Nguyen Douglas L, Rasheed Sarah, Parekh Nimisha K
From the Division of Gastroenterology and Hepatology, University of California, Irvine.
South Med J. 2014 May;107(5):320-3. doi: 10.1097/SMJ.0000000000000107.
To define the patterns of Internet use among physicians who treat inflammatory bowel disease (IBD) and physicians' perceptions of their patients' Internet use.
An online survey about physician and patient use of the Internet was created and e-mailed to gastroenterologists nationwide. Surveys were distributed and collected via an online database and a subsequent statistical analysis was performed.
Of the 1000 e-mail invitations sent to practicing gastroenterologists in the United States, 223 participants (22.3%) completed the survey. A total of 183 (82.1%) physicians reported using an Internet-based reference to assist them in deriving management strategies for their patients with IBD, with the most commonly utilized resource being UpToDate followed by PubMed and the Crohn's and Colitis Foundation of America Web site. Although nearly 80% of gastroenterologists believed that using the Internet helped them facilitate clinical discussions, 183 participants (82.1%) believed that inaccurate information found online could sometimes result in increased clinic time because physicians must spend more time dispelling misleading information.
Despite a study design biased toward selecting gastroenterologists who commonly used the Internet, we demonstrated that only 60% of the providers routinely refer their patients to the Internet. This underscores the fact that it is important to have a centralized "physician-certified" online resource to which physicians could readily refer their patients to navigate through various disease-specific resources without concern that their patients are receiving unreliable or misleading information.
确定治疗炎症性肠病(IBD)的医生的互联网使用模式以及医生对其患者互联网使用情况的看法。
创建了一项关于医生和患者互联网使用情况的在线调查,并通过电子邮件发送给全国的胃肠病学家。通过在线数据库分发和收集调查问卷,随后进行统计分析。
在美国向执业胃肠病学家发送的1000封电子邮件邀请中,有223名参与者(22.3%)完成了调查。共有183名(82.1%)医生报告使用基于互联网的参考资料来协助他们制定IBD患者的管理策略,最常用的资源是UpToDate,其次是PubMed和美国克罗恩病与结肠炎基金会网站。尽管近80%的胃肠病学家认为使用互联网有助于他们促进临床讨论,但183名参与者(82.1%)认为在网上发现的不准确信息有时会导致门诊时间增加,因为医生必须花费更多时间消除误导性信息。
尽管研究设计倾向于选择经常使用互联网的胃肠病学家,但我们证明只有60%的医疗服务提供者会定期将患者推荐到互联网上。这突出了这样一个事实,即拥有一个集中的“医生认证”在线资源很重要,医生可以方便地将患者推荐到该资源,以便浏览各种特定疾病的资源,而不必担心患者会收到不可靠或误导性信息。