Giveon Shmuel, Yaphe John, Hekselman Igal, Mahamid Sara, Hermoni Doron
Department of Family Medicine, Sharon-Shomron District, Clalit Health Services, Kfar Saba, Israel.
Isr Med Assoc J. 2009 Sep;11(9):537-41.
The Internet has transformed the patient-physician relationship by empowering patients with information. Because physicians are no longer the primary gatekeepers of medical information, shared decision making is now emerging as the hallmark of the patient-physician relationship.
To assess the reactions of primary care physicians to encounters in which patients present information obtained from the Internet (e-patients) and to examine the influence of the physicians' personal and demographic characteristics on their degree of satisfaction with e-patients.
A questionnaire was developed to assess physicians' attitudes to e-patients, their knowledge and utilization of the Internet, and their personal and professional characteristics. Family physicians in central Israel were interviewed by telephone and in person at a continuing medical education course.
Of the 100 physicians contacted by phone, 93 responded to the telephone interviews and 50 physicians responded to the questionnaire in person. There was an 85% response rate. The mean age of respondents was 49 years. Most physicians were born in Israel, with a mean seniority of 22 years. Most had graduated in Eastern Europe, were not board certified and were employees of one of the four health management organizations in Israel. Most physicians responded positively when data from the Internet were presented to them by patients (81%). A number of respondents expressed discomfort in such situations (23%). No association was found between physicians' satisfaction in relationships with patients and comfort with data from the Internet presented by patients.
Physicians in this sample responded favorably to patients bringing information obtained online to the consultation. Though it may be difficult to generalize findings from a convenience sample, Israeli family physicians appear to have accepted internet use by patients.
互联网通过为患者提供信息改变了医患关系。由于医生不再是医疗信息的主要把关人，共同决策如今正成为医患关系的标志。
评估初级保健医生对患者提供从互联网获取的信息（电子患者）的就诊情况的反应，并研究医生的个人和人口统计学特征对其对电子患者满意度的影响。
设计了一份问卷，以评估医生对电子患者的态度、他们对互联网的了解和使用情况以及他们的个人和专业特征。以色列中部的家庭医生在继续医学教育课程中接受了电话和面对面访谈。
在通过电话联系的100名医生中，93名回复了电话访谈，50名医生亲自回复了问卷。回复率为85%。受访者的平均年龄为49岁。大多数医生出生在以色列，平均资历为22年。大多数人在东欧毕业，没有获得委员会认证，是以色列四个健康管理组织之一的员工。当患者向他们展示来自互联网的数据时，大多数医生给出了积极回应（81%）。一些受访者表示在这种情况下感到不适（23%）。未发现医生对患者关系的满意度与对患者提供的互联网数据的接受程度之间存在关联。
该样本中的医生对患者将在线获取的信息带到咨询中给予了积极回应。尽管从便利样本得出的结果可能难以推广，但以色列家庭医生似乎已经接受了患者使用互联网。
