来自互联网的信息与医患关系：患者视角——一项定性研究
Information from the Internet and the doctor-patient relationship: the patient perspective--a qualitative study.
作者信息
Stevenson Fiona A, Kerr Cicely, Murray Elizabeth, Nazareth Irwin
机构信息
Department of Primary Care and Population Sciences, University College London, Hampstead Campus, Rowland Hill Street, London NW3 2PF, UK.
出版信息
BMC Fam Pract. 2007 Aug 16;8:47. doi: 10.1186/1471-2296-8-47.
BACKGROUND
Both doctors and patients may perceive the Internet as a potential challenge to existing therapeutic relationships. Here we examine patients' views of the effect of the Internet on their relationship with doctors.
METHODS
We ran 8 disease specific focus groups of between 2 and 8 respondents comprising adult patients with diabetes mellitus, ischaemic heart disease or hepatitis C.
RESULTS
Data are presented on (i) the perceived benefits and (ii) limitations of the Internet in the context of the doctor-patient relationship, (iii) views on sharing information with doctors, and (iv) the potential of the Internet for the future. Information from the Internet was particularly valued in relation to experiential knowledge.
CONCLUSION
Despite evidence of increasing patient activism in seeking information and the potential to challenge the position of the doctor, the accounts here do not in any way suggest a desire to disrupt the existing balance of power, or roles, in the consultation. Patients appear to see the Internet as an additional resource to support existing and valued relationships with their doctors. Doctors therefore need not feel challenged or threatened when patients bring health information from the Internet to a consultation, rather they should see it as an attempt on the part of the patient to work with the doctor and respond positively.
背景
医生和患者都可能将互联网视为对现有治疗关系的潜在挑战。在此，我们探讨患者对互联网对其与医生关系影响的看法。
方法
我们开展了8个特定疾病焦点小组，每组有2至8名受访者，成员包括患有糖尿病、缺血性心脏病或丙型肝炎的成年患者。
结果
呈现的数据涉及：（i）在医患关系背景下互联网的感知益处和（ii）局限性，（iii）与医生分享信息的看法，以及（iv）互联网在未来的潜力。互联网信息在经验知识方面尤其受到重视。
结论
尽管有证据表明患者在获取信息方面的积极性不断提高，且有可能挑战医生的地位，但此处的描述绝未表明患者有破坏咨询中现有权力平衡或角色的意愿。患者似乎将互联网视为支持与医生现有且珍视的关系的额外资源。因此，当患者在咨询时带来从互联网获取的健康信息时，医生不必感到受到挑战或威胁，相反，他们应将其视为患者与医生合作并积极回应的一种尝试。
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