家长在小儿急诊科就诊前的互联网使用情况：观察性研究
Internet Usage by Parents Prior to Seeking Care at a Pediatric Emergency Department: Observational Study.
作者信息
Shroff Purvi L, Hayes Rebecca W, Padmanabhan Pradeep, Stevenson Michelle D
机构信息
Pediatric Emergency Medicine Associates, Atlanta, GA, United States.
Family Residency Program, St. Louis University, Belleville, IL, United States.
出版信息
Interact J Med Res. 2017 Sep 28;6(2):e17. doi: 10.2196/ijmr.5075.
BACKGROUND
Little is known about how parents utilize medical information on the Internet prior to an emergency department (ED) visit.
OBJECTIVE
The objective of the study was to determine the proportion of parents who accessed the Internet for medical information related to their child's illness in the 24 hours prior to an ED visit (IPED), to identify the websites used, and to understand how the content contributed to the decision to visit the ED.
METHODS
A 40-question interview was conducted with parents presenting to an ED within a freestanding children's hospital. If parents reported IPED, the number and names of websites were documented. Parents indicated the helpfulness of Web-based content using a 100-mm visual analog scale and the degree to which it contributed to the decision to visit the ED using 5-point Likert-type responses.
RESULTS
About 11.8 % (31/262) reported IPED (95% CI 7.3-5.3). Parents who reported IPED were more likely to have at least some college education (P=.04), higher annual household income (P=.001), and older children (P=.04) than those who did not report IPED. About 35% (11/31) could not name any websites used. Mean level of helpfulness of Web-based content was 62 mm (standard deviation, SD=25 mm). After Internet use, some parents (29%, 9/31) were more certain they needed to visit the ED, whereas 19% (6/31) were less certain. A majority (87%, 195/224) of parents who used the Internet stated that they would be somewhat likely or very likely to visit a website recommended by a physician.
CONCLUSIONS
Nearly 1 out of 8 parents presenting to an urban pediatric ED reported using the Internet in the 24 hours prior to the ED visit. Among privately insured, at least one in 5 parents reported using the Internet prior to visiting the ED. Web-based medical information often influences decision making regarding ED utilization. Pediatric providers should provide parents with recommendations for high-quality sources of health information available on the Internet.
背景
关于家长在前往急诊科就诊前如何利用互联网上的医学信息，人们知之甚少。
目的
本研究的目的是确定在前往急诊科就诊前24小时内（IPED）为获取与孩子疾病相关的医学信息而访问互联网的家长比例，识别所使用的网站，并了解这些内容如何促成前往急诊科就诊的决定。
方法
对一家独立儿童医院急诊科的家长进行了一项包含40个问题的访谈。如果家长报告有IPED行为，记录所访问网站的数量和名称。家长使用100毫米视觉模拟量表表明基于网络内容的有用性，并使用5点李克特式回答表明其对前往急诊科就诊决定的促成程度。
结果
约11.8%（31/262）的家长报告有IPED行为（95%置信区间7.3 - 5.3）。报告有IPED行为的家长比未报告的家长更有可能至少接受过一些大学教育（P = 0.04）、家庭年收入更高（P = 0.001）且孩子年龄更大（P = 0.04）。约35%（11/31）的家长说不出任何所使用的网站。基于网络内容的平均有用程度为62毫米（标准差，SD = 25毫米）。在使用互联网后，一些家长（29%，9/31）更加确定需要前往急诊科就诊，而19%（6/31）则不太确定。使用互联网的家长中，大多数（87%，195/224）表示他们 somewhat likely or very likely to visit a website recommended by a physician.
结论
在城市儿科急诊科就诊的家长中，近八分之一报告在就诊前24小时内使用过互联网。在有私人保险的家长中，至少五分之一报告在前往急诊科就诊前使用过互联网。基于网络的医学信息常常影响关于是否前往急诊科就诊的决策。儿科医疗服务提供者应向家长推荐互联网上高质量的健康信息来源。
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