@Article{信息:doi 10.2196 / / jmir。9326，作者="El Sherif, Reem and Pluye, Pierre and Tho{\"e}r, Christine and Rodriguez, Charo"，标题="减少在线消费者健康信息的负面结果:与临床医生、图书馆员和消费者的定性解释研究"，期刊="J Med Internet Res"，年="2018"，月="5"，日="04"，卷="20"，数="5"，页="e169"，关键词="消费者健康信息;互联网;——关系;背景:一般人群对互联网和信息可获取性的使用呈指数级增长;目前对在线消费者健康信息(OCHI)的需求是前所未有的。关于互联网接入和使用、信息质量和信息需求有多项研究。然而，很少有研究详细或从不同角度探讨OCHI的不良后果，也没有研究如何减少这些不良后果。目的:本研究的目的是描述与初级保健中使用OCHI相关的负面结果，并从消费者、卫生从业人员和卫生图书馆员的角度确定潜在的预防策略。方法:这包括一个两阶段的解释定性研究。 In the first stage, we recruited through a social media survey, a purposeful sample of 19 OCHI users who had experienced negative outcomes associated with OCHI. We conducted semistructured interviews and performed a deductive-inductive thematic analysis. The results also informed the creation of vignettes that were used in the next stage. In the second stage, we interviewed a convenient sample of 10 key informants: 7 health practitioners (3 family physicians, 2 nurses, and 2 pharmacists) and 3 health librarians. With the support of the vignettes, we asked participants to elaborate on (1) their experience with patients who have used OCHI and experienced negative outcomes and (2) what strategies they suggest to reduce these outcomes. We performed a deductive-inductive thematic analysis. Results: We found that negative outcomes of OCHI may occur at three levels: internal (such as increased worrying), interpersonal (such as a tension in the patient-clinician relationship), and service-related (such as postponing a clinical encounter). Participants also proposed three types of strategies to reduce the occurrence of these negative outcomes, namely, providing consumers with reliable OCHI, educating consumers on how to assess OCHI websites, and helping consumers present and discuss the OCHI they find with a health professional in their social network or a librarian for instance. Conclusions: We examined negative outcomes associated with using OCHI from five complementary perspectives (consumers, family physicians, pharmacists, nurses, and health librarians). We identified a construct of OCHI use--related tension that included and framed all negative outcomes. This construct has three dimensions (three interdependent levels): internal, interpersonal, and service-related tensions. Future research can focus on the implementation and effectiveness of the proposed strategies, which might contribute to reducing these tensions. ", issn="1438-8871", doi="10.2196/jmir.9326", url="//www.mybigtv.com/2018/5/e169/", url="https://doi.org/10.2196/jmir.9326", url="http://www.ncbi.nlm.nih.gov/pubmed/29728350" }