Use of the Internet and Ratings of Information Sources for Medical Decisions: Results from the DECISIONS Survey
Use of the Internet and Ratings of Information Sources for Medical Decisions: Results from the DECISIONS Survey
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DOI：
10.1177/0272989x10377661
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发表时间：
2010-09-01
影响因子：
3.6
通讯作者：
Zikmund-Fisher, Brian J.
中科院分区：
文献类型：
--
作者：
Couper, Mick P.;Singer, Eleanor;Zikmund-Fisher, Brian J.
背景。人们越来越多地使用互联网来寻求健康信息，这引发了人们对互联网在患者如何做出医疗决定方面可能发挥的作用的质疑。目标。研究互联网的使用和不同信息来源对患者做出9个具体医疗决定的重要性，包括开始使用处方药、癌症筛查和选择性手术。设置。通过随机数字拨号识别的美国成年人的全国样本。设计。于2006年11月至2007年5月期间进行的横断面调查。参与者。最后的样本包括2575名说英语的40岁及以上的美国成年人，他们要么接受了9种医疗程序或测试中的一种，要么在之前的2年测量中与卫生保健提供者谈论过这样做。参与者表明他们或其他家庭成员是否使用互联网来寻找与每个特定医疗决定相关的信息，并评估卫生保健提供者、互联网（如果使用）、家人和朋友以及媒体（报纸、杂志和电视）在提供信息以帮助做出医疗决定方面的重要性。结果。在40岁及以上的成年人中，使用互联网获取与特定决策相关的信息的比例普遍较低（28%），但在不同的决策中有所不同，从乳腺癌筛查的17%到髋关节/膝关节置换术的48%。年轻人使用互联网的比例更高，从70岁及以上人群的14%上升到40岁至49岁人群的38%。互联网用户一直认为医疗服务提供者是最具影响力的医疗决策信息来源，其次是互联网、家人和朋友以及媒体。的局限性。电话调查受限于覆盖范围和无回应。作者排除了与9个目标决定无关的与健康相关的互联网使用。结论。少数患者报告使用互联网做出具体的普通医疗决定，但使用情况因决定类型而异。也许反映了感知到的风险和不确定性，筛查决策的使用率最低，手术决策的使用率最高。
Background. The rise in Internet use for seeking health information raises questions about the role the Internet may play in how patients make medical decisions. Objective. To examine Internet use and perceived importance of different sources of information by patients making 9 specific medical decisions covering prescription medication initiation, cancer screening, and elective surgery. Setting. National sample of US adults identified by random-digit dialing. Design. Cross-sectional survey conducted between November 2006 and May 2007. Participants. The final sample comprised 2575 English-speaking US adults aged 40 y and older who had either undergone 1 of 9 medical procedures or tests or talked with a health care provider about doing so during the previous 2 y. Measurements. Participants indicated if they or other family members used the Internet to seek information related to each of the specific medical decisions and rated how important the health care provider, the Internet (if used), family and friends, and the media (newspapers, magazines, and television) were in providing information to help make the medical decision. Results. Use of the Internet for information related to specific decisions among adults 40 y and older was generally low (28%) but varied across decisions, from 17% for breast cancer screening to 48% for hip/knee replacement. Internet use was higher at younger ages, rising from 14% among those aged 70 y and older to 38% for those aged 40 to 49 y. Internet users consistently rated health care providers as the most influential source of information for medical decisions, followed by the Internet, family and friends, and media. Limitations. Telephone surveys are limited by coverage and nonresponse. The authors excluded health-related Internet use not associated with the 9 target decisions. Conclusions. A minority of patients reported using the Internet to make specific common medical decisions, but use varied widely by type of decision. Perhaps reflecting perceived risk and uncertainty, use was lowest for screening decisions and highest for surgical decisions.