在线健康信息搜索对医患关系的影响：系统评价。
The Effect of Online Health Information Seeking on Physician-Patient Relationships: Systematic Review.
机构信息
The Second Xiangya Hospital, Central South University, Changsha, China.
Key Laboratory of Medical Information Research, The Third Xiangya Hospital, Central South University, Changsha, China.
出版信息
J Med Internet Res. 2022 Feb 10;24(2):e23354. doi: 10.2196/23354.
BACKGROUND
The internet has now become part of human life and is constantly changing people's way of life. With the increasing popularity of online health information (OHI), it has been found that OHI can affect the physician-patient relationship by influencing patient behaviors.
OBJECTIVE
This study aims to systematically investigate the impact of OHI-seeking behavior on the physician-patient relationship.
METHODS
Literature retrieval was conducted on 4 databases (Web of Science, PubMed, China National Knowledge Infrastructure, SinoMed), and the time limit for literature publication was before August 1, 2021.
RESULTS
We selected 53 target papers (42 [79%] English papers and 11 [21%] Chinese papers) that met the inclusion criteria. Of these, 31 (58%) papers believe that patients' OHI behavior can enable them to participate in their own medical care, improve patient compliance, and improve the physician-patient relationship. In addition, 14 (26%) papers maintain a neutral attitude, some believing that OHI behavior has no significant effect on doctors and patients and others believing that due to changes in the factors affecting OHI behavior, they will have a negative or a positive impact. Furthermore, 8 (15%) papers believe that OHI search behavior has a negative impact on doctors and patients, while 6 (11%) papers show that OHI reduces Chinese patients' trust in doctors.
CONCLUSIONS
Our main findings showed that (1) OHI-seeking behavior has an impact on patients' psychology, behavior, and evaluation of doctors; (2) whether patients choose to discuss OHI with doctors has different effects on the physician-patient relationship; and (3) the negative impact of OHI on China's internet users is worthy of attention. Due to the low quality of OHI, poor health information literacy, short physician-patient communication time, and various types of negative news, patients' trust in doctors has declined, thus affecting the physician-patient relationship. Improvement of people's health information literacy and the quality of OHI are important factors that promote the positive impact of OHI on the physician-patient relationship.
背景
互联网已成为人类生活的一部分，并不断改变人们的生活方式。随着在线健康信息（OHI）的日益普及，人们发现 OHI 通过影响患者行为会影响医患关系。
目的
本研究旨在系统调查 OHI 寻求行为对医患关系的影响。
方法
在 4 个数据库（Web of Science、PubMed、中国知网、SinoMed）中进行文献检索，文献发表时间截止到 2021 年 8 月 1 日之前。
结果
共纳入 53 篇符合标准的目标文献（42 篇[79%]英文文献和 11 篇[21%]中文文献）。其中 31 篇（58%）文献认为患者的 OHI 行为可以使他们参与自身医疗护理，提高患者依从性，改善医患关系。此外，14 篇（26%）文献持中立态度，一些认为 OHI 行为对医生和患者没有显著影响，另一些则认为由于影响 OHI 行为的因素发生变化，其将产生负面影响或正面影响。此外，8 篇（15%）文献认为 OHI 搜索行为对医患双方有负面影响，而 6 篇（11%）文献表明 OHI 降低了中国患者对医生的信任。
结论
本研究的主要发现表明：（1）OHI 寻求行为会影响患者的心理、行为和对医生的评价；（2）患者是否选择与医生讨论 OHI 对医患关系有不同影响；（3）OHI 对中国互联网用户的负面影响值得关注。由于 OHI 质量低、健康信息素养差、医患沟通时间短以及各种负面新闻，患者对医生的信任度下降，从而影响医患关系。提高人们的健康信息素养和 OHI 的质量是促进 OHI 对医患关系产生积极影响的重要因素。
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