College of Health and Medicine, University of Tasmania, Sydney, NSW, Australia.
Patient Educ Couns. 2021 Apr;104(4):770-784. doi: 10.1016/j.pec.2020.11.016. Epub 2020 Nov 21.
This systematic review assessed the influence of online health information (OHI) search behaviour on health and medical decisions.
Eligible studies were identified by searching electronic databases PubMed, Scopus, and CINAHL in February 2020 for studies reporting OHI search behaviour and its influence on health decisions. Information was extracted pertaining to either consumers' (self-reported) perceptions of the influence of OHI on decision-making or the association between online search behaviour and health decision-making.
A total of 3995 articles were screened, with 48 included in the final analysis. The reviewed studies indicated that OHI assisted in making subsequent health related decisions such as asking questions during a consultation, increased professional visits, improved adherence to the advice of a physician, being more compliant with taking medication, and improved self-care.
Consumers largely used OHI to support information provided by their physicians. The strength of the patient-provider relationship was considered important in moderating the potential negative outcomes of OHI.
Health care systems have a unique opportunity to direct OHI search behaviours towards empowering consumers to engage as an informed, active and joint decision-maker in their own health care.
本系统评价评估了在线健康信息（OHI）搜索行为对健康和医疗决策的影响。
通过 2020 年 2 月在 PubMed、Scopus 和 CINAHL 电子数据库中搜索，确定符合条件的研究报告了 OHI 搜索行为及其对决策的影响。提取的信息涉及消费者（自我报告）对 OHI 对决策影响的看法，或在线搜索行为与健康决策之间的关联。
共筛选出 3995 篇文章，最终有 48 篇纳入分析。综述研究表明，OHI 有助于做出后续的健康相关决策，例如在咨询时提问、增加专业就诊次数、提高对医生建议的依从性、更遵守服药规定以及改善自我保健。
消费者主要使用 OHI 来支持医生提供的信息。患者与提供者关系的强度被认为是调节 OHI 潜在负面影响的重要因素。
医疗保健系统有独特的机会引导 OHI 搜索行为，使消费者有能力作为知情、积极和共同的决策者参与自己的医疗保健。
