Lemire Marc, Sicotte Claude, Paré Guy
Department of Health Administration, University of Montreal, Centre-Ville Station, Montréal, Québec, Canada.
Health Policy. 2008 Oct;88(1):130-40. doi: 10.1016/j.healthpol.2008.03.006. Epub 2008 Apr 24.
The development of personal involvement and responsibility has become a strategic issue in health policy. The main goal of this study is to confirm the coexistence of three logics of personal empowerment through health information found on the Internet.
A theoretical framework was applied to analyze personal empowerment from the user's perspective. A well-established Canadian Web site that offers information on personal health was used as a case study. A close-ended questionnaire was completed online by 2275 visitors and members of the Web site.
The findings confirm that the development of feelings of competence and control through Internet use is structured around three different logics. This implies three types of aptitudes that are fostered when the Internet is used to seek health information: doing what is prescribed (the professional logic), making choices based on personal judgment (the consumer logic), and mutual assistance (the community logic).
A recurring issue in three logics is the balance of roles and responsibilities required between the individual and the health provider.
个人参与和责任的发展已成为卫生政策中的一个战略问题。本研究的主要目标是通过互联网上的健康信息来确认三种个人赋权逻辑的共存情况。
应用一个理论框架从用户角度分析个人赋权。以一个成熟的提供个人健康信息的加拿大网站作为案例研究。2275名该网站的访客和成员在线完成了一份封闭式问卷。
研究结果证实，通过使用互联网培养能力感和掌控感是围绕三种不同逻辑构建的。这意味着当利用互联网寻求健康信息时会培养出三种能力：按规定行事（专业逻辑）、基于个人判断做出选择（消费者逻辑）和互助（社区逻辑）。
三种逻辑中反复出现的一个问题是个人与健康提供者之间所需的角色和责任平衡。
