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在线健康社区中的信息寻求和社会支持:对患者感知同理心的影响。

Information seeking and social support in online health communities: impact on patients' perceived empathy.

机构信息

Department of Health Policy, Management and Behavior, School of Public Health, University at Albany, SUNY, New York, USA.

出版信息

J Am Med Inform Assoc. 2011 May 1;18(3):298-304. doi: 10.1136/amiajnl-2010-000058.

Abstract

OBJECTIVE

Many healthcare organizations (HCOs) including Kaiser Permanente, Johns Hopkins, Cleveland Medical Center, and MD Anderson Cancer Center, provide access to online health communities as part of their overall patient support services. The key objective in establishing and running these online health communities is to offer empathic support to patients. Patients' perceived empathy is considered to be critical in patient recovery, specifically, by enhancing patient's compliance with treatment protocols and the pace of healing. Most online health communities are characterized by two main functions: informational support and social support. This study examines the relative impact of these two distinct functions-that is, as an information seeking forum and as a social support forum-on patients' perceived empathy in online health communities.

DESIGN

This study tests the impact of two variables that reflect the above functions of online health communities-information seeking effectiveness and perceived social support-on perceived empathy. The model also incorporates the potential moderating effect of homophily on these relationships.

MEASUREMENTS

A web-based survey was used to collect data from members of the online health communities provided by three major healthcare centers. A regression technique was used to analyze the data to test the hypotheses.

RESULTS

The study finds that it is the information seeking effectiveness rather than the social support which affects patient's perceived empathy in online health communities run by HCOs. The results indicate that HCOs that provide online health communities for their patients need to focus more on developing tools that will make information seeking more effective and efficient.

摘要

目的

许多医疗机构(HCO),包括 Kaiser Permanente、约翰霍普金斯大学、克利夫兰医疗中心和 MD 安德森癌症中心,都提供在线健康社区作为其整体患者支持服务的一部分。建立和运营这些在线健康社区的主要目标是为患者提供富有同情心的支持。患者感知到的同理心被认为对患者的康复至关重要,特别是通过提高患者对治疗方案的依从性和康复速度。大多数在线健康社区具有两个主要功能:信息支持和社会支持。本研究考察了这两个截然不同的功能(即作为信息寻求论坛和作为社会支持论坛)对在线健康社区中患者感知同理心的相对影响。

设计

本研究检验了反映在线健康社区上述功能的两个变量的影响,即信息寻求效果和感知社会支持,对感知同理心的影响。该模型还纳入了同质性对这些关系的潜在调节作用。

测量

本研究通过三个主要医疗中心提供的在线健康社区成员的在线调查收集数据。采用回归技术分析数据以检验假设。

结果

研究发现,是信息寻求效果而不是社会支持,影响了 HCO 运营的在线健康社区中患者的感知同理心。研究结果表明,为患者提供在线健康社区的 HCO 需要更加注重开发能够使信息寻求更有效和高效的工具。

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