%0期刊文章%@ 1438- 8871% I JMIR出版物%V 20卡塔尔世界杯8强波胆分析% N 8% P e253% T基于信任的互联网健康信息与患者依从性的关系:北京交通大学经济管理学院，北京市海淀区上源村3号，邮编:100044 86 10 5168 3854，陆欣宜，张欣宜，吴润彤，尚文，刘晓普，刘曼璐+rtzhang@bjtu.edu.cn %K基于影响的信任%K基于认知的信任%K互联网健康信息%K患者依从性%K医患关系%K社会信息处理理论%K社会交换理论%K结构方程建模%D 2018 %7 17.08.2018 %9原始论文%J J医学互联网Res %G英语%X背景:互联网已成为获取健康信息的主要手段;然而，基于网络的健康信息质量参差不齐，可能显著影响患者的健康相关行为和决策。根据社会信息加工理论，患者的健康信息寻求行为可能会改变患者对医生的信任。因此，从信任的角度识别网络健康信息与患者依从性之间的关系十分重要。目的:基于社会信息加工理论和社会交换理论的实证研究，探讨网络健康信息的质量和来源对患者依从性的影响。方法:在中国进行一项涉及336名有效参与者的网络调查。本研究包括自变量(网络健康信息质量和信息来源)、2个中介变量(基于认知的信任[CBT]和基于影响的信任[ABT])、1个因变量(患者依从性)和3个控制变量(性别、年龄和工作)。所有变量均使用先前验证过的仪器的多项目量表进行测量，并使用确认因子分析和结构方程建模来检验假设。 Results: The questionnaire response rate was 77.16% (375/486), validity rate was 89.6% (336/375), and reliability and validity were acceptable. We found that the quality and source of internet health information affect patient compliance through the mediation of CBT and ABT. In addition, internet health information quality has a stronger influence on patient compliance than the source of information. However, CBT does not have any direct effect on patient compliance, but it directly affects ABT and then indirectly impacts patient compliance. Therefore, the effect of ABT seems stronger than that of CBT. We found an unexpected, nonsignificant relationship between the source of internet health information and ABT. Conclusions: From patients’ perspective, internet health information quality plays a stronger role than its source in impacting their trust in physicians and the consequent compliance with physicians. Therefore, patient compliance can be improved by strengthening the management of internet health information quality. The study findings also suggest that physicians should focus on obtaining health information from health websites, thereby expanding their understanding of patients’ Web-based health-information-seeking preferences, and enriching their knowledge structure to show their specialization and reliability in the communication with patients. In addition, the mutual demonstration of care and respect in the communication between physicians and patients is important in promoting patients’ ABT in their physicians. %M 30120087 %R 10.2196/jmir.9364 %U //www.mybigtv.com/2018/8/e253/ %U https://doi.org/10.2196/jmir.9364 %U http://www.ncbi.nlm.nih.gov/pubmed/30120087