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等待胃肠病学咨询的患者对互联网资源的使用。

Use of internet resources by patients awaiting gastroenterology consultation.

作者信息

Teriaky Anouar, Tangri Vikram, Chande Nilesh

机构信息

Department of Gastroenterology, Western University and London Health Sciences Centre, Faculty of Medicine, London, Canada.

出版信息

Turk J Gastroenterol. 2015 Jan;26(1):49-52. doi: 10.5152/tjg.2015.6043.

Abstract

BACKGROUND/AIMS: The purpose of this study is to understand how outpatients awaiting initial gastroenterology consultation seek medical information on the Internet and how wait times affect Internet usage.

MATERIALS AND METHODS

A cross-sectional survey of 87 gastroenterology outpatients awaiting consultation was performed at a tertiary care center.

RESULTS

Fifty-two patients (60%) utilized the Internet for medical information. The mean age of patients using the Internet was 41 years, whereas the mean age of those not using the Internet was 60 years (p<0.0001). The Internet was used by 71% of females and 47% of males (p<0.05). Regarding the educational level, the Internet was sought by 33% of the patients possessing less than secondary school education, 59% possessing secondary school education, 66% with an undergraduate degree, and 100% with a postgraduate degree (p=0.14). The mean wait time for consultation for patients who utilized the Internet was 158 days, and for patients who did not was 147 days (p=0.60). The most common websites searched were medical, 71%. The most common medical information sought was symptoms and diagnosis by 85% of patients. The reasons for Internet use were wait times for 36% of patients and recommendation by a physician for 10%. Eighty seven percent of the patients who utilized the Internet believed that they suffered from an unidentified disease, whereas 46% of patients who did not utilize the Internet believed the same (p=0.0001).

CONCLUSION

Younger patients and females were more likely to use the Internet, but wait times did not affect Internet usage. The Internet is a powerful patient resource; however, further physician guidance is required to help patients identify reliable resources.

摘要

背景/目的:本研究旨在了解等待首次胃肠病学咨询的门诊患者如何在互联网上获取医疗信息以及等待时间如何影响互联网使用情况。

材料与方法

在一家三级医疗中心对87名等待胃肠病学咨询的门诊患者进行了横断面调查。

结果

52名患者(60%)利用互联网获取医疗信息。使用互联网的患者平均年龄为41岁,而未使用互联网的患者平均年龄为60岁(p<0.0001)。71%的女性和47%的男性使用互联网(p<0.05)。在教育程度方面,初中以下学历的患者中有33%、初中学历的患者中有59%、本科学历的患者中有66%、研究生学历的患者中有100%寻求使用互联网(p=0.14)。使用互联网的患者平均等待咨询时间为158天,未使用互联网的患者平均等待时间为147天(p=0.60)。搜索最多的网站是医疗类网站,占71%。85%的患者寻求的最常见医疗信息是症状和诊断。使用互联网的原因中,36%的患者是因为等待时间,10%的患者是因为医生推荐。使用互联网的患者中有87%认为自己患有未确诊的疾病,而未使用互联网的患者中有46%持相同看法(p=0.0001)。

结论

年轻患者和女性更有可能使用互联网,但等待时间并不影响互联网使用情况。互联网是患者的强大资源;然而,需要进一步的医生指导来帮助患者识别可靠的资源。

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