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一项关于初级保健机构中患者对症状报告态度的探索性研究。对医疗咨询和症状监测有何益处?

An exploratory study of patient attitudes towards symptom reporting in a primary care setting. Benefits for medical consultation and syndromic surveillance?

作者信息

Johansen M A, Berntsen G, Shrestha N, Bellika J G, Johnsen J-A K

机构信息

Norwegian Centre for Integrated Care and Telemedicine, University Hospital of North Norway, 9038 Tromsø, Norway.

出版信息

Methods Inf Med. 2011;50(5):479-86. doi: 10.3414/ME11-02-0005. Epub 2010 Sep 7.

DOI:10.3414/ME11-02-0005
PMID:21897995
Abstract

OBJECTIVES

The aim of this study was to investigate people's attitude towards providing symptom information electronically before a consultation. Specific areas investigated include a) attitudes and experiences with regards to acquisition of information related to symptoms, b) attitudes towards computer based communication of symptoms to the general practitioner and how they preferred to carry out such reporting, and c) attitudes towards storage, use and presentation of symptom-data in general, and particularly in a symptom based surveillance setting.

METHODS

Data was collected from 83 respondents by use of convenience sampling.

RESULTS

The respondents were familiar with using the Internet for health purposes, such as acquisition of information related to their symptoms prior to a consultation. The majority of respondents had a positive attitude towards providing information about their symptoms to the general practitioner's office as soon as possible after falling ill. Over half of the respondents preferred to use e-mail or a web-interface to perform this task. Eighty four percent were willing to have their symptom data stored in their EPR and 76 percent agreed that the general practitioner might access the symptoms together with the prevalence of matching diseases in order to assist the diagnostic process during the next consultation.

CONCLUSIONS

The results of this study support the applicability of electronically mediated pre-consultation systems both for improving primary care consultation and for use in symptom based surveillance, including real-time surveillance.

摘要

目的

本研究旨在调查人们在就诊前以电子方式提供症状信息的态度。调查的具体领域包括:a)获取症状相关信息的态度和经历;b)对通过计算机向全科医生传达症状的态度以及他们更喜欢的报告方式;c)对症状数据的存储、使用和呈现的总体态度,特别是在基于症状的监测环境中的态度。

方法

通过便利抽样从83名受访者中收集数据。

结果

受访者熟悉将互联网用于健康目的,例如在就诊前获取与自身症状相关的信息。大多数受访者对生病后尽快向全科医生办公室提供症状信息持积极态度。超过一半的受访者更喜欢使用电子邮件或网络界面来完成这项任务。84%的受访者愿意将其症状数据存储在电子病历中,76%的受访者同意全科医生可以在下次就诊时访问症状以及匹配疾病的患病率,以辅助诊断过程。

结论

本研究结果支持电子介导的就诊前系统在改善初级保健就诊以及基于症状的监测(包括实时监测)中的适用性。

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