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临床医生应如何利用在线健康信息?

How Should Clinicians Engage With Online Health Information?

作者信息

O'Mathúna Dónal P

机构信息

An associate professor in the College of Nursing at the Ohio State University in Columbus, Ohio, and an associate professor in the School of Nursing and Human Sciences at Dublin City University in Dublin, Ireland.

出版信息

AMA J Ethics. 2018 Nov 1;20(11):E1059-1066. doi: 10.1001/amajethics.2018.1059.

Abstract

Many adults, physicians, and medical students search the internet for health information. Open access has many benefits, but the variable quality of internet health information-ranging from evidence based to false-raises ethical concerns. Using Wikipedia as a case study, this article argues that everyone engaging with internet health information has ethical responsibilities. Those hosting and writing for health websites should ensure that information is evidence based, accurate, up to date, and readable and be transparent about conflicts of interest. Health care professionals, including medical students, have both ethical responsibilities to help patients avoid false or misleading health information and practical opportunities to improve the quality of internet health information. All users of such information-professionals and patients alike-should develop critical appraisal skills and apply them to internet health information to distinguish the good from the junk.

摘要

许多成年人、医生和医学生都会在互联网上搜索健康信息。开放获取有诸多益处,但互联网健康信息质量参差不齐——从基于证据的到虚假的——引发了伦理问题。本文以维基百科为例进行研究,认为每个接触互联网健康信息的人都负有伦理责任。那些运营健康网站并为其撰写内容的人应确保信息基于证据、准确、最新且易于理解,并对利益冲突保持透明。包括医学生在内的医疗保健专业人员既有帮助患者避免虚假或误导性健康信息的伦理责任,也有提高互联网健康信息质量的实际机会。此类信息的所有使用者——专业人员和患者皆是如此——都应培养批判性评估技能,并将其应用于互联网健康信息,以区分优劣。

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