Dr. Google: Physicians-The Web-Patients Triangle: Digital Skills and Attitudes towards e-Health Solutions among Physicians in South Eastern Poland-A Cross-Sectional Study in a Pre-COVID-19 Era.

Dr. Google: Physicians-The Web-Patients Triangle: Digital Skills and Attitudes towards e-Health Solutions among Physicians in South Eastern Poland-A Cross-Sectional Study in a Pre-COVID-19 Era.
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DOI:
10.3390/ijerph20020978
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发表时间:
2023-01-05
影响因子:
--
通讯作者:
Januszewicz, Pawel
Januszewicz, Pawel
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Burzynska, Joanna;Bartosiewicz, Anna;Januszewicz, Pawel

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投资数字电子健康服务是全球医疗体系发展的优先方向。虽然人们越来越多地使用网络获取健康信息,但医生对数字化转型以及对医疗保健新技术的接受程度的态度并不完全清楚。这项横断面调查研究的目的是调查医生的自我数字化技能,以及他们对患者获取在线健康知识的看法,以及医生对电子健康解决方案的态度的认可。采用主成分分析(PCA)从自行设计的问卷和横断面分析中提取变量,用单因素方差分析(F检验)比较因变量的描述性统计和相关性。共有307名医生参与了这项研究,据报道,他们主要每天使用互联网几次(66.8%)。大多数参与者(70.4%)熟悉新技术,并对他们的电子健康素养给予很高的评价,尽管84.0%的人报告需要在这一领域进行额外的培训,并报告需要引入更多塑造数字技能的科目(75.9%)。53.4%的医生认为互联网来源的信息有时是可靠的,总体上对患者使用互联网的效果进行了负面评估(41.7%)。数字技能随着互联网使用频率的增加而显著增加(F=13.167;p=0.0001),随着医生年龄的增长和培训需求的增加而降低。那些声称患者经常从在线健康中获得健康益处的人显示出更高的数字技能(−1.06)。医生最常建议患者在网上获取化验结果(32.2%),并通过互联网预约就诊(27.0%)。随着医生数字技能的下降,对电子健康解决方案的推荐减少(r=0.413),并降低了对患者的电子健康解决方案的评估(r=0.449)。医生将数字化视为时代的标志,并在日常实践中频繁使用其工具。对谷歌博士现象和在线健康的评价直接关系到他们自身的电子健康素养技能,但应对数字革命仍需要实操培训。
The investment in digital e-health services is a priority direction in the development of global healthcare systems. While people are increasingly using the Web for health information, it is not entirely clear what physicians’ attitudes are towards digital transformation, as well as the acceptance of new technologies in healthcare. The aim of this cross-sectional survey study was to investigate physicians’ self-digital skills and their opinions on obtaining online health knowledge by patients, as well as the recognition of physicians’ attitudes towards e-health solutions. Principal component analysis (PCA) was performed to emerge the variables from self-designed questionnaire and cross-sectional analysis, comparing descriptive statistics and correlations for dependent variables using the one-way ANOVA (F-test). A total of 307 physicians participated in the study, reported as using the internet mainly several times a day (66.8%). Most participants (70.4%) were familiar with new technologies and rated their e-health literacy high, although 84.0% reported the need for additional training in this field and reported a need to introduce a larger number of subjects shaping digital skills (75.9%). 53.4% of physicians perceived Internet-sourced information as sometimes reliable and, in general, assessed the effects of its use by their patients negatively (41.7%). Digital skills increased significantly with frequency of internet use (F = 13.167; p = 0.0001) and decreased with physicians’ age and the need for training. Those who claimed that patients often experienced health benefits from online health showed higher digital skills (−1.06). Physicians most often recommended their patients to obtain laboratory test results online (32.2%) and to arrange medical appointments via the Internet (27.0%). Along with the deterioration of physicians’ digital skills, the recommendation of e-health solutions decreased (r = 0.413) and lowered the assessment of e-health solutions for the patient (r = 0.449). Physicians perceive digitization as a sign of the times and frequently use its tools in daily practice. The evaluation of Dr. Google’s phenomenon and online health is directly related to their own e-health literacy skills, but there is still a need for practical training to deal with the digital revolution.
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