%0期刊文章%@ 1438- 8871% I JMIR出版物%V 21卡塔尔世界杯8强波胆分析% N 11% P e15332% T基于决策风格的患者类型学:横断面调查研究%A FitzPatrick,Mary Anne %A Hess,Alexandra Claudia %A Sudbury-Riley,Lynn %A Schulz,Peter Johannes %+管理和营销学院，怀卡托管理学院，怀卡托大学，Hillcrest Rd, Hillcrest, Hamilton, 3240，新西兰，64 +64 7 838 4477，maryfitz@waikato.ac.nz %K互联网%K在线健康信息%K患者决策%K患者-医生互动%K患者细分%K患者类型%K婴儿潮一代%K患者教育%D 2019 %7 20.11.2019 %9原始论文%J J医学互联网Res %G英语%X背景:虽然先前的研究表明，在线健康信息对患者-医生决策的影响存在广泛差异，但需要进行具体研究，以确定和概念化与使用在线健康信息相关的患者决策风格，并根据在线信息对患者决策的影响以及与卫生专业人员的互动来区分细分领域。目的:本研究旨在调查患者在在线健康信息和与医疗保健从业者互动方面的决策。我们还旨在根据患者在决策方面的显著差异，提出患者的类型学。方法:我们采用了大规模的横断面研究设计。数据是从英国、美国和新西兰婴儿潮一代的随机样本中收集的，问卷由专门提供在线小组的公司管理。总样本包括1946年至1964年出生的996名婴儿潮一代，他们在过去6个月内使用互联网搜索和分享与健康有关的信息。数据分析采用层次聚类分析、验证性因子分析、单因素方差分析、卡方检验和配对样本t检验。 Results: Analyses identified 3 key decision-making styles that served as the base for 4 unique and stable segments of patients with distinctive decision-making styles: the Collaborators (229/996, 23.0%), the Autonomous-Collaborators (385/996, 38.7%), the Assertive-Collaborators (111/996, 11.1%), and the Passives (271/996, 27.2%). Profiles were further developed for these segments according to key differences in the online health information behavior, demographics, and interactional behaviors of patients. The typology demonstrates that collaborative decision making is dominant among patients either in its pure form or in combination with autonomous or assertive decision making. In other words, most patients (725/996, 72.8%) show significant collaboration in their decision making with health care professionals. However, at times, patients in the combination Autonomous-Collaborative segment prefer to exercise individual autonomy in their decision making, and those in the combination Assertive-Collaborative segment prefer to be assertive with health professionals. Finally, this study shows that a substantial number of patients adopt a distinctly passive decision-making style (271/996, 27.2%). Conclusions: The patient typology provides a framework for distinguishing practice-relevant and addressable segments with important implications for health care practitioners, including better-targeted communication programs for patients and more successful outcomes for health care services in the long term. %M 31746770 %R 10.2196/15332 %U //www.mybigtv.com/2019/11/e15332/ %U https://doi.org/10.2196/15332 %U http://www.ncbi.nlm.nih.gov/pubmed/31746770