Content of weblogs written by health professionals

Content of weblogs written by health professionals
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DOI:
10.1007/s11606-008-0726-6
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发表时间:
2008-10-01
影响因子:
5.7
通讯作者:
Armstrong, Katrina
Armstrong, Katrina
中科院分区:
医学2区
文献类型:
--
作者:
Lagu, Tara;Kaufman, Elinore J.;Armstrong, Katrina

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背景技术背景:医学博客(“博客”)已经成为卫生专业人员和公众之间的一种新的连接方式。目的:研究医学博客的范围和内容,以及博客作者评论患者、侵犯患者隐私或缺乏专业精神的频率。设计:我们将医学博客定义为包含一些医学内容的博客,显然是由医生或护士撰写的。我们使用Google搜索词“医疗博客”开始一个改进的雪球抽样方法,以确定从2006年1月1日到2006年12月14日发布条目的网站。我们回顾了每个博客五个条目,分类内容和特征。结果:我们确定了271个医学博客。超过一半(56.8%)的博客作者提供了足够的信息,以文字或图像来揭示他们的身份。在114个(42.1%)博客中描述了个体患者。43个博客(15.9%)对患者进行了正面描述,48个博客(17.7%)对患者进行了负面描述。在描述与个别患者互动的博客中,45个(16.6%)包含足够的信息,供患者识别他们的医生或自己。三个博客展示了可识别的患者照片。医疗保健产品的推广,无论是图像或描述,在31(11.4%)blog.CONCLUSIONS:博客是越来越多的一部分,公共面貌的卫生专业。他们为医生和护士提供了分享他们故事的机会。他们还冒着泄露机密信息的风险,或者在他们的语气或内容中,冒着对博客作者及其职业的不良反映。卫生专业人员应该承担一些责任,帮助作者和读者应对这些挑战。
BACKGROUND: Medical weblogs ("blogs") have emerged as a new connection between health professionals and the public.OBJECTIVE: To examine the scope and content of medical blogs and approximate how often blog authors commented about patients, violated patient privacy, or displayed a lack of professionalism.DESIGN: We defined medical blogs as those that contain some medical content and were apparently written by physicians or nurses. We used the Google search term "medical blog" to begin a modified snowball sampling method to identify sites posting entries from 1/1/06 through 12/14/06. We reviewed five entries per blog, categorizing content and characteristics.RESULTS: We identified 271 medical blogs. Over half (56.8%) of blog authors provided sufficient information in text or image to reveal their identities. Individual patients were described in 114 (42.1%) blogs. Patients were portrayed positively in 43 blogs (15.9%) and negatively in 48 blogs (17.7%). Of blogs that described interactions with individual patients, 45 (16.6%) included sufficient information for patients to identify their doctors or themselves. Three blogs showed recognizable photographic images of patients. Healthcare products were promoted, either by images or descriptions, in 31 (11.4%) blogs.CONCLUSIONS: Blogs are a growing part of the public face of the health professions. They offer physicians and nurses the opportunity to share their narratives. They also risk revealing confidential information or, in their tone or content, risk reflecting poorly on the blog authors and their professions. The health professions should assume some responsibility for helping authors and readers negotiate these challenges.