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作为医疗保健信息的最初来源与医疗服务提供者交谈的几率:来自健康信息国家趋势调查(HINTS)的最新横断面结果。

Odds of talking to healthcare providers as the initial source of healthcare information: updated cross-sectional results from the Health Information National Trends Survey (HINTS).

作者信息

Swoboda Christine M, Van Hulle Joseph M, McAlearney Ann Scheck, Huerta Timothy R

机构信息

Department of Family Medicine, The Ohio State University, Room 502, 460 Medical Center Drive, Columbus, OH, 43210, USA.

Department of Family Medicine, The Ohio State University, Room 530, 460 Medical Center Drive, Columbus, OH, 43210, USA.

出版信息

BMC Fam Pract. 2018 Aug 29;19(1):146. doi: 10.1186/s12875-018-0805-7.

Abstract

BACKGROUND

People use a variety of means to find health information, including searching the Internet, seeking print sources, and talking to healthcare providers, family members, and friends. Doctors are considered the most trusted source of health information, but people may be underutilizing them in favor of searching the Internet.

METHODS

A multinomial logistic regression of cross-sectional data from Cycle 4 of the Health Information National Trends Survey (HINTS) was conducted. Independent variables included gender, age, rurality, cancer history, general health, income, race, education level, insurance status, veteran status, Internet use, and data year; the dependent variable was the first chosen source of health information.

RESULTS

The most frequent initial source of health information was the Internet, and the second most frequent was healthcare providers. There were significant differences in odds of using healthcare providers as the first source of health information. Those likely to use doctors as their initial source of health information were older adults, black adults, adults with health insurance, those who do not use the Internet, and adults who do not have a college degree.

CONCLUSIONS

People who use healthcare providers as the first source of health information may have better access to health care and be those less likely to use the Internet. Doctors may have to provide more information to those who do not use the internet and spend time verifying information for those who do use health information from the internet.

摘要

背景

人们使用多种方式获取健康信息,包括搜索互联网、查找印刷资料以及与医疗服务提供者、家庭成员和朋友交流。医生被认为是最值得信赖的健康信息来源,但人们可能更多地依赖互联网搜索而未充分利用医生这一资源。

方法

对健康信息国家趋势调查(HINTS)第4轮的横断面数据进行多项逻辑回归分析。自变量包括性别、年龄、居住在农村地区、癌症病史、总体健康状况、收入、种族、教育水平、保险状况、退伍军人身份、互联网使用情况和数据年份;因变量是首选的健康信息来源。

结果

最常作为初始健康信息来源的是互联网,其次是医疗服务提供者。在将医疗服务提供者作为首选健康信息来源的几率方面存在显著差异。那些可能将医生作为初始健康信息来源的人群包括老年人、黑人成年人、有医疗保险的成年人、不使用互联网的人以及没有大学学历的成年人。

结论

将医疗服务提供者作为首选健康信息来源的人可能更容易获得医疗保健服务,且不太可能使用互联网。医生可能需要向不使用互联网的人提供更多信息,并花时间为那些从互联网获取健康信息的人核实信息。

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