Rahmqvist Mikael, Bara Ana-Claudia
Center for Medical Technology Assessment, Department of Health and Society, Linköpings Universitet, Sweden.
Scand J Public Health. 2007;35(5):533-9. doi: 10.1080/14034940701280750.
To examine the trends over five years for patients' seeking online additional health information about their disease/health problem to what the doctor has been giving, and investigate any differences in information-seeking behaviour according to age, gender, self-perceived health status, living area, and type of medical encounter.
Data from three independent surveys conducted in 2000, 2002, and 2005 of a population with a recent experience of outpatient care[n]typesetter: please remove blue shading here and elsewhere[/n], including 24,800 respondents aged between 20 and 95, were analysed in a trend analysis and a logistic regression regarding background factors that may influence the seeking behaviour.
During the study period, there was a significant increase in Internet use in most age groups. The total use among men 20-95 years old increased from 7% in 2000 to 18% in 2005 and from 9% to 25% for women respectively. The predictors for using the Internet as a source of information were: age, gender, self-perceived health status, living area, and the type of medical encounter (first or repeated). In 2005, women aged 20-49 used the Internet as a source to a significantly greater extent than men, even when all background factors were controlled for (OR 1.46 and CI 1.21-1.77).
Swedish patients, especially the young and middle-aged, are to a substantial degree using the Internet to gather additional information on their disease. The benefits of this increase include more informed patients; however, there are inherent quality issues that require strategies for ensuring public access to high-quality health information online.
研究患者在五年间寻求有关自身疾病/健康问题的在线额外健康信息(与医生所提供信息相比)的趋势,并调查根据年龄、性别、自我感知健康状况、居住地区和医疗就诊类型的信息寻求行为差异。
对2000年、2002年和2005年针对近期有门诊护理经历的人群进行的三项独立调查数据(包括24800名年龄在20至95岁之间的受访者)进行趋势分析和关于可能影响寻求行为的背景因素的逻辑回归分析。
在研究期间,大多数年龄组的互联网使用显著增加。20至95岁男性的总使用率从2000年的7%增至2005年的18%,女性则分别从9%增至25%。将互联网作为信息来源的预测因素包括:年龄、性别、自我感知健康状况、居住地区和医疗就诊类型(首次或复诊)。2005年,20至49岁的女性将互联网作为信息来源的程度显著高于男性,即使在控制所有背景因素后也是如此(比值比为1.46,置信区间为1.21至1.77)。
瑞典患者,尤其是中青年,在很大程度上利用互联网收集有关自身疾病的额外信息。这种增加带来的好处包括患者信息更加充分;然而,存在一些内在的质量问题,需要制定策略以确保公众能够在线获取高质量的健康信息。