Kim Jeongeun, Kim Sukwha
College of Nursing, Research Institute of Nursing Science, Seoul National University, Seoul, Korea.
Inform Health Soc Care. 2009 Sep;34(3):136-48. doi: 10.1080/17538150903102422.
The objective of the study was to determine physician's perception of the effects of health information on the internet on doctor-patient relationship. Online questionnaire with 25 items were sent to the Korean physicians' e-mail, and 493 replied. Eight-nine percent of the Korean physicians reported they had experiences of patients discussing the Internet health information. They perceived that Internet health information may enhance the patients' knowledge about their health. However, they perceived that Internet health information may have variety of negative effects such as; heightening the cost of health care by adopting the inappropriate health service utilisation (56.2%); making the patients over-concerned about their health (74.5%); damaging the time efficiency of the visit (60.9%). The physicians deemed that those informations were not relevant to the patients' health condition (42.7%), and even were not correct (39.0%). Physicians' perception of the Internet health information is both positive and negative, and they perceive the overall effects on doctor-patient relationship as neutral. More physicians think the discussion could be the hindrance on the efficient time management during their visits. However, more physicians have positive perception of the effects on the quality of care and patient outcomes which is promising.
该研究的目的是确定医生对互联网上健康信息对医患关系影响的看法。向韩国医生发送了包含25个项目的在线问卷，通过电子邮件发送，共有493人回复。89%的韩国医生报告称他们有患者讨论互联网健康信息的经历。他们认为互联网健康信息可能会增强患者对自身健康的了解。然而，他们也认为互联网健康信息可能会产生各种负面影响，比如：因采用不恰当的医疗服务利用方式而增加医疗成本（56.2%）；使患者过度关注自身健康（74.5%）；损害就诊的时间效率（60.9%）。医生们认为这些信息与患者的健康状况无关（42.7%），甚至是不正确的（39.0%）。医生对互联网健康信息的看法既有积极的一面，也有消极的一面，他们认为其对医患关系的总体影响是中性的。更多医生认为这种讨论会妨碍他们就诊时的高效时间管理。然而，更多医生对其对医疗质量和患者治疗结果的影响持积极看法，这是很有希望的。
