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整骨疗法医生的患者中与健康相关的互联网使用情况。

Health-related Internet use among patients of osteopathic physicians.

作者信息

Cooley Danielle L, Mancuso Alison M, Weiss Lucia Beck, Coren Joshua S

机构信息

Department of Family Medicine, University of Medicine and Dentistry of New Jersey-School of Osteopathic Medicine, 42 E Laurel Rd, Suite 2100A, Stratford, NJ 08084-6447, USA.

出版信息

J Am Osteopath Assoc. 2011 Aug;111(8):473-82.

Abstract

CONTEXT

Using the Internet has transformed communication and improved access to health-related information for patients and physicians.

OBJECTIVE

To determine why patients use the Internet for health-related information, where patients find answers to their questions, and whether patient use of the Internet impacts the patient-physician relationship. This study focused on patients of osteopathic physicians to confirm previously published data in a more specific population.

METHODS

An anonymous 25-item survey was distributed to patients in a primary care setting. The survey elicited information regarding demographics, health-related Internet use, and discussion of Web-based health information during the clinical visit.

RESULTS

Two hundred eighty-five patient surveys were collected. Data based on sex, age, education level, and ethnicity were evaluated. Two hundred fifty of 280 patients (89%) reported that they use the Internet to find health-related information, and 134 of 250 patients (54%) indicated that they changed their health-related behaviors based on information they found. Seventy-three of 133 patients (55%) who changed their behaviors reported these findings to their physicians. This finding differed by age and ethnicity. Patients aged 50 to 64 years (22 responses, 73%) were the most likely group to report behavioral changes to their physicians (P=.048). No patients who identified themselves as of Asian/Pacific Islander descent indicated that they reported behavioral changes to their physician (P=.043). Two hundred forty-two of 261 patients (93%) reported that their personal physician is the most reliable source for health information.

CONCLUSION

Most patients use the Internet to find health-related information, but many of them are not reporting potentially important health-related behavioral changes to their physicians. However, most patients still consider their physician as the most reliable source for health-related information. Physicians should ask patients about Internet use and counsel them about where to find reliable, accurate, high-quality health information.

摘要

背景

使用互联网改变了沟通方式,改善了患者和医生获取健康相关信息的途径。

目的

确定患者使用互联网获取健康相关信息的原因、患者从何处找到问题答案,以及患者使用互联网是否会影响医患关系。本研究聚焦于整骨疗法医生的患者,以在更特定人群中证实先前发表的数据。

方法

在初级保健机构向患者发放一份包含25个条目的匿名调查问卷。该问卷收集了有关人口统计学、健康相关互联网使用情况以及临床就诊期间基于网络的健康信息讨论等方面的信息。

结果

共收集到285份患者调查问卷。对基于性别、年龄、教育水平和种族的数据进行了评估。280名患者中的250名(89%)报告称他们使用互联网查找健康相关信息,250名患者中的134名(54%)表示他们根据所找到的信息改变了与健康相关的行为。133名改变行为的患者中有73名(55%)将这些发现告知了他们的医生。这一发现因年龄和种族而异。50至64岁的患者(22份回复,73%)是最有可能向医生报告行为改变的群体(P = 0.048)。没有自称亚太岛民后裔的患者表示他们向医生报告了行为改变(P = 0.043)。261名患者中的242名(93%)报告称他们的私人医生是健康信息最可靠的来源。

结论

大多数患者使用互联网查找健康相关信息,但他们中的许多人并未向医生报告潜在的重要健康相关行为改变。然而,大多数患者仍认为他们的医生是健康相关信息最可靠的来源。医生应询问患者的互联网使用情况,并就何处可找到可靠、准确、高质量的健康信息向他们提供建议。

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