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妇科门诊患者会使用互联网来寻求健康信息吗?一项问卷调查。

Do gynaecology outpatients use the Internet to seek health information? A questionnaire survey.

作者信息

Neelapala Padmaja, Duvvi S K, Kumar G, Kumar B N

机构信息

Wrightington, Wigan and Leigh NHS Trust, Royal Albert and Edward Infirmary, Wigan, UK.

出版信息

J Eval Clin Pract. 2008 Apr;14(2):300-4. doi: 10.1111/j.1365-2753.2007.00854.x.

Abstract

BACKGROUND

The Internet is a rich source of medical information and the general opinion among doctors is that the number of patients attending clinics with information from a web search is increasing. The purpose of this study was to assess the demographics of those who access the Internet and their attitudes towards the quality and usefulness of information provided by the Internet. This study also looked at the various sources of health information and the satisfaction rates.

DESIGN

Cross-sectional observational study. The study group consisted of a cohort of women attending the gynaecology outpatient clinic at a district general hospital in the United Kingdom. In total, 484 patients attending the gynaecology outpatient clinic completed a questionnaire which included 13 structured questions regarding access to and attitudes towards the Internet and other health sources of information.

SETTING

Questionnaires were distributed to 564 women attending gynaecology outpatient clinics for 3 months from 1 June 2005.

RESULTS

A total of 484 patients (85.6%) completed the questionnaire. Age range was 41-65 years and the median education level was completion of General Certificate of Secondary Education (GCSE). In total, 360/484 (74%) had sought health information about their condition from a variety of sources before attending the outpatient clinic. In total, 399/484 (82.4%) respondents had access to the Internet. Of 399 with access, 107 (26.8%) of the patients used the Internet to find information about their condition before their appointment. General practitioners remain as the primary source of health information, mainly to improve the knowledge of the condition. A total of 78/107 (73.3%) who had used the Internet before their appointment would like to continue using the Internet as a health information resource.

CONCLUSION

A significant proportion of patients had access to the Internet to find health information. The widespread availability and increased usage of medical websites by patients raises important issues regarding the need for quality control and impacts on the doctor-patient relationship.

摘要

背景

互联网是丰富的医学信息来源,医生们普遍认为,带着网络搜索信息前来就诊的患者数量在增加。本研究的目的是评估上网人群的人口统计学特征,以及他们对互联网提供信息的质量和有用性的态度。本研究还考察了健康信息的各种来源及满意度。

设计

横断面观察性研究。研究组由在英国一家地区综合医院妇科门诊就诊的一群女性组成。共有484名妇科门诊患者完成了一份问卷,其中包括13个关于使用互联网及对其他健康信息来源的态度的结构化问题。

背景

2005年6月1日起的3个月内,向564名妇科门诊女性发放了问卷。

结果

共有484名患者(85.6%)完成了问卷。年龄范围为41 - 65岁,教育程度中位数为中等教育普通证书(GCSE)结业。总共360/484(74%)的患者在前来门诊就诊前已从各种来源寻求过有关自身病情的健康信息。总共399/484(82.4%)的受访者可以上网。在399名能上网的患者中,107名(26.8%)在预约就诊前利用互联网查找有关自身病情的信息。全科医生仍然是健康信息的主要来源,主要用于增进对病情的了解。在预约就诊前使用过互联网的107名患者中,共有78名(73.3%)希望继续将互联网作为健康信息资源。

结论

相当一部分患者能够上网查找健康信息。患者对医学网站的广泛使用和使用量增加,引发了有关质量控制需求以及对医患关系影响的重要问题。

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