Wilson S M
Clinical Effectiveness Department, South Glasgow University Hospitals NHS Trust, Glasgow, G42 9TY.
J Med Internet Res. 1999 Oct-Dec;1(2):E7. doi: 10.2196/jmir.1.2.e7.
The Government has invested pound 7 million (approx. $11.5 million) to connect all Primary Care Practices in Scotland to the National Health Service Intranet (NHSnet). This provides General Practitioners (GPs) and Practice Nurses with access to the Internet and a wealth of healthcare information of varying quality.
This study examines Primary Care Staff's use of the Internet, their views on the reliability of healthcare information available via the Internet, and their interaction with patients who have presented them with information downloaded from the Internet.
A postal questionnaire was distributed to a random sample of 300 GPs and 130 Practice Nurses throughout Glasgow. There was a response rate of 60%.
Time restraints (20%) and concerns that they lack the necessary skills (17%) were highlighted as the most common reasons for not accessing the Internet. Sixty-nine per cent of GPs and 70% of Practice Nurses had looked at the Internet for healthcare information. Forty-eight per cent of GPs and 41% of Practice Nurses were concerned about the reliability of Internet information. Fifty-eight per cent of GPs and 34% of Practice Nurses have been approached by patients with Internet healthcare information. Sixty-five per cent of the information presented by patients was new to GPs.
The majority of Primary Care Staff now have access to the Internet and use it to look up healthcare information. Almost half of GPs would consider referring their patients to the Internet for further information about their condition. Results highlight that the healthcare information downloaded from the Internet by patients is accurate, but patients have problems correctly interpreting this information. An increase in the use of home computers and free access to the Internet will see a continued increase in patients approaching GPs and Practice Nurses with healthcare information downloaded from the Internet.
政府已投资700万英镑(约合1150万美元),将苏格兰所有基层医疗诊所接入国民医疗服务体系内部网(NHSnet)。这使得全科医生(GP)和执业护士能够访问互联网,并获取大量质量参差不齐的医疗保健信息。
本研究调查基层医疗人员对互联网的使用情况、他们对通过互联网获取的医疗保健信息可靠性的看法,以及他们与那些向他们提供从互联网下载信息的患者之间的互动。
向格拉斯哥地区随机抽取的300名全科医生和130名执业护士发放了邮政问卷。回复率为60%。
时间限制(20%)和担心缺乏必要技能(17%)被列为不使用互联网的最常见原因。69%的全科医生和70%的执业护士曾在网上查找医疗保健信息。48%的全科医生和41%的执业护士担心互联网信息的可靠性。58%的全科医生和34%的执业护士曾遇到患者提供互联网医疗保健信息的情况。患者提供的信息中,65%对全科医生来说是新的。
现在大多数基层医疗人员都能访问互联网并利用其查找医疗保健信息。近一半的全科医生会考虑让患者上网获取有关其病情的更多信息。结果表明,患者从互联网下载的医疗保健信息是准确的,但患者在正确解读这些信息方面存在问题。随着家用电脑的使用增加以及互联网免费接入,会有越来越多的患者带着从互联网下载的医疗保健信息找全科医生和执业护士。