医生如何看待和使用社交媒体：一项全国性调查。

How doctors view and use social media: a national survey.

作者信息

Brown James, Ryan Christopher, Harris Anthony

机构信息

Western Clinical School, Department of Psychiatry, University of Sydney, Westmead, Australia.

出版信息

J Med Internet Res. 2014 Dec 2;16(12):e267. doi: 10.2196/jmir.3589.

DOI:10.2196/jmir.3589

PMID:25470407

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4275505/

Abstract

BACKGROUND

Doctors are uncertain of their ethical and legal obligations when communicating with patients online. Professional guidelines for patient-doctor interaction online have been written with limited quantitative data about doctors' current usage and attitudes toward the medium. Further research into these trends will help to inform more focused policy and guidelines for doctors communicating with patients online.

OBJECTIVE

The intent of the study was to provide the first national profile of Australian doctors' attitudes toward and use of online social media.

METHODS

The study involved a quantitative, cross-sectional online survey of Australian doctors using a random sample from a large representative database.

RESULTS

Of the 1500 doctors approached, 187 participated (12.47%). Most participants used social media privately, with only one-quarter not using any social media websites at all (48/187, 25.7%). One in five participants (30/155, 19.4%) had received a "friend request" from a patient. There was limited use of online communication in clinical practice: only 30.5% (57/187) had communicated with a patient through email and fewer than half (89/185, 48.1%) could offer their patients electronic forms of information if that were the patients' preference. Three in five participants (110/181, 60.8%) reported not being uncomfortable about interacting with patients who had accessed personal information about them online, prior to the consultation. Most of the participants (119/181, 65.8%) were hesitant to immerse themselves more fully in social media and online communication due to worries about public access and legal concerns.

CONCLUSIONS

Doctors have different practices and views regarding whether or how to communicate appropriately with patients on the Internet, despite online and social media becoming an increasingly common feature of clinical practice. Additional training would assist doctors in protecting their personal information online, integrating online communication in patient care, and guidance on the best approach in ethically difficult online situations.

摘要

背景

医生在与患者进行在线交流时，对自身的伦理和法律义务并不确定。关于医患在线互动的专业指南在撰写时，所依据的医生当前使用情况及对这种交流方式态度的定量数据有限。对这些趋势的进一步研究将有助于为医生与患者在线交流制定更具针对性的政策和指南。

目的

本研究旨在首次呈现澳大利亚医生对在线社交媒体的态度及使用情况的全国概况。

方法

该研究采用从一个大型代表性数据库中随机抽样的方式，对澳大利亚医生进行了一项定量的横断面在线调查。

结果

在1500名受邀医生中，187人参与了调查（12.47%）。大多数参与者私下使用社交媒体，只有四分之一的人完全不使用任何社交媒体网站（48/187，25.7%）。五分之一的参与者（30/155，19.4%）收到过患者的“好友请求”。临床实践中在线交流的使用有限：只有30.5%（57/187）的医生通过电子邮件与患者交流，不到一半（89/185，48.1%）的医生表示如果患者有需求，他们可以为患者提供电子形式的信息。五分之三的参与者（110/181，60.8%）表示，对于在咨询前就已在网上获取其个人信息的患者与其互动并不感到不适。由于担心公众获取信息及法律问题，大多数参与者（119/181，65.8%）对更全面地参与社交媒体和在线交流持犹豫态度。