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幼儿家长的电子健康与医疗保健行为:一项定性研究

E-health and health care behaviour of parents of young children: a qualitative study.

作者信息

van der Gugten Anne C, de Leeuw Rob J R J, Verheij Theo J M, van der Ent Cornelis K, Kars Marijke C

机构信息

a Department of Pediatric Pulmonology , Wilhelmina Children's Hospital, University Medical Center Utrecht , Utrecht , The Netherlands ;

b Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht , Utrecht , The Netherlands.

出版信息

Scand J Prim Health Care. 2016 Jun;34(2):135-42. doi: 10.3109/02813432.2016.1160627. Epub 2016 Apr 11.

DOI:10.3109/02813432.2016.1160627
PMID:27063729
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4977935/
Abstract

OBJECTIVE

Internet plays a huge role in providing information about health care problems. However, it is unknown how parents use and perceive the internet as a source of information and how this influences health care utilisation when it comes to common complaints in infants. The objective was to evaluate the perception parents have on the role of internet in providing health care information on common symptoms in infants and its effects on health care utilisation.

DESIGN

A qualitative design was chosen.

SETTING AND SUBJECTS

Parents were recruited from a population-based birth-cohort and selected purposefully.

MAIN OUTCOME MEASURES

Semi-structured interviews were used to receive information of parents' ideas. Thematic coding and constant comparison were used for interview transcript analysis.

RESULTS

Ten parents were interviewed. Parents felt anxious and responsible when their child displayed common symptoms, and appeared to be in need of information. They tried to obtain information from relatives, but more so from the internet, because of its accessibility. Nevertheless, information found on the internet had several limitations, evoked new doubts and insecurity and although parents compared information from multiple sources, only the physician was able to take away the insecurity. The internet did not interfere in the decision to consult the physician.

CONCLUSIONS

Parents need information about their children's symptoms and the internet is a major resource. However, only physicians could take away their symptom-related doubts and insecurities and internet information did not play a role in parental decision making. Information gathered online may complement the information from physicians, rather than replace it. Key points Internet plays an increasing role in providing health care information but it is unknown how this influences health care utilisation. Our study suggests that: Parents need information about their children's symptoms and the internet is a major resource. However, only physicians could take away their symptom-related doubts and insecurities. Internet information did not play a role in parental decision making.

摘要

目的

互联网在提供医疗保健问题信息方面发挥着巨大作用。然而,尚不清楚父母如何使用和看待互联网作为信息来源,以及在婴儿常见疾病方面这如何影响医疗保健的利用。目的是评估父母对互联网在提供婴儿常见症状医疗保健信息方面的作用的看法及其对医疗保健利用的影响。

设计

采用定性设计。

设置与对象

从基于人群的出生队列中招募父母并进行有目的的选择。

主要观察指标

采用半结构式访谈获取父母的想法信息。对访谈记录进行主题编码和持续比较分析。

结果

采访了10位父母。当孩子出现常见症状时,父母会感到焦虑并觉得自己有责任,似乎需要信息。他们试图从亲戚那里获取信息,但更多是从互联网上获取,因为互联网易于获取。然而,在互联网上找到的信息有几个局限性,引发了新的疑问和不安全感,尽管父母会比较多个来源的信息,但只有医生能够消除这种不安全感。互联网并没有干扰咨询医生的决定。

结论

父母需要有关孩子症状的信息,互联网是一个主要资源。然而,只有医生能够消除他们与症状相关的疑问和不安全感,互联网信息在父母的决策中并未发挥作用。在线收集的信息可能会补充医生提供的信息,而不是取代它。要点互联网在提供医疗保健信息方面发挥着越来越大的作用,但尚不清楚这如何影响医疗保健的利用。我们的研究表明:父母需要有关孩子症状的信息,互联网是一个主要资源。然而,只有医生能够消除他们与症状相关的疑问和不安全感。互联网信息在父母的决策中并未发挥作用。

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