医生准备好为病人提供基于互联网的健康信息了吗?%A Ahmad,Farah %A Hudak,Pamela L %A Bercovitz,Kim %A Hollenberg,Elisa %A Levinson,Wendy %+市中心健康研究中心，圣迈克尔医院，30 Bond Street, Toronto, on M5B 1W8, Canada， +1 416 864 6060 ext 3310, ahmadf@smh.toronto.on.ca %K互联网%K健康信息%K咨询%K医患沟通%K Qualitative %K Focus group %D 2006 %7 29.9.2006 %9原文%J J Med Internet Res %G English %X越来越多的患者将基于互联网的健康信息带到医疗咨询中。然而，关于医生如何体验、管理和观察这些病人，人们知之甚少。目的:本研究旨在从医师的角度，运用质性方法，增进对将网路健康资讯纳入日常医疗会诊的效果的了解。方法:对多伦多执业的48名家庭医生进行6组调查。数据分析采用定性方法的内容分析和不断比较，导出扎根理论的方法。结果:确定了三个主要主题:(1)患者的感知反应，(2)医生负担，(3)医生对信息的解释和情境化。在我们的研究中，医生普遍认为，当病人在医疗咨询中介绍基于互联网的健康信息时，这些信息是有问题的。他们认为，互联网信息经常会给患者带来错误信息，导致困惑、痛苦或倾向于有害的自我诊断和/或自我治疗。 Physicians felt these influences added a new interpretive role to their clinical responsibilities. Although most of the physicians felt obliged to carry out this new responsibility, the additional role was often unwelcome. Despite identifying various reactions of patients to Internet-based health information, physicians in our study were unprepared to handle these patients. Conclusion: Effective initiatives at the level of the health care system are needed. The potential of Internet-based health information to lead to better physician-patient communication and patient outcomes could be facilitated by promoting physician acknowledgment of increasing use of the Internet among patients and by developing patient management guidelines and incentives for physicians. %R 10.2196/jmir.8.3.e22 %U //www.mybigtv.com/2006/3/e22/ %U https://doi.org/10.2196/jmir.8.3.e22

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