Helwig A L, Lovelle A, Guse C E, Gottlieb M S
Medical College of Wisconsin, Milwaukee, USA.
J Fam Pract. 1999 Feb;48(2):123-7.
Patients' use of the Internet to find medical information is increasing, and physicians are exploring ways to incorporate the Internet into patient education programs and physician-patient encounters. We performed a pilot study of an Internet patient education system to obtain information on the usefulness of, feasibility of, and patient satisfaction with this type of information.
We developed a hypertext Web page directory to patient education sites on the Internet and made it available to patients in a community-based family practice residency clinic during their office visit. During a 1-month period, a medical student assisted patients with using the Internet, answered questions, interviewed patients, and collected data. Information was collected on sites visited, level of assistance required, amount of time spent "surfing" on-line versus intense reading on-line, quality of the experience, perceived usefulness of the educational materials, and patients' satisfaction with the materials.
Fifty patients participated in the study. Forty-seven patients (94%) found the Internet information helpful. Most patients spent their time on-line intensely reading, and men spent significantly more time on-line (P = .007). Thirty-seven patients (77%) stated they would change a health behavior because of information they had read on the Internet; 45 (90%) were more satisfied with their visit than usual, and 46 (92%) would use the Internet center at the clinic again.
Patients can obtain useful information from moderated Internet patient education systems and may plan to change health behaviors on the basis of that information. Internet patient information in the physician's office can improve patient satisfaction with clinic visits.
患者利用互联网查找医学信息的情况日益增多,医生们也在探索将互联网融入患者教育项目及医患诊疗过程的方法。我们开展了一项关于互联网患者教育系统的试点研究,以获取有关此类信息的实用性、可行性及患者满意度的信息。
我们开发了一个指向互联网上患者教育网站的超文本网页目录,并在社区家庭医疗住院诊所的患者就诊期间将其提供给他们。在为期1个月的时间里,一名医科学生协助患者使用互联网、回答问题、采访患者并收集数据。收集了关于访问的网站、所需协助程度、在线“浏览”与深度在线阅读所花费的时间、体验质量、教育材料的感知实用性以及患者对这些材料的满意度等信息。
50名患者参与了该研究。47名患者(94%)认为互联网信息有帮助。大多数患者把时间花在深度在线阅读上,男性在线花费的时间显著更多(P = 0.007)。37名患者(77%)表示他们会因在互联网上读到的信息而改变健康行为;45名(90%)对此次就诊比平常更满意,46名(92%)会再次使用诊所的互联网中心。
患者可以从经过管理的互联网患者教育系统中获取有用信息,并可能计划基于该信息改变健康行为。医生办公室的互联网患者信息可以提高患者对就诊的满意度。