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关于互联网健康信息的医患对话:改善医患关系策略的探索

Provider-patient dialogue about Internet health information: an exploration of strategies to improve the provider-patient relationship.

作者信息

Bylund Carma L, Gueguen Jennifer A, Sabee Christina M, Imes Rebecca S, Li Yuelin, Sanford Amy Aldridge

机构信息

Department of Psychiatry and Behavioral Sciences, Memorial Sloan-Kettering Cancer Center, NY, NY 10022, USA.

出版信息

Patient Educ Couns. 2007 Jun;66(3):346-52. doi: 10.1016/j.pec.2007.01.009. Epub 2007 Feb 27.

Abstract

OBJECTIVE

This study examined patients' experiences talking to their providers about internet health information.

METHODS

Participants (n=770) recruited from internet health message boards completed an online survey, including questions focusing on a recent interaction with a provider about internet health information.

RESULTS

Face-saving patient introduction strategies were associated with providers validating patients' efforts. Providers' validation of patients' efforts was associated with higher patient ratings of satisfaction, validation, and reduced concern, while providers' disagreement with the information was associated with lower ratings. The provider taking the information seriously was associated with higher patient satisfaction.

CONCLUSION

An understanding of the occurrence of provider-patient talk about internet health information and its relationship to patient satisfaction, validation, and reduced concern is important for providers and medical educators who seek to better understand, and thus improve, provider-patient communication.

PRACTICE IMPLICATIONS

Showing the patient that the information is being seriously considered and validating the patients' efforts in researching the information may ameliorate some of the negative effects of disagreement.

摘要

目的

本研究调查了患者与医护人员谈论网络健康信息的经历。

方法

从网络健康留言板招募的参与者(n = 770)完成了一项在线调查,其中包括关注近期与医护人员就网络健康信息进行互动的问题。

结果

保全面子的患者介绍策略与医护人员认可患者的努力相关。医护人员对患者努力的认可与患者更高的满意度、认可度评分以及减少的担忧相关,而医护人员对信息的不同意见则与较低的评分相关。医护人员认真对待信息与患者更高的满意度相关。

结论

了解医护人员与患者谈论网络健康信息的情况及其与患者满意度、认可度和担忧减少之间的关系,对于寻求更好地理解并因此改善医护人员与患者沟通的医护人员和医学教育工作者来说很重要。

实践意义

向患者表明信息正在被认真考虑并认可患者在研究信息方面的努力,可能会减轻不同意见的一些负面影响。

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