医患关系与在线社交网络：一项全国性调查的结果。
The patient-doctor relationship and online social networks: results of a national survey.
机构信息
Indiana University Health, Indianapolis, IN 46202, USA.
出版信息
J Gen Intern Med. 2011 Oct;26(10):1168-74. doi: 10.1007/s11606-011-1761-2. Epub 2011 Jun 25.
BACKGROUND
The use of online social networks (OSNs) among physicians and physicians-in-training, the extent of patient-doctor interactions within OSNs, and attitudes among these groups toward use of OSNs is not well described.
OBJECTIVE
To quantify the use of OSNs, patient interactions within OSNs, and attitudes toward OSNs among medical students (MS), resident physicians (RP), and practicing physicians (PP) in the United States.
DESIGN/SETTING: A random, stratified mail survey was sent to 1004 MS, 1004 RP, and 1004 PP between February and May 2010.
MEASUREMENTS
Percentage of respondents reporting OSN use, the nature and frequency of use; percentage of respondents reporting friend requests by patients or patients' family members, frequency of these requests, and whether or not they were accepted; attitudes toward physician use of OSNs and online patient interactions.
RESULTS
The overall response rate was 16.0% (19.8% MS, 14.3% RP, 14.1% PP). 93.5% of MS, 79.4% of RP, and 41.6% of PP reported usage of OSNs. PP were more likely to report having visited the profile of a patient or patient's family member (MS 2.3%, RP 3.9%, PP 15.5%), and were more likely to have received friend requests from patients or their family members (MS 1.2%, RP 7.8%, PP 34.5%). A majority did not think it ethically acceptable to interact with patients within OSNs for either social (68.3%) or patient-care (68.0%) reasons. Almost half of respondents (48.7%) were pessimistic about the potential for OSNs to improve patient-doctor communication, and a majority (79%) expressed concerns about maintaining patient confidentiality.
CONCLUSION
Personal OSN use among physicians and physicians-in-training mirrors that of the general population. Patient-doctor interactions take place within OSNs, and are more typically initiated by patients than by physicians or physicians-in-training. A majority of respondents view these online interactions as ethically problematic.
背景
医生和医学生在使用在线社交网络（OSN），OSN 中患者与医生的互动程度，以及这些群体对 OSN 使用的态度尚未得到充分描述。
目的
定量评估美国医学生（MS）、住院医师（RP）和执业医师（PP）使用 OSN、在 OSN 中与患者的互动以及对 OSN 的态度。
设计/设置：2010 年 2 月至 5 月期间，我们向 1004 名 MS、1004 名 RP 和 1004 名 PP 随机分层邮寄调查。
测量
报告 OSN 使用情况、使用性质和频率的受访者比例；报告收到患者或患者家属好友请求的受访者比例、这些请求的频率以及是否接受这些请求；对医生使用 OSN 和在线患者互动的态度。
结果
总应答率为 16.0%（MS 为 19.8%，RP 为 14.3%，PP 为 14.1%）。93.5%的 MS、79.4%的 RP 和 41.6%的 PP 报告使用 OSN。PP 更有可能查看患者或患者家属的个人资料（MS 为 2.3%，RP 为 3.9%，PP 为 15.5%），也更有可能收到患者或其家属的好友请求（MS 为 1.2%，RP 为 7.8%，PP 为 34.5%）。大多数人认为出于社交（68.3%）或患者护理（68.0%）原因与患者在 OSN 中互动在道德上不可接受。近一半的受访者（48.7%）对 OSN 改善医患沟通的潜力持悲观态度，大多数人（79%）对维护患者保密性表示担忧。
结论
医生和医学生的个人 OSN 使用与普通人群相似。患者与医生在 OSN 中的互动，更常见的是由患者发起，而不是由医生或医学生发起。大多数受访者认为这些在线互动在道德上存在问题。
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