opinion identified, the one with greatest impact was “the cardiologist” (16% of the total impact). In conclusion, the results of this research show that natural language processing tools are a useful tool for patient-centred medicine. The high impact associated with the cardiologist’s role, together with the low impact observed for “citizen’s expectations” show that Spanish citizens identify the cardiologist as the leading figure regarding their cardiovascular health.

以患者为中心的医学是一种关注患者需求、需求和偏好的医疗保健方法。实施以患者为中心的医疗的一个障碍是难以获得相关的和代表整个社会的数据。2019 年，西班牙心脏病学会强调了将对心脏病学的未来产生决定性影响的八种趋势：“人口统计”、“经济环境”、“政治环境”、“公民的期望”、“女性的加入”、“技术创新”、“健康水平与心血管危险因素”和“医疗保健组织与管理”。为了从以患者为中心的方法评估这些趋势，本研究的目的是评估作为西班牙社会一部分的个人的意见，关于西班牙心脏病学会确定的八种趋势，使用自然语言处理工具分析公民在数字生态系统和官方沟通渠道中表达的沟通。我们分析了 2007 年至 2019 年间发布的通信。自然语言处理确定了支持八种趋势的 17 个观点领域。我们根据在线声誉的标准指标评估每个意见领域的影响：存在、情感和影响力。因此，分析了 257,456 次通信。最相关的趋势是“医疗保健组织和管理”（占总影响的 54%），其次是“健康水平和心血管危险因素”和“人口统计”（分别为 14% 和 10%）。最不相关的趋势是“公民的期望”（1%）。在确定的意见范围内，影响最大的是“心脏病专家”（占总影响的 16%）。总之，这项研究的结果表明，自然语言处理工具是一种有用的以患者为中心的医学工具。与心脏病专家角色相关的高影响，以及观察到的对“公民期望”的低影响表明，西班牙公民将心脏病专家视为他们心血管健康的领军人物。