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就诊后仍存在疑问和疑虑:支持论坛成员在线寻求信息。

Lingering questions and doubts: online information-seeking of support forum members following their medical visits.

机构信息

Department of Communication, University of California, Davis, CA, USA.

出版信息

Patient Educ Couns. 2011 Dec;85(3):525-8. doi: 10.1016/j.pec.2011.01.015. Epub 2011 Feb 18.

Abstract

OBJECTIVE

To examine the prevalence and predictors of patients' post-appointment online health information-seeking and the reasons behind their information searches.

METHODS

Survey of 274 Internet support community members who had been seen by a physician within 30 days. The questionnaire included measures of trust in the physician, health worries, changes in amount of worrying following the visit, online health information-seeking, and standard demographic and visit characteristics.

RESULTS

A majority of respondents (68%) went online in search of information after their visits. In a logistic regression analysis, going online was associated with lower trust (P=.002), greater worrying (P=.049), and becoming more (P=.024) or less worried (P=.05) by the visit. Among those who went online, the most common reasons for doing so were sheer curiosity (71%) and disappointment with some aspect of the physician's behavior (32%).

CONCLUSION

Patients in this online forum routinely turned to the Internet after their medical visits, but were especially likely to do so when trust in the physician was low, anxieties were high, and the visit altered (for better or worse) their anxiety levels.

PRACTICE IMPLICATIONS

Since many patients seek online information after their appointments, physicians should suggest credible websites suited to the circumstances of each patient.

摘要

目的

调查患者预约后在线搜索健康信息的流行情况和预测因素,以及他们搜索信息的原因。

方法

对 274 名在 30 天内看过医生的互联网支持社区成员进行调查。问卷包括对医生的信任度、健康担忧、就诊后担忧程度的变化、在线健康信息搜索以及标准人口统计学和就诊特征的测量。

结果

大多数受访者(68%)在就诊后上网搜索信息。在逻辑回归分析中,上网与信任度较低(P=.002)、担忧程度较高(P=.049)以及就诊后更加(P=.024)或较少(P=.05)担忧相关。在上网的受访者中,上网的最常见原因是纯粹出于好奇(71%)和对医生行为的某些方面感到失望(32%)。

结论

在这个在线论坛中,患者在就诊后经常上网搜索信息,但当他们对医生的信任度较低、焦虑程度较高且就诊改变(无论是好是坏)他们的焦虑水平时,他们更有可能上网搜索信息。

实践意义

由于许多患者在预约后会在网上搜索信息,因此医生应根据每位患者的具体情况,建议可信的网站。

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