Survey of Doctors' Experience of Patients Using the Internet
Survey of Doctors' Experience of Patients Using the Internet
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DOI：
10.2196/jmir.4.1.e5
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发表时间：
2002-01-01
影响因子：
7.4
通讯作者：
Wyatt, Jeremy C.
中科院分区：
文献类型：
--
作者：
Potts, Henry W. W.;Wyatt, Jeremy C.
背景：许多研究表明互联网健康信息的质量参差不齐，人们通常认为患者会盲目遵循这一信息并经常受到伤害。还有报道称，患者使用互联网后医生和卫生服务机构会出现问题，但其频率尚未量化。然而，还没有对具有互联网意识的医生对其患者使用互联网的实际好处和危害的看法进行大规模、严格的调查。目的：描述具有互联网素养的医生对其患者使用互联网的体验以及由此产生的好处和问题。方法：2001 年 9 月和 10 月对 800 名使用网络的医生（英国医疗互联网服务提供商 Medix 的成员）进行在线调查。结果：收到了 748 名医生的答复(94%) 医生，其中全科医生 375 名 (50%)。受访者估计，过去一个月有 1%-2% 的患者使用互联网获取健康信息，没有地区差异。超过三分之二的医生认为互联网健康信息通常（20%）或有时（48%）可靠；最近获得资格的人的这一比例更高。报告称从互联网获得益处的患者数量（85%；95% 置信区间，80%-90%）是问题患者数量（44%；95% 置信区间，37%-50%）的两倍。 40% 的受访者表示，患者从使用互联网中获得了实际的身体益处，而 8% 的受访者表示，身体受到了伤害。患者对互联网的整体体验被评为优秀 1%、良好 29%、一般 62%、较差 9% 或不好
Background: There have been many studies showing the variable quality of Internet health information and it has often been assumed that patients will blindly follow this and frequently come to harm. There have also been reports of problems for doctors and health services following patient Internet use, but their frequency has not been quantified. However, there have been no large, rigorous surveys of the perceptions of Internet-aware doctors about the actual benefits and harms to their patients of using the Internet.Objective: To describe Internet-literate doctors' experiences of their patients' use of the Internet and resulting benefits and problems.Methods: Online survey to a group of 800 Web-using doctors (members of a UK medical Internet service provider, Medix) in September and October 2001.Results: Responses were received from 748 (94%) doctors, including 375 general practitioners (50%). Respondents estimated that 1%-2% of their patients used the Internet for health information in the past month with no regional variation. Over two thirds of the doctors considered Internet health information to be usually (20%) or sometimes (48%) reliable; this was higher in those recently qualified. Twice as many reported patients experiencing benefits (85%; 95% confidence interval, 80%-90%) than problems (44%; 95% confidence interval, 37%-50%) from the Internet. Patients gaining actual physical benefits from Internet use were reported by 40% of respondents, while 8% reported physical harm. Patients' overall experiences with the Internet were judged excellent 1%, good 29%, neutral 62%, poor 9%, or bad