The Patient-Doctor Relationship and Online Social Networks: Results of a National Survey
The Patient-Doctor Relationship and Online Social Networks: Results of a National Survey
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DOI：
10.1007/s11606-011-1761-2
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发表时间：
2011-10-01
影响因子：
5.7
通讯作者：
Helft, Paul R.
中科院分区：
文献类型：
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作者：
Bosslet, Gabriel T.;Torke, Alexia M.;Helft, Paul R.
背景技术背景：在线社交网络（OSNs）在医生和实习医生中的使用、OSNs内医患互动的程度以及这些群体对使用OSNs的态度没有得到很好的描述。目的：量化OSN的使用、OSN内的患者互动以及医学生（MS）、住院医师（RP）、设计/地点：2010年2月至5月，随机分层邮寄调查1004名MS、1004名RP和1004名PP。测量：报告OSN使用情况、使用性质和频率的受访者百分比;结果：总体应答率为16.0%（MS 19.8%，RP 14.3%，PP 14.1%），患者或患者家属的朋友请求的百分比，这些请求的频率，以及他们是否被接受; 93.5%的MS、79.4%的RP和41.6%的PP报告使用了OSN。PP更有可能报告访问过患者或患者家属的个人资料（MS 2.3%，RP 3.9%，PP 15.5%），更有可能收到患者或其家属的好友请求（MS 1.2%，RP 7.8%，PP 34.5%）。大多数人认为，出于社会（68.3%）或患者护理（68.0%）的原因，在OSN中与患者互动在伦理上是不可接受的。几乎一半的受访者（48.7%）是悲观的潜在OSN，以改善病人与医生的沟通，和大多数（79%）表示关注，维护患者的保密性。结论：个人OSN使用之间的医生和医生在培训反映了一般人群。患者与医生的互动发生在OSN中，并且通常由患者发起，而不是由医生或实习医生发起。大多数受访者认为这些在线互动存在道德问题。
BACKGROUND: The use of online social networks (OSNs) among physicians and physicians-in-training, the extent of patient-doctor interactions within OSNs, and attitudes among these groups toward use of OSNs is not well described.OBJECTIVE: To quantify the use of OSNs, patient interactions within OSNs, and attitudes toward OSNs among medical students (MS), resident physicians (RP), and practicing physicians (PP) in the United States.DESIGN/SETTING: A random, stratified mail survey was sent to 1004 MS, 1004 RP, and 1004 PP between February and May 2010.MEASUREMENTS: Percentage of respondents reporting OSN use, the nature and frequency of use; percentage of respondents reporting friend requests by patients or patients' family members, frequency of these requests, and whether or not they were accepted; attitudes toward physician use of OSNs and online patient interactions.RESULTS: The overall response rate was 16.0% (19.8% MS, 14.3% RP, 14.1% PP). 93.5% of MS, 79.4% of RP, and 41.6% of PP reported usage of OSNs. PP were more likely to report having visited the profile of a patient or patient's family member (MS 2.3%, RP 3.9%, PP 15.5%), and were more likely to have received friend requests from patients or their family members (MS 1.2%, RP 7.8%, PP 34.5%). A majority did not think it ethically acceptable to interact with patients within OSNs for either social (68.3%) or patient-care (68.0%) reasons. Almost half of respondents (48.7%) were pessimistic about the potential for OSNs to improve patient-doctor communication, and a majority (79%) expressed concerns about maintaining patient confidentiality.CONCLUSION: Personal OSN use among physicians and physicians-in-training mirrors that of the general population. Patient-doctor interactions take place within OSNs, and are more typically initiated by patients than by physicians or physicians-in-training. A majority of respondents view these online interactions as ethically problematic.