Department of Language and Literature, Norwegian University of Science and Technology, 7491 Trondheim, Norway.
Department of Neuromedicine and Movement Sciences, Norwegian University of Science and Technology, 7491 Trondheim, Norway.
Int J Environ Res Public Health. 2022 Oct 27;19(21):14004. doi: 10.3390/ijerph192114004.
Modern healthcare is becoming increasingly technologized, knowledge-intensive, and specialized, which has consequences for communication between patients and practitioners in clinical encounters. Health information is increasingly accessible to patients through online resources. The objective of this paper is to provide an overview of existing studies that address how patients communicate with practitioners about online health information and to identify the key topics raised in these studies. With the concept of eHealth literacy as its point of departure, this paper specifically highlights the eHealth literacy topic of how patients , and online health information before and during the encounter with the healthcare professionals. In the literature search, we focus on qualitative studies that consider patients' and/or practitioners' reflections on online health information. We searched PUBMED, SCOPUS and Web of Science to capture research from various fields. Sixteen studies were included that met the following criteria: Qualitative study, focus on patient-practitioner communication, eHealth literacy and online information. The results show that the vast majority of studies were based on qualitative interviews, addressing patients' and practitioners' perspectives. Key topics in studies addressing patient perspectives were: ; of online information with the practitioner; and with practitioners. Key topics raised in studies focusing on practitioners were: in the patient and the online health information he/she presented as well as who referred to online health information. The review highlights the need for further qualitative studies, preferably observational studies from authentic clinical communication situations, in order to capture how patients and practitioners communicate about online health information.
现代医疗越来越依赖技术，知识密集度越来越高，专业性也越来越强，这对医患在临床互动中的交流产生了影响。患者可以通过在线资源获取越来越多的健康信息。本文的目的是概述现有的研究，这些研究探讨了患者如何与医生就在线健康信息进行沟通，并确定这些研究中提出的关键主题。本文以电子健康素养为出发点，特别强调了患者在与医疗专业人员互动之前和期间如何使用电子健康素养来处理在线健康信息。在文献检索中，我们专注于考虑患者和/或医生对在线健康信息的反思的定性研究。我们在 PUBMED、SCOPUS 和 Web of Science 中进行了搜索，以捕捉来自各个领域的研究。符合以下标准的 16 项研究被纳入：定性研究、关注医患沟通、电子健康素养和在线信息。研究结果表明，绝大多数研究基于定性访谈，涉及患者和医生的观点。涉及患者观点的研究中的关键主题是：在线信息的 ;与医生分享在线信息的 ;以及 ;在遇到医生时分享在线信息的意愿。关注医生观点的研究中提出的关键主题是： ;对患者和他们提供的在线健康信息的理解 ;以及 ;对患者在线健康信息来源的理解。该综述强调需要进一步开展定性研究，最好是来自真实临床交流情境的观察性研究，以捕捉患者和医生如何就在线健康信息进行沟通。
