Institute of Medical Sociology and Rehabilitation Science; Charité - Universitätsmedizin Berlin, Berlin, Germany.
Institute of General Practice, Charité - Universitätsmedizin Berlin, Berlin, Germany.
BMC Fam Pract. 2019 Jul 6;20(1):94. doi: 10.1186/s12875-019-0975-y.
For many patients, the general practitioner (GP) is the most important point of contact for obtaining information about a wide range of health topics. However, patients with different characteristics may seek health information from different sources, such as friends or the internet. The relationship between patient characteristics and preferences for information sources is understudied. We investigate which information sources are used by patients for health-related questions and how this relates to patients' sociodemographics, health, and health literacy.
A stratified and population-based survey was conducted to investigate health information sources within the German population over 35 years (n = 4144). Sociodemographics, use of technology, health-related indicators, and health literacy (including self-efficacy and action planning), as well as questions regarding the ratings of multiple health-related information sources, were investigated in personal interviews and analyzed using logistic regression.
In our study, GPs were the most important source of information for the patients, followed by medical specialists, pharmacists and the internet. Patient age and number of illnesses were associated with the choice of information source. Furthermore, action planning and self-efficacy for acquiring health knowledge were associated with the selected source of information.
Information provider appears to be an important role for GPs, particularly among old and chronically ill patients. GPs should have the specific capabilities to fill this role and should be trained and referred to accordingly. Self-efficacy and action planning for acquiring health knowledge are important patient factors doctors can use for brief inventions during consultations.
对于许多患者来说,全科医生(GP)是获取广泛健康主题信息的最重要的联络点。然而,具有不同特征的患者可能会从不同的来源获取健康信息,例如朋友或互联网。患者特征与信息源偏好之间的关系尚未得到充分研究。我们调查了患者使用哪些信息来源来获取与健康相关的问题,以及这与患者的社会人口统计学、健康状况和健康素养有何关系。
我们进行了一项分层和基于人群的调查,以调查德国 35 岁以上人群中的健康信息来源(n=4144)。在个人访谈中调查了社会人口统计学、技术使用、与健康相关的指标以及健康素养(包括自我效能感和行动计划),并分析了对多个与健康相关的信息来源的评分,使用逻辑回归进行分析。
在我们的研究中,GP 是患者最重要的信息来源,其次是医学专家、药剂师和互联网。患者年龄和患病数量与信息源的选择有关。此外,获取健康知识的行动计划和自我效能感与所选信息源有关。
信息提供者似乎是 GP 的重要角色,特别是在老年和慢性病患者中。GP 应该具备填补这一角色的特定能力,并应相应地接受培训和转介。获取健康知识的自我效能感和行动计划是医生在咨询期间进行简短发明时可以利用的重要患者因素。