Online Patient-Provider E-cigarette Consultations Perceptions of Safety and Harm
Online Patient-Provider E-cigarette Consultations Perceptions of Safety and Harm
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DOI：
10.1016/j.amepre.2016.06.018
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发表时间：
2016-12-01
影响因子：
5.5
通讯作者：
Prochaska, Judith J.
中科院分区：
文献类型：
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作者：
Brown-Johnson, Cati G.;Burbank, Andrea;Prochaska, Judith J.
导读：电子烟很受欢迎，也不受监管。关于电子烟的患者提供者通信的特点，以确定患者的关注，提供者的意见和态度，和research needs.Methods：在线患者提供者通信的观察性研究进行了2011年1月至2015年6月，从网络提供免费的医疗建议，并分析了2014年7月至2016年5月。患者和供应商的主题，以及供应商对电子烟的态度（积极，消极或中性）进行了定性编码。供应商的态度进行了分析，累积logit模型来解释聚类。患者满意度与供应商的反应表示通过感谢function.Results：随着时间的推移，电子烟相关的问题增加。患者问题（N = 512）主要涉及特定副作用和危害（34%）;一般安全性（27%）;电子烟作为戒烟辅助工具（19%）;电子烟危害与燃烧烟草的比较（18%）;与既存医疗条件一起使用（18%）;和无尼古丁电子烟（14%）。一半的供应商回答将电子烟作为减少危害的选择（48%）; 26%的人将其作为戒烟辅助手段。总体而言，47%的供应商对电子烟持负面态度; 33%的供应商持中立态度（矛盾或不承诺）; 20%的供应商持积极态度。态度没有统计学差异的医疗专业;供应商的反应积极对电子烟收到显着更多Thanks.Conclusions：检查在线患者提供商的通信提供了洞察消费者的健康体验与新兴的替代烟草产品。患者的担忧主要与危害和安全性有关，患者更喜欢提供者对电子烟的积极反应。由于缺乏电子烟安全性或有效性的确凿证据，医疗保健提供者鼓励戒烟并推荐一线戒烟治疗方法。(C)2016年美国预防医学杂志。由爱思唯尔公司出版All rights reserved.
Introduction: E-cigarettes are popular and unregulated. Patient-provider communications concerning e-cigarettes were characterized to identify patient concerns, provider advice and attitudes, and research needs.Methods: An observational study of online patient-provider communications was conducted January 2011-June 2015 from a network providing free medical advice, and analyzed July 2014-May 2016. Patient and provider themes, and provider attitudes toward e-cigarettes (positive, negative, or neutral) were coded qualitatively. Provider attitudes were analyzed with cumulative logit modeling to account for clustering. Patient satisfaction with provider responses was expressed via a Thank function.Results: An increase in e-cigarette- related questions was observed over time. Patient questions (N = 512) primarily concerned specific side effects and harms (34%); general safety (27%); e-cigarettes as quit aids (19%); comparison of e-cigarette harms relative to combusted tobacco (18%);use with preexisting medical conditions (18%); and nicotine-free e-cigarettes (14%). Half of provider responses discussed e-cigarettes as a harm reduction option (48%); 26% discussed them as quit aids. Overall, 47% of providers' responses represented a negative attitude toward e-cigarettes; 33% were neutral (contradictory or non-committal); and 20% were positive. Attitudes did not differ statistically by medical specialty; provider responses positive toward e-cigarettes received significantly more Thanks.Conclusions: Examination of online patient-provider communications provides insight into consumer health experience with emerging alternative tobacco products. Patient concerns largely related to harms and safety, and patients preferred provider responses positively inclined toward e-cigarettes. Lacking conclusive evidence of e-cigarette safety or efficacy, healthcare providers encouraged smoking cessation and recommended first-line cessation treatment approaches. (C) 2016 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.