Kushniruk Andre
School of Health Information Science, University of Victoria, Victoria, BC, Canada.
J Med Internet Res. 2019 Oct 27;21(10):e16690. doi: 10.2196/16690.
The internet holds the potential promise of improved patient outcomes, especially when one is faced with a critical or life-threatening disease or condition. Appropriate and timely access to health information can support informed negotiation of optimal treatments, optimal management, and expedited recovery, and to an improved outcome for a patient. However, there are many human and technical barriers that may prevent the application of the best possible information for both patient and provider alike, making the patient journey complex and potentially dangerous. In this viewpoint paper, the author (who is also a JMIR editor) reflects on a personal patient journey, where use of the internet facilitated a means of reaching a good patient outcome in the face of a variety of informational and organizational limitations and gaps. This journey illustrates the importance of human-related factors affecting access to health information. The application of a range of internet information resources at critical points can result in a positive patient outcome, as this case illustrates. This paper reflects on how the experience highlights several information needs and concerns. It also highlights the need for improved access to appropriate health information along the patient journey that can support patient and provider joint decision-making. This access to information can make the difference between positive clinical outcomes and death, illustrating how health information on the internet can be both critical and life saving.
互联网有望改善患者的治疗效果,尤其是当患者面临危急或危及生命的疾病或状况时。及时获取适当的健康信息有助于就最佳治疗方案、最佳管理方式进行明智的协商,并加快康复进程,从而改善患者的治疗结果。然而,存在许多人为和技术障碍,可能会妨碍患者和医疗服务提供者应用可能是最佳的信息,使患者的就医过程变得复杂且可能存在危险。在这篇观点论文中,作者(也是JMIR的编辑)回顾了一段个人患者经历,在面对各种信息和组织方面的限制与差距时,互联网的使用促成了良好的患者治疗结果。这段经历说明了影响获取健康信息的人为因素的重要性。如本案例所示,在关键时刻应用一系列互联网信息资源可以带来积极的患者治疗结果。本文反思了这段经历如何凸显了一些信息需求和问题。它还强调了在患者就医过程中需要更好地获取适当的健康信息,以支持患者和医疗服务提供者的共同决策。获取这些信息可能决定临床结果是积极还是死亡,这说明了互联网上的健康信息既至关重要又能挽救生命。