Discipline of Child and Adolescent Health, The University of Sydney, Sydney, New South Wales, Australia.
Graduate School of Medicine, The University of Wollongong, Wollongong, New South Wales, Australia.
J Paediatr Child Health. 2022 Dec;58(12):2169-2176. doi: 10.1111/jpc.16176. Epub 2022 Aug 23.
Recent years have seen an exponential increase in the proportion of parents searching for online health information on their child's medical condition. We investigated the experiences, attitudes and approaches of paediatricians interacting with parents who search for online health information and the impact on the doctor-parent relationship.
This qualitative study was conducted utilising semi-structured interviews with 17 paediatric physicians, surgeons, anaesthetists and trainees working in an Australian children's hospital. Data were analysed through deductive and inductive thematic analysis using line-by-line coding.
Three key themes were identified: paediatricians' experiences with, and attitudes towards, parents using online health information; paediatricians' communication approaches; and the perceived impact on the doctor-parent relationship. These themes demonstrated that most paediatricians acknowledged the information parents found and directed parents to reliable websites. Following discussions with Internet-informed parents, a few changed their management plans and a few reported discouraging parents from further searching online.
Our results indicate that paediatricians predominantly used patient-centred communication strategies to care for patients in partnership with parents. Paediatricians contextualising online health information can contribute to a quality partnership with parents and facilitate shared decision-making, potentially fostering better health outcomes for children. Our conclusions may inform clinicians' communication approaches when interacting with Internet-informed parents and stimulate research about more effective doctor-parent communication approaches. In a digital age, paediatricians may benefit from employing more time-efficient approaches to manage increasing workloads with their new role of digital stewardship of parents.
近年来，越来越多的家长在孩子的医疗状况上搜索在线健康信息，这一比例呈指数级增长。我们调查了儿科医生与搜索在线健康信息的家长互动的经验、态度和方法，以及这对医患关系的影响。
本定性研究采用半结构式访谈，对澳大利亚一家儿童医院的 17 名儿科医生、外科医生、麻醉师和实习医生进行了访谈。通过逐行编码进行演绎和归纳主题分析来分析数据。
确定了三个关键主题：儿科医生对家长使用在线健康信息的体验和态度；儿科医生的沟通方法；以及对医患关系的感知影响。这些主题表明，大多数儿科医生承认家长找到的信息，并引导家长访问可靠的网站。在与上网知情的家长进行讨论后，少数医生改变了他们的管理计划，少数医生则劝阻家长不要再上网搜索。
我们的结果表明，儿科医生主要使用以患者为中心的沟通策略，与家长合作照顾患者。儿科医生对在线健康信息进行背景化处理，可以为与家长建立优质的合作关系做出贡献，并促进共同决策，从而有可能为儿童带来更好的健康结果。我们的结论可以为与上网知情的家长互动时的临床医生沟通方法提供信息，并激发关于更有效的医患沟通方法的研究。在数字化时代，儿科医生可能受益于采用更高效的方法来管理工作量的增加，并承担起数字管理家长的新角色。
