The impact of health in formation on the Internet on the physician-patient relationship - Patient perceptions
The impact of health in formation on the Internet on the physician-patient relationship - Patient perceptions
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DOI：
10.1001/archinte.163.14.1727
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发表时间：
2003-07-28
影响因子：
--
通讯作者：
Turner, R
中科院分区：
文献类型：
--
作者：
Murray, E;Lo, B;Turner, R
背景：使用互联网获取卫生信息的情况持续快速增长，但其对卫生保健的影响尚不清楚。人们关注的问题包括：患者获得大量信息是否会改善他们的健康状况；信息的可变质量是否会产生有害影响；对健康差距的影响；当病人成为更加平等的伙伴时，医患关系是否会得到改善，或者如果医生难以适应新的角色，医患关系是否会受到损害。方法：对健康状况不佳的美国公众进行具有全国代表性的电话抽样调查。结果：在3209名受访者中，31%的人在过去12个月中曾在互联网上查找过健康信息，16%的人发现过与自己相关的健康信息，8%的人曾从互联网上获取信息给他们的医生。在互联网上寻找信息显示出强烈的数字鸿沟；然而，一旦找到了信息，社会经济因素并不能预测其他结果。大多数（71%）向医生咨询信息的人希望得到医生的意见，而不是具体的干预。只要医生有足够的沟通技巧，并且不被病人带来的信息所挑战，向医生提供信息对医患关系的影响可能是积极的。结论：为了使互联网上的卫生信息发挥其作为促进公平和患者福祉的力量的潜力，需要采取行动克服数字鸿沟；协助市民发展搜寻及评估技能；并确保医生有足够的沟通技巧。
Background: Use of the Internet for health information continues to grow rapidly, but its impact on health care is unclear. Concerns include whether patients' access to large volumes of information will improve their health; whether the variable quality of the information will have a deleterious effect; the effect on health disparities; and whether the physician-patient relationship will be improved as patients become more equal partners, or be damaged if physicians have difficulty adjusting to a new role.Methods: Telephone survey of nationally representative sample of the American public, with oversample of people in poor health.Results: Of the 3209 respondents, 31% had looked for health information on the Internet in the past 12 months, 16% had found health information relevant to themselves and 8% had taken information from the Internet to their physician. Looking for information on the Internet showed a strong digital divide; however, once information had been looked for, socioeconomic factors did not predict other outcomes. Most (71%) people who took information to the physician wanted the physician's opinion, rather than a specific intervention. The effect of taking information to the physician on the physician-patient relationship was likely to be positive as long as the physician had adequate communication skills, and did not appear challenged by the patient bringing in information.Conclusions: For health information on the Internet to achieve its potential as a force for equity and patient wellbeing, actions are required to overcome the digital divide; assist the public in developing searching and appraisal skills; and ensure physicians have adequate communication skills.