The effect of Dr Google on doctor-patient encounters in primary care: a quantitative, observational, cross-sectional study.
The effect of Dr Google on doctor-patient encounters in primary care: a quantitative, observational, cross-sectional study.
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DOI：
10.3399/bjgpopen17x100833
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发表时间：
2017-05-17
期刊：
影响因子：
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通讯作者：
Schoenmakers, Birgitte
中科院分区：
文献类型：
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作者：
Van Riel, Noor;Auwerx, Koen;Schoenmakers, Birgitte
背景：三分之二的患者在健康咨询前上网搜索。目的：探讨在就诊前搜索在线健康信息如何影响患者在会诊期间的行为。设计与背景：对18-75岁使用互联网的患者进行定量、观察性和横断面研究。方法：通过社交媒体招募患者进行定量研究。接下来是一项对全科医生的定性研究，他们在焦点小组中接受了询问。解决了两个问题：在线搜索健康信息对患者行为的影响是什么？全科医生如何处理这些信息？结果：近一半的应答者（共963人）在网络信息搜索后经常去看医生，但三分之二的应答者对网络信息搜索不放心。超过一半的应答者在网上搜索后对他们的全科医生更有信心。年龄越大的应答者，他们在互联网搜索后去看医生的次数越多，年龄越小的应答者，他们越担心。人们越频繁地在网上查询具体的投诉，他们就越有可能得到安慰。讨论：患者通常在网上搜索后与他们的全科医生预约。新症状很少被注意到，而且这种搜索通常不会导致患者不信任他们的全科医生。大多数全科医生描述了在线搜索行为对咨询的积极影响。结论：互联网搜索健康信息的新兴应用，通常被称为“Dr b谷歌”，并不被全科医生视为威胁，而且可以更好地相互了解症状和诊断。
BACKGROUND: Two-thirds of all patients search the internet prior to a health consultation.AIM: To explore how searching for online health information before visiting a doctor influences patients' behaviour during the consultation.DESIGN & SETTING: A quantitative, observational, and cross-sectional study of 18-75-year-old patients who used the internet.METHOD: Patients were recruited by social media for the quantitative study. This was followed by a qualitiative study of GPs who were questioned in focus groups. Two questions were addressed: What is the effect of searching online health information on the behaviour of the patients? How does the GP handle this information?RESULTS: Almost half of all responders (total n = 963) usually went to the doctor after the online information search but two-thirds were not reassured by the internet search. More than half of responders had more confidence in their GP after searching online. The older the responders, the more they went to the doctor after their internet search and the younger the responders, the more they were worried. The more frequently people consulted the internet for specific complaints, the more likely they reported reassurance.DISCUSSION: Patients usually made an appointment with their GP after the internet search. New symptoms are rarely noticed and the search usually did not lead patients to distrust their GP. The majority of GPs described positive effects of the online search behaviour on the consultation.CONCLUSION: The emerging use of the internet for searching health information, commonly referred to as 'Dr Google', is not seen as a threat by GPs and leads to a better mutual understanding of symptoms and diagnosis.