Bujnowska-Fedak M M, Kurpas D
Department of Family Medicine, Wroclaw Medical University, 1 Syrokomli St., 51-141, Wroclaw, Poland,
Adv Exp Med Biol. 2015;861:1-17. doi: 10.1007/5584_2015_130.
E-patients 'empowered' by Web information are much more likely to participate in health care decision processes and take responsibility for their own health. The purpose of the study was to determine the influence of Internet use and online health information on the attitude, behavior, and emotions of Polish citizens aged 50+, with special regard to their attitude towards health professionals and the health care system. A total of 323 citizens, aged 50 years and above, who used the Internet for health purposes, were selected from the Polish population by random sampling. The sample collection was carried out by Polish opinion poll agencies in 2005, 2007, and 2012. The Internet was used by 27.8 % of Polish citizens aged 50+ for health purposes in the years 2005-2012. 69.7 % of respondents were looking for health information that might help them to deal with a consultation, 53.9 % turned to the Internet to prepare for a medical appointment, and 63.5 % to assess the outcome of a medical consultation and obtain a 'second opinion'. The most likely effects of health related use of the Internet were: willingness to change diet or other life-style habits (48.0 % of respondents) and making suggestions or queries on diagnosis or treatment by the doctor (46.1 %). Feelings of reassurance or relief after obtaining information on health or illness were reported by a similar number of respondents as feelings of anxiety and fear (31.0 % and 31.3 % respectively). Online health information can affect the attitudes, emotions, and health behaviors of Polish citizens aged 50+ in different ways.
借助网络信息“获得授权”的电子患者更有可能参与医疗保健决策过程并对自身健康负责。本研究的目的是确定互联网使用和在线健康信息对50岁及以上波兰公民的态度、行为和情绪的影响，特别关注他们对医疗保健专业人员和医疗保健系统的态度。通过随机抽样从波兰人口中选取了323名年龄在50岁及以上、出于健康目的使用互联网的公民。样本收集工作由波兰民意调查机构在2005年、2007年和2012年进行。在2005年至2012年期间，27.8%的50岁及以上波兰公民出于健康目的使用互联网。69.7%的受访者在寻找可能有助于他们进行咨询的健康信息，53.9%的人通过互联网为就医预约做准备，63.5%的人用于评估医疗咨询的结果并获得“第二种意见”。与健康相关的互联网使用最可能产生的影响是：愿意改变饮食或其他生活方式习惯（48.0%的受访者）以及就医生的诊断或治疗提出建议或疑问（46.！%）。报告称，在获取有关健康或疾病的信息后感到安心或宽慰的受访者数量与感到焦虑和恐惧的受访者数量相近（分别为31.0%和31.3%）。在线健康信息可以以不同方式影响50岁及以上波兰公民的态度、情绪和健康行为。
