Volkman Julie E, Luger Tana M, Harvey Kimberly L L, Hogan Timothy P, Shimada Stephanie L, Amante Daniel, McInnes D Keith, Feng Hua, Houston Thomas K
eHealth Quality Enhancement Research Initiative, US Department of Veterans Affairs, 200 Springs Road, Bedford, MA 01730, USA.
BMC Fam Pract. 2014 Jun 6;15:111. doi: 10.1186/1471-2296-15-111.
The need to understand preferred sources of health information remains important to providing patient-centered care. The Internet remains a popular resource for health information, but more traditional sources may still be valid for patients during a recent health need. This study sought to understand the characteristics of patients that turn to their doctor or healthcare provider first for a recent health or medical information need.
Using the national cross-sectional survey, Health Information National Trend Study [HINTS], characteristics of those who sought a doctor or healthcare provider for a recent health information need were compared to other sources. Weighted survey responses from Cycle 1 and Cycle 2 of the HINTS survey were used for multivariable logistic regression.
A total 5,307 patient responses were analyzed. Overall, those who seek a doctor or healthcare provider first for a health need are female, 46-64 years, White non-Hispanic, educated, in good health and users of the Internet. Yet, adjusted logistic regressions showed that those who sought a doctor or healthcare provider first during a recent health information need compared to other sources were most likely to be 65+ years, in poor health, less educated and have health insurance.
Patients who seek their doctor or healthcare provider first for health information rather than other sources of information represent a unique population. Doctors or healthcare providers remain an important resource for these patients during recent needs, despite the wide use of the Internet as a source of health information.
了解健康信息的首选来源对于提供以患者为中心的护理仍然很重要。互联网仍然是获取健康信息的热门资源,但在近期有健康需求时,更传统的信息来源对患者可能仍然有效。本研究旨在了解那些近期有健康或医疗信息需求时首先求助于医生或医疗服务提供者的患者的特征。
利用全国横断面调查“健康信息国家趋势研究”(HINTS),将那些近期有健康信息需求而求助于医生或医疗服务提供者的患者的特征与其他信息来源进行比较。HINTS调查第1轮和第2轮的加权调查回复用于多变量逻辑回归分析。
共分析了5307份患者回复。总体而言,那些近期有健康需求时首先求助于医生或医疗服务提供者的患者为女性,年龄在46至64岁之间,非西班牙裔白人,受过教育,健康状况良好且使用互联网。然而,调整后的逻辑回归显示,与其他信息来源相比,那些近期有健康信息需求时首先求助于医生或医疗服务提供者的患者最有可能年龄在65岁及以上,健康状况较差,受教育程度较低且有医疗保险。
那些首先求助于医生或医疗服务提供者而非其他信息来源获取健康信息的患者是一个独特的群体。尽管互联网被广泛用作健康信息来源,但在近期有需求时,医生或医疗服务提供者对这些患者来说仍然是重要的信息资源。