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特殊时期的在线健康信息搜索行为、医疗保健可及性及健康状况

Online health information seeking behavior, healthcare access, and health status during exceptional times.

作者信息

Di Novi Cinzia, Kovacic Matija, Orso Cristina Elisa

机构信息

European Commission, Joint Research Centre (JRC), Via Enrico Fermi 2749, TP 267, 21027, Ispra, VA, Italy.

Department of Law, Economics, and Cultures, University of Insubria, Como, Italy.

出版信息

J Econ Behav Organ. 2024 Apr;220:675-690. doi: 10.1016/j.jebo.2024.02.032.

Abstract

Online health information seeking behavior (e-HISB) is becoming increasingly common and the trend has accelerated as a result of the COVID-19 pandemic when individuals strongly relied upon the Internet to stay informed by becoming exposed to a wider array of health information. Despite e-HISB having become a global trend, very few empirical investigations have analyzed its potential influence on healthcare access and individuals' health status. In this paper, we try to fill this gap. We use data from the second SHARE Corona Survey, supplemented with data from the previous 8th wave of SHARE, and estimate a recursive model of e-HISB, healthcare access, and individuals' health status that accounts for individuals' unobserved heterogeneity. Our findings suggest that e-HISB can empower individuals to better understand health concerns, facilitating improved health condition management. However, e-HISB can also trigger a chain reaction, as navigating vast amonts of online health information can heighten fear and anxiety. This increased anxiety may lead to higher utilization of medical services, adversely affecting individuals' perceptions of their health.

摘要

在线健康信息搜索行为(e-HISB)正变得越来越普遍,由于新冠疫情,这一趋势加速发展,在此期间,个人强烈依赖互联网,通过接触更广泛的健康信息来了解情况。尽管e-HISB已成为一种全球趋势,但很少有实证研究分析其对医疗服务可及性和个人健康状况的潜在影响。在本文中,我们试图填补这一空白。我们使用了第二次SHARE新冠调查的数据,并辅以之前第八轮SHARE的数据,估计了一个考虑个体未观察到的异质性的e-HISB、医疗服务可及性和个人健康状况的递归模型。我们的研究结果表明,e-HISB可以使个人更好地理解健康问题,促进健康状况管理的改善。然而,e-HISB也可能引发连锁反应,因为浏览大量在线健康信息可能会加剧恐惧和焦虑。这种增加的焦虑可能导致医疗服务利用率提高,对个人对自身健康的认知产生不利影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e6de/11019610/6520bd01f897/gr1.jpg

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