TY - JOUR AU - FitzPatrick, Mary Anne AU - Hess, Alexandra Claudia AU - Sudbury-Riley, Lynn AU - Schulz, Peter Johannes PY - 2019 DA - 2019/11/20 TI -基于决策风格的患者类型学:横断面调查研究JO - J医学互联网Res SP - e15332 VL - 21 IS - 11kw -互联网KW -在线健康信息KW -患者决策KW -患者-从业者互动KW -患者细分KW -患者类型KW -婴儿潮一代KW -患者教育AB -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。结果:分析确定了3种关键的决策风格，作为具有独特决策风格的4个独特且稳定的部分患者的基础:合作者(229/996,23.0%)，自主合作者(385/996,38.7%)，断言合作者(111/996,11.1%)和被动者(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. SN - 1438-8871 UR - //www.mybigtv.com/2019/11/e15332/ UR - https://doi.org/10.2196/15332 UR - http://www.ncbi.nlm.nih.gov/pubmed/31746770 DO - 10.2196/15332 ID - info:doi/10.2196/15332 ER -