University of Southern California, Los Angeles, California, USA.
J Health Commun. 2010 Jan;15(1):3-17. doi: 10.1080/10810730903465491.
Studies of online health information seeking are beginning to address a basic question: why do people turn to the Internet? This study draws upon the Uses and Gratifications (U&G) and Media System Dependency (MSD) perspectives to examine in this process the role played by satisfaction with care. The sample comprised 178 cancer listserv users, of whom 35% chose the Internet as their preferred source of health information compared with 19% who named their oncologist. Dissatisfied patients were significantly more likely to rate the Internet as a better source of information than the provider (p = .001). The level of empathy shown by the provider and the quality of time spent with the patient had a significant negative association with choosing the Internet as a preferred source of information, and a significant positive association with choosing the oncologist as an information source. The results from this study emphasize the significance of the patient-provider interaction. Dissatisfied patients' tendency to seek and trust information sources other than their physician also may have implications for compliance with treatment.
人们为什么会转向互联网？本研究借鉴使用与满足（U&G）和媒体系统依赖（MSD）的观点，在此过程中考察了对治疗满意度在其中所扮演的角色。该样本由 178 名癌症邮件列表用户组成，其中 35%的人选择互联网作为他们首选的健康信息来源，而 19%的人选择他们的肿瘤医生。不满意的患者更有可能将互联网评为比提供方更好的信息来源（p=0.001）。提供方表现出的同理心水平和与患者共度的时间质量与选择互联网作为首选信息来源呈显著负相关，与选择肿瘤医生作为信息来源呈显著正相关。本研究的结果强调了医患互动的重要性。不满意的患者寻求和信任医生以外的信息源的倾向也可能对治疗的依从性产生影响。
