After Dr Google: Peer-to-Peer Health Care
After Dr Google: Peer-to-Peer Health Care
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DOI：
10.1542/peds.2012-3786k
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发表时间：
2013-06-01
期刊：
影响因子：
8
通讯作者：
Fox, Susannah
中科院分区：
文献类型：
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作者：
Fox, Susannah
尽管大多数美国成年人都可以上网并在线收集健康信息，但互联网并不能取代临床医生。人们认为卫生专业人员是他们诊断和治疗等技术问题的最佳来源，但非专业人员（如朋友和家人）在情感支持和快速补救方面的评价更高。对于他们最近的健康问题，21%的成年人说他们求助于有同样健康状况的人;这表明人们有兴趣相互联系和学习。患有慢性病的人（以及他们的照顾者）特别有可能说他们在网上寻求同伴的建议。他们正在通过联合起来和分享知识，开创追求健康的新方法;所谓的点对点医疗保健。来自其他患者和护理人员的实用提示可能对临床结果产生深远的影响。正如一位患有慢性病的孩子的父母所观察到的：“我们都在合作，但我注意到我的医生没有。在我和我的社区在网上交谈之后，我回去问他，‘你的同事对这个问题怎么说？很明显他没有想到要问他们。“临床医生可能会很好地研究在线患者社区，并考虑将其推荐为患者的资源。临床医生也可以将患者网络视为他们自己的协作学习过程的模型。将患者、家属和临床医生的专业知识联系起来，有望进一步改善护理和结果。
Although the majority of US adults has Internet access and gathers health information online, the Internet does not replace clinicians. People rate health professionals as their top source for technical questions such as diagnosis and treatment, but nonprofessionals (eg, friends and family) are rated higher for emotional support and quick remedies. For their most recent health issue, 21% of adults say they turned to others who have the same health condition; evidence of people's interest in connecting with and learning from each other. People living with chronic diseases (and their caregivers) are especially likely to say they look online for peer advice. They are pioneering new ways of pursuing health by banding together and sharing knowledge; so-called peer-to-peer health care. Practical tips from fellow patients and caregivers can have far-reaching implications for clinical outcomes. As a parent of a chronically ill child observed: "We all work collaboratively, but I notice that my doctor doesn't. After I've talked with my community online, I go back to him and ask, 'What do your colleagues say about this issue?' And it's clear it didn't occur to him to ask them." Clinicians might do well to look into online patient communities and consider recommending them as resources for their patients. Clinicians might look at patient networks as a model for their own collaborative learning process as well. Linking the expertise of patients, families, and clinicians holds promise for further improving care and outcomes.