Quan-Hoang Vuong
School of Business (FSB). FPT University, Hanoi, Vietnam.
Acta Inform Med. 2016 Oct;24(5):360-363. doi: 10.5455/aim.2016.24.360-363. Epub 2016 Nov 1.
Patients have to acquire information to support their decision on choosing a suitable healthcare provider. But in developing countries like Vietnam, accessibility issues remain an obstacle, thus adversely affect both quality and costliness of healthcare information. Vietnamese use both sources from health professionals and friends/relatives, especially when quality of the Internet-based cheaper sources appear to be still questionable. The search of information from both professionals and friends/relatives incurs some cost, which can be viewed as low or high depending low or high accessibility to the sources. These views potentially affect their choices.
To investigate the effects that medical/health services information on perceived expensiveness of patients' labor costs. Two related objectives are a) establishing empirical relations between accessibility to sources and expensiveness; and, b) probabilistic trends of probabilities for perceived expensiveness.
There is evidence for established relations among the variables "Convexp" and "Convrel" (all p's < 0.01), indicating that both information sources (experts and friends/relatives) have influence on patients perception of information expensiveness. The use of experts source tends to increase the probability of perceived expensiveness.
a) Probabilistic trends show Vietnamese patients have propensity to value healthcare information highly and do not see it as "expensive"; b) The majority of Vietnamese households still take non-professional advices at their own risks; c) There is more for the public healthcare information system to do to reduce costliness and risk of information. The Internet-based health service users communities cannot replace this system.
患者必须获取信息以支持他们选择合适医疗服务提供者的决定。但在越南这样的发展中国家,信息获取问题仍然是一个障碍,从而对医疗信息的质量和成本产生不利影响。越南人同时利用来自医疗专业人员和朋友/亲属的信息来源,尤其是当基于互联网的成本较低的信息来源质量似乎仍存在疑问时。从专业人员和朋友/亲属那里搜索信息会产生一些成本,根据信息来源的可获取性高低,这些成本可被视为低或高。这些观点可能会影响他们的选择。
调查医疗/健康服务信息对患者感知劳动力成本昂贵程度的影响。两个相关目标是:a)确定信息来源的可获取性与昂贵程度之间的实证关系;b)感知昂贵程度的概率趋势。
有证据表明变量“Convexp”和“Convrel”之间存在既定关系(所有p值<0.01),表明这两种信息来源(专家和朋友/亲属)都对患者对信息昂贵程度的感知有影响。使用专家来源往往会增加感知昂贵程度的概率。
a)概率趋势表明越南患者倾向于高度重视医疗信息,并不认为其“昂贵”;b)大多数越南家庭仍自行承担接受非专业建议的风险;c)公共医疗信息系统还有更多工作要做,以降低信息的成本和风险。基于互联网的健康服务用户社区无法取代这个系统。