Harvey S, Memon A, Khan R, Yasin F
Department of Paediatrics, University Hospital Kerry, Tralee, Co. Kerry, Ireland.
Ir J Med Sci. 2017 Nov;186(4):821-826. doi: 10.1007/s11845-017-1555-6. Epub 2017 Jan 27.
The Internet is an unavoidable source of healthcare information. This information, both reliable and unreliable, has previously been shown to influence carer's decisions.
Our aim was to evaluate this information seeking behavior among parents and its subsequent potential impact on the doctor-patient relationship.
We undertook a cross-sectional questionnaire-based survey of paediatric outpatients. Enrollment took place over 4 weeks in March 2015. There were no inclusion or exclusion criteria and enrollment was voluntary. In total 100 questionnaires were completed.
General Practitioners were the most common source of healthcare information. The Internet ranked third as a reliable source of healthcare information. The Internet was commonly used as an educational resource to learn about causes, treatment, and medications. A significant percentage of our population expressed concern regarding Internet information reliability. A small percentage of parents were concerned that disclosing Internet usage may worsen the relationship with their doctor.
Parents showed a willingness to learn about diseases and treatments, and felt that the Internet was a good resource to do so. This study shows that open discussion about Internet usage between parents and doctors is not common and carers feel at risk of judgment should they admit to Internet usage. The Internet should be seen as a positive adjunct to patient education which can improve understanding, thus strengthening the doctor-patient relationship. The Internet will never replace the role of healthcare professionals but must be seen as an integral part of a multi-disciplinary approach.
互联网是医疗保健信息不可避免的来源。此前已表明，这些信息，无论可靠与否，都会影响护理人员的决策。
我们的目的是评估父母的这种信息寻求行为及其对医患关系的潜在影响。
我们对儿科门诊患者进行了一项基于问卷调查的横断面研究。2015年3月，招募工作持续了4周。没有纳入或排除标准，招募是自愿的。总共完成了100份问卷。
全科医生是最常见的医疗保健信息来源。互联网作为可靠的医疗保健信息来源排名第三。互联网通常被用作了解病因、治疗方法和药物的教育资源。我们研究中的很大一部分人对互联网信息的可靠性表示担忧。一小部分家长担心透露互联网使用情况可能会恶化他们与医生的关系。
家长表现出了解疾病和治疗方法的意愿，并认为互联网是获取这些信息的良好资源。这项研究表明，家长和医生之间关于互联网使用的公开讨论并不常见，护理人员觉得如果承认使用互联网会有被评判的风险。互联网应被视为患者教育的积极辅助手段，它可以增进理解，从而加强医患关系。互联网永远无法取代医疗保健专业人员的角色，但必须被视为多学科方法不可或缺的一部分。
