Bhandari Neeraj, Shi Yunfeng, Jung Kyoungrae
Department of Health Policy and Administration, College of Health and Human Development, The Pennsylvania State University, State College, Pennsylvania, USA.
Center for Health Care and Policy Research, College of Health and Human Development, The Pennsylvania State University, State College, Pennsylvania, USA.
J Am Med Inform Assoc. 2014 Nov-Dec;21(6):1113-7. doi: 10.1136/amiajnl-2013-002350. Epub 2014 Jun 19.
Consumers facing barriers to healthcare access may use online health information seeking and online communication with physicians, but the empirical relationship has not been sufficiently analyzed. Our study examines the association of barriers to healthcare access with consumers' health-related information searching on the internet, use of health chat groups, and email communication with physicians, using data from 27,210 adults from the 2009 National Health Interview Survey. Individuals with financial barriers to healthcare access, difficulty getting timely appointments with doctors, and conflicts in scheduling during clinic hours are more likely to search for general health information online than those without these access barriers. Those unable to get timely appointments with physicians are more likely to participate in health chat groups and email physicians. The internet may offer a low-cost source of health information and could help meet the heightened demand for health-related information among those facing access barriers to care.
面临医疗保健获取障碍的消费者可能会使用在线健康信息搜索以及与医生进行在线交流,但这种实证关系尚未得到充分分析。我们的研究利用2009年全国健康访谈调查中27210名成年人的数据,考察了医疗保健获取障碍与消费者在互联网上搜索健康相关信息、使用健康聊天群组以及与医生进行电子邮件交流之间的关联。在医疗保健获取方面存在经济障碍、难以及时预约医生以及在诊所工作时间安排上存在冲突的个体,比没有这些获取障碍的个体更有可能在网上搜索一般健康信息。那些无法及时预约医生的人更有可能参与健康聊天群组并给医生发电子邮件。互联网可能提供了一种低成本的健康信息来源,并有助于满足那些面临医疗保健获取障碍的人对健康相关信息日益增长的需求。