Kummervold Per Egil, Trondsen Marianne, Andreassen Hege, Gammon Deede, Hjortdahl Per
Nasjonalt senter for telemedisin, Universitetssykehuset Nord-Norge, Postboks 35, 9038 Tromsø.
Tidsskr Nor Laegeforen. 2004 Oct 21;124(20):2633-6.
Nearly half of the Norwegian population claim that they would like to use the internet to communicate with their general practitioner. A web-based system complying with Norway's strict statutory requirements for the processing of personal data was developed and tested in an effort to assess the implications of this mode of communication.
The system was tested for one year in a group practice with six doctors. 200 patients were recruited and randomized into intervention and control groups. Data was collected through questionnaires, interviews and system logs.
The 48 patients who used the system sent on average 3.3 messages, the six doctors sent between nine and 65 messages each. Traditional inquiries (visits, telephones) to the doctor averaged 3.2 and 4.5 for the intervention and control group respectively. 41% of the messages were inquiries about health issues, 22% were about renewals of prescriptions and sick leave notes, while 13% were requests for an appointment. Patients and doctors were both positive to this mode of communication. Patients who did not use the service said that they expected to use it in the future.
Electronic communication appears to replace some consultations and telephone inquiries. The study gives reason to expect that communication between patients and general practitioners over the internet will be more important in the future.
近一半的挪威人口表示希望通过互联网与他们的全科医生交流。为了评估这种交流方式的影响，开发并测试了一个符合挪威严格个人数据处理法定要求的基于网络的系统。
该系统在一个由六名医生组成的团体诊所中进行了为期一年的测试。招募了200名患者并随机分为干预组和对照组。通过问卷调查、访谈和系统日志收集数据。
使用该系统的48名患者平均发送了3.3条信息，六位医生每人发送了9至65条信息。干预组和对照组向医生进行传统咨询（就诊、电话）的平均次数分别为3.2次和4.5次。41%的信息是关于健康问题的询问，22%是关于处方和病假条的续签，而13%是预约请求。患者和医生对这种交流方式都持积极态度。未使用该服务的患者表示他们期望未来使用。
电子通信似乎取代了一些会诊和电话咨询。该研究有理由预期，未来患者与全科医生之间通过互联网进行的交流将变得更加重要。
