Youssef Yasmin, Vu-Han Tu-Lan, Trauth Richard, Osterhoff Georg, Back David Alexander, Gehlen Tobias
Department of Orthopedics, Trauma and Reconstructive Surgery, University Hospital Leipzig, Leipzig, Germany.
Center for Musculoskeletal Surgery, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany.
Front Digit Health. 2025 Apr 14;7:1486296. doi: 10.3389/fdgth.2025.1486296. eCollection 2025.
BACKGROUND: Social media (SM) is increasingly used in the healthcare system and offers various benefits for patients such as accessible health information and communication with other patients and healthcare professionals. However, SM also poses risks, including the dissemination of medical misinformation and privacy concerns. This in turn can influence patients' health-related decision-making and the patient-physician relationship. There is limited data regarding which SM orthopedic patients use and what benefits and risks of SM they perceive. METHODS: An online survey was conducted from April to December 2023 among orthopedic and trauma patients in five German orthopedic clinics. The questionnaire with 32 variables was designed to assess internet and SM usage patterns, platform preferences, and perceived benefits and risks. Statistical analysis was performed, including subgroup analyses. RESULTS: A total of 267 patients participated, with 82.0% reporting regular SM use. In total 45.9% of the patients used SM for general health questions and 51.3% for orthopedic-related questions. The most used information platforms were conventional websites, YouTube, Instagram, and messenger apps. A total of 45.9% used SM infrequently for general health questions, and 51.3% for orthopedic-related queries. Only 13.7% of patients agreed that SM helped in medical decision-making, and 31.1% felt confident in assessing the credibility of SM content. Additionally, 58.6% of patients were unsure about allowing physicians to present their cases on SM, and 62.3% were uncertain about posting their medical images. CONCLUSION: Among German orthopedic patients, the use of SM for health-related and gain of orthopedic information was low in the given study. While SM may offer valuable health information, their role in medical decision-making remains limited due to concerns over content credibility and privacy. Video-based content seems to achieve the best reach. Future research should explore these aspects longitudinally and across diverse populations to better understand and address the challenges and benefits of SM in healthcare.
背景：社交媒体（SM）在医疗保健系统中的使用日益增加，为患者带来了各种益处，如获取健康信息以及与其他患者和医疗保健专业人员交流。然而，社交媒体也带来了风险，包括医疗错误信息的传播和隐私问题。这反过来又会影响患者与健康相关的决策以及医患关系。关于骨科患者使用哪些社交媒体以及他们所感知到的社交媒体的益处和风险的数据有限。 方法：2023年4月至12月期间，对德国五家骨科诊所的骨科和创伤患者进行了在线调查。设计了包含32个变量的问卷，以评估互联网和社交媒体的使用模式、平台偏好以及感知到的益处和风险。进行了统计分析，包括亚组分析。 结果：共有267名患者参与，其中82.0%报告经常使用社交媒体。总共有45.9%的患者使用社交媒体询问一般健康问题，51.3%用于询问骨科相关问题。使用最多的信息平台是传统网站、YouTube、Instagram和即时通讯应用程序。总共有45.9%的患者很少使用社交媒体询问一般健康问题，51.3%很少用于询问骨科相关问题。只有13.7%的患者认为社交媒体有助于医疗决策，31.1%的患者对评估社交媒体内容的可信度有信心。此外，58.6%的患者不确定是否允许医生在社交媒体上展示他们的病例，62.3%的患者不确定是否发布他们的医学图像。 结论：在给定的研究中，德国骨科患者将社交媒体用于与健康相关以及获取骨科信息的比例较低。虽然社交媒体可能提供有价值的健康信息，但由于对内容可信度和隐私的担忧，它们在医疗决策中的作用仍然有限。基于视频的内容似乎传播范围最广。未来的研究应纵向探索这些方面，并涵盖不同人群，以更好地理解和应对社交媒体在医疗保健中的挑战和益处。
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