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口腔颌面外科在线医疗咨询服务。

Medical online consultation service regarding maxillofacial surgery.

机构信息

eHealth, University Hospital Zurich, Zurich, Switzerland.

出版信息

J Craniomaxillofac Surg. 2012 Oct;40(7):626-30. doi: 10.1016/j.jcms.2012.03.018. Epub 2012 May 1.

DOI:10.1016/j.jcms.2012.03.018
PMID:22555239
Abstract

OBJECTIVE

The University Hospital of Zurich provides a medical online consultation service since 1999. Our aim was to characterise the users of an online consultation with queries regarding maxillofacial surgery, to analyse the content of their questions and to study the actions by the internet doctors with the ambition of defining whether the telemedical consultation is a useful tool in this surgical field.

MATERIALS AND METHODS

The procedure of inductive category development described by MAYRING was used. A professional text analysis program MAXQDA supported the process of analysis. 204 questions were evaluated.

RESULTS

Men sent 37% of the questions, 48% originated by women, mean age was 38 years. Often they asked for information about medical therapies or pharmaceuticals (n=74) and about specific disease or an injury (n=26). The three most common maxillofacial surgery topics were sinusitis (n=21), aphthae in the mouth (n=17) and basal cell carcinoma (n=14).

CONCLUSIONS

Online consultation is not only understood as a first contact with the healthcare system but also as a centre to get professional further and detailed information and advice after a doctor visit, especially about chronic diseases and infections. Online consultation can complement the traditional healthcare and conventional physician-patient relationship in maxillofacial surgery.

摘要

目的

苏黎世大学附属医院自 1999 年以来提供在线医疗咨询服务。我们的目的是对颌面外科在线咨询查询的用户进行特征描述,分析其问题的内容,并研究网络医生的操作,以期确定远程医疗咨询在该外科领域是否是一种有用的工具。

材料和方法

采用 MAYRING 描述的归纳类别发展程序。专业的文本分析程序 MAXQDA 支持分析过程。评估了 204 个问题。

结果

男性发送了 37%的问题,48%来自女性,平均年龄为 38 岁。他们经常询问有关医疗疗法或药物的信息(n=74)和特定疾病或损伤的信息(n=26)。颌面外科最常见的三个主题是鼻窦炎(n=21)、口腔溃疡(n=17)和基底细胞癌(n=14)。

结论

在线咨询不仅被理解为与医疗保健系统的首次接触,也被理解为在医生就诊后获得专业的进一步详细信息和建议的中心,特别是关于慢性疾病和感染。在线咨询可以补充颌面外科的传统医疗保健和常规医患关系。

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