A new dimension of health care: systematic review of the uses, benefits, and limitations of social media for health communication.
A new dimension of health care: systematic review of the uses, benefits, and limitations of social media for health communication.
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DOI：
10.2196/jmir.1933
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发表时间：
2013-04-23
影响因子：
7.4
通讯作者：
Hoving C
中科院分区：
文献类型：
--
作者：
Moorhead SA;Hazlett DE;Harrison L;Carroll JK;Irwin A;Hoving C
目前，初步研究还缺乏关于社交媒体在公众、患者和卫生专业人员之间进行健康交流的用途、益处和局限性的信息。回顾当前发表的文献，以确定社交媒体在公众、患者和卫生专业人员之间进行健康沟通的用途、益处和局限性，并确定文献中当前的差距，为未来的健康传播研究提供建议。本文是使用系统方法的综述。使用九个电子数据库和手动检索对文献进行了系统检索，以查找 2002 年 1 月至 2012 年 2 月期间发表的同行评审研究。检索确定了 98 项原始研究，其中包括社交媒体在公众、患者和卫生专业人员之间进行健康沟通的用途、益处和/或局限性。使用 Downs 和 Black 仪器评估的研究的方法学质量较低；这主要是因为本次审查中的绝大多数研究方法有限，而且主要是探索性和描述性的。确定了社交媒体在健康传播方面的七种主要用途，包括注重增加与他人的互动，以及促进、分享和获取健康信息。六个关键的总体效益被确定为：(1) 增加与他人的互动，(2) 更多可用、共享和定制的信息，(3) 增加和扩大健康信息的可及性，(4) 同伴/社会/情感支持，(5) 公共卫生监测，以及 (6) 影响卫生政策的潜力。确定了十二个限制，主要包括质量问题以及缺乏可靠性、保密性和隐私性。社交媒体为医疗保健带来了新的维度，因为它为公众、患者和卫生专业人员提供了一种沟通健康问题的媒介，并有可能改善健康结果。社交媒体是一种强大的工具，它提供用户之间的协作，并且是一系列个人的社交互动机制。尽管使用社交媒体进行健康交流有很多好处，但需要监控交换信息的质量和可靠性，并且需要维护用户的机密性和隐私。提供了文献中的八个空白以及未来健康传播研究的关键建议。这些建议的例子包括需要使用随机对照试验确定不同类型社交媒体对健康沟通的相对有效性，并探索使用社交媒体监测和提高健康沟通质量和可靠性的潜在机制。需要使用一系列方法进行进一步稳健和全面的评估和审查，以确定社交媒体是否可以在短期和长期内改善健康传播实践。
There is currently a lack of information about the uses, benefits, and limitations of social media for health communication among the general public, patients, and health professionals from primary research. To review the current published literature to identify the uses, benefits, and limitations of social media for health communication among the general public, patients, and health professionals, and identify current gaps in the literature to provide recommendations for future health communication research. This paper is a review using a systematic approach. A systematic search of the literature was conducted using nine electronic databases and manual searches to locate peer-reviewed studies published between January 2002 and February 2012. The search identified 98 original research studies that included the uses, benefits, and/or limitations of social media for health communication among the general public, patients, and health professionals. The methodological quality of the studies assessed using the Downs and Black instrument was low; this was mainly due to the fact that the vast majority of the studies in this review included limited methodologies and was mainly exploratory and descriptive in nature. Seven main uses of social media for health communication were identified, including focusing on increasing interactions with others, and facilitating, sharing, and obtaining health messages. The six key overarching benefits were identified as (1) increased interactions with others, (2) more available, shared, and tailored information, (3) increased accessibility and widening access to health information, (4) peer/social/emotional support, (5) public health surveillance, and (6) potential to influence health policy. Twelve limitations were identified, primarily consisting of quality concerns and lack of reliability, confidentiality, and privacy. Social media brings a new dimension to health care as it offers a medium to be used by the public, patients, and health professionals to communicate about health issues with the possibility of potentially improving health outcomes. Social media is a powerful tool, which offers collaboration between users and is a social interaction mechanism for a range of individuals. Although there are several benefits to the use of social media for health communication, the information exchanged needs to be monitored for quality and reliability, and the users’ confidentiality and privacy need to be maintained. Eight gaps in the literature and key recommendations for future health communication research were provided. Examples of these recommendations include the need to determine the relative effectiveness of different types of social media for health communication using randomized control trials and to explore potential mechanisms for monitoring and enhancing the quality and reliability of health communication using social media. Further robust and comprehensive evaluation and review, using a range of methodologies, are required to establish whether social media improves health communication practice both in the short and long terms.
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