Arruda Ricardo Moyses de, Ayoub Ibrahim Ali, Nunes Rui, Azevedo Neto Raymundo Soares de, Nunes Maria do Patrocínio Tenório
Hospital das Clínicas da Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brasil.
Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brasil.
Cad Saude Publica. 2025 Aug 8;41(7):e00153623. doi: 10.1590/0102-311XEN153623. eCollection 2025.
This study aims to evaluate the impact of the search for internet health information by patients on the doctor-patient relationship and satisfaction of both physicians and patients. In total, 200 patients of a tertiary hospital in Brazil and a convenience sample of 92 physicians were included. The questionnaires applied consisted of statements concerning the study's objective; answers were given on a 5-point Likert scale. We conducted a descriptive analysis and used nonparametric tests to verify statistical differences in perception between subgroups of interest. In this study, 85.6% of internet users searched for internet health information but were skeptical about the information they found. They were mostly positive about the doctor-patient relationship; however, they desired greater engagement in health decisions. Overall, physicians tended to have a slightly positive view about internet health information impact on patients' health despite some possible harmful effects. However, they believe that search for internet health information causes unnecessary fear and concern in patients, reduces doctor's work efficiency, and that internet health information is not accurate or reliable. The massive search for internet health information has led to significant changes in the doctor-patient communication model. Both parties have demands to be addressed: patients need more reliable information; and physicians must adapt to these changes in a way that neither diminishes their autonomy as healthcare providers nor worsens the doctor-patient relationship. Hopefully, physicians could play a central role in educating patients and indicating adequate sources of information.
本研究旨在评估患者搜索互联网健康信息对医患关系以及医生和患者满意度的影响。巴西一家三级医院的200名患者和92名医生的便利样本被纳入研究。所应用的问卷由关于研究目的的陈述组成；答案采用5点李克特量表给出。我们进行了描述性分析，并使用非参数检验来验证感兴趣亚组之间认知的统计差异。在本研究中，85.6%的互联网用户搜索过互联网健康信息，但对他们所找到的信息持怀疑态度。他们对医患关系大多持积极态度；然而，他们希望在健康决策中能有更多参与。总体而言，尽管存在一些可能的有害影响，医生对互联网健康信息对患者健康的影响倾向于持略微积极的看法。然而，他们认为搜索互联网健康信息会在患者中引发不必要的恐惧和担忧，降低医生的工作效率，并且互联网健康信息不准确或不可靠。对互联网健康信息的大量搜索导致了医患沟通模式的显著变化。双方的需求都有待解决：患者需要更可靠的信息；而医生必须以一种既不削弱其作为医疗服务提供者的自主权，也不恶化医患关系的方式来适应这些变化。希望医生能够在教育患者和指明适当信息来源方面发挥核心作用。
