Pifalo V, Hollander S, Henderson C L, DeSalvo P, Gill G P
Library of the Health Sciences, University of Illinois at Chicago, Urbana 61801, USA.
Bull Med Libr Assoc. 1997 Jan;85(1):16-22.
In the past two decades, consumer health libraries have proliferated in response to the changing health care environment and consumer demand. While this growth of consumer health resources and services has been extensively described in the literature, there is little documentation about the impact and value of providing consumer health information. This paper explores the issues of impact and value as examined in a retrospective study of consumers who received health information from the Delaware Academy of Medicine's Consumer Health Library during 1995. In this study, 270 adults were mailed a questionnaire that focused on whether the information influenced decisions, actions, anxiety levels, and patient-provider communication. The questionnaire also addressed the value of such library service in terms of likelihood of repeat use, recommendation to others, and willingness to pay. The results, based on a return rate of 86.7%, identified effects of library-supplied consumer health information that extend beyond the anticipated acquisition of knowledge to specific actions and effects on anxiety. The value of consumer health library information service was shown by the extremely high percentage of probable repeat use and recommendation to others, the willingness of 83.8% of the respondents to pay for such service, and the copious comments volunteered by the respondents.
在过去二十年中,消费者健康图书馆因应不断变化的医疗保健环境和消费者需求而大量涌现。虽然文献中对消费者健康资源和服务的这种增长已有广泛描述,但关于提供消费者健康信息的影响和价值的文献记录却很少。本文探讨了在一项回顾性研究中所考察的影响和价值问题,该研究的对象是1995年从特拉华医学学会消费者健康图书馆获取健康信息的消费者。在这项研究中,向270名成年人邮寄了一份问卷,问卷重点关注信息是否影响了决策、行动、焦虑水平以及医患沟通。问卷还从重复使用的可能性、向他人推荐以及付费意愿等方面探讨了此类图书馆服务的价值。基于86.7%的回复率得出的结果表明,图书馆提供的消费者健康信息的影响不仅限于预期的知识获取,还延伸至具体行动以及对焦虑的影响。消费者健康图书馆信息服务的价值体现在极高的可能重复使用和向他人推荐的比例、83.8%的受访者愿意为此类服务付费,以及受访者主动提供的大量评论上。