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一家胃肠病学诊所人群对网络医学信息的使用情况。

Use of the Web for medical information by a gastroenterology clinic population.

作者信息

O'Connor J B, Johanson J F

机构信息

Division of Gastroenterology, Department of Medicine, Box 3662, Duke University Medical Center, Durham, NC 27710, USA.

出版信息

JAMA. 2000 Oct 18;284(15):1962-4. doi: 10.1001/jama.284.15.1962.

Abstract

CONTEXT

Surveys have shown that 60 million persons in the United States searched for health information online in 1998. However, lack of sampling from a clinic population limits the generalizability of these surveys to clinical practice.

OBJECTIVES

To determine gastroenterology patients' access to and use of the Web as a medical information resource, to identify for what information patients search, and to determine how often physicians recommend that patients search the Web.

DESIGN, SETTING, AND PARTICIPANTS: Cross-sectional survey of 1006 gastroenterology outpatients in Durham, NC, and Rockford, Ill, conducted in August 1999.

MAIN OUTCOME MEASURES

Patient characteristics and education level, access to the Web, use of the Web as a medical information resource, search methods, and plans for future Web use.

RESULTS

A total of 924 patients (92%) completed the questionnaire. Median age was 53 years, 41% were men, and the median education level was having completed some college. Fifty percent (462/924) reported having access to the Web. Of the 462 with access, 235 (51%) had searched the Web for medical information within the previous 12 months. Therefore, 25.5% of all patients surveyed had searched the Web for medical information within the previous year. Sixty percent of patients intended to use the Web as a medical information resource in the future. Only 35 (4%) of 825 had ever been referred to the Web by a physician.

CONCLUSIONS

In this clinic setting, more than one quarter of gastroenterology outpatients reported having obtained medical information from the Web within the previous year. More than two thirds of patients stated they would use the Web as a medical information resource in the future. JAMA. 2000;284:1962-1964.

摘要

背景

调查显示,1998年美国有6000万人在网上搜索健康信息。然而,缺乏来自临床人群的抽样限制了这些调查结果应用于临床实践的普遍性。

目的

确定胃肠病患者获取和使用网络作为医疗信息资源的情况,识别患者搜索的信息内容,并确定医生建议患者搜索网络的频率。

设计、地点和参与者:1999年8月对北卡罗来纳州达勒姆和伊利诺伊州罗克福德的1006名胃肠病门诊患者进行横断面调查。

主要观察指标

患者特征和教育水平、网络接入情况、将网络作为医疗信息资源的使用情况、搜索方法以及未来使用网络的计划。

结果

共有924名患者(92%)完成了问卷。中位年龄为53岁,41%为男性,中位教育水平为完成了一些大学课程。50%(462/924)的患者报告可以上网。在这462名可上网的患者中,235名(51%)在过去12个月内曾在网上搜索医疗信息。因此,在所有接受调查的患者中,25.5%在过去一年中曾在网上搜索医疗信息。60%的患者打算未来将网络作为医疗信息资源。在825名患者中,只有35名(4%)曾被医生推荐上网。

结论

在这种临床环境中,超过四分之一的胃肠病门诊患者报告在过去一年中从网上获取过医疗信息。超过三分之二的患者表示他们未来会将网络作为医疗信息资源。《美国医学会杂志》。2000年;284:1962 - 1964。

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