TY -的AU -琼斯,英里J PY - 2001 DA - 2001/1/31 TI -基于互联网的西地那非处方:2104 -病人系列乔J地中海互联网Res SP - e2六世- 3 - 1千瓦阳痿KW -病史采取千瓦处方药物KW -问卷KW -互联网KW -商务KW -医疗保健质量千瓦副作用KW -西地那非KW -医患关系AB -背景:作为患者获取医疗信息的途径和医患沟通的手段，互联网正变得越来越重要。由于许多患者使用互联网寻求西地那非处方，有关这种新技术的适当使用的问题已经被提了出来。目的:介绍第一个医生设计和指导的基于网络的西地那非处方系统的描述，以及涵盖超过2100例患者接触的数据。方法:回顾性分析从医生设计和指导的万维网(WWW)网站获得的开出西地那非的医疗实践的医疗史和性史的大型病例系列，并与来自中西部内城医疗中心诊所的患者进行比较。我们比较了从1998年6月14日到1999年3月1日在网上寻求西地那非处方的2104名互联网患者与同一时期在医疗中心获得西地那非处方的所有36名患者。比较的结局指标有:病案完整性;所有要求补药的患者的后续回复、互联网网站(站长)收到的任何评论以及临床病历中记录的患者或医生的评论都说明了患者的安全;所有要求补药的患者的后续回复、互联网站点(网站管理员)收到的任何评论以及临床病历中记录的患者或医生的评论都说明了满意度;检查和化验。 Results: Fifty-six percent of Internet requests came from 46 states, and 44% from eight foreign countries. Of 2,104 requests, 2,100 were granted. Three hundred ten patients have requested medication refills: all reported erections sufficient for intercourse and 69% said their satisfaction exceeded all expectations; none were at all dissatisfied. Side effect rates were comparable to those in the literature. Comparison of the medical history obtained from Internet patients with that recorded in clinic patients' charts revealed that the former was far more complete. No clinic patient received any examination or laboratory test specific for erectile dysfunction or its causes. There were no reported deaths or serious complications in either group. Conclusions: Internet-based prescription of sildenafil provides the physician with a complete and very detailed medical and sexual history for 100% of patients without denying any information routinely obtained in a direct patient contact setting. Internet-based practice, which may be expected to require far fewer healthcare resources than traditional settings, rates very high in patient satisfaction among patients requesting a refill; no negative comments were received from all other patients. Overall, these data support the safety and effectiveness of Internet prescribing of selected medications. SN - 1438-8871 UR - //www.mybigtv.com/2001/1/e2/ UR - https://doi.org/10.2196/jmir.3.1.e2 UR - http://www.ncbi.nlm.nih.gov/pubmed/11720944 DO - 10.2196/jmir.3.1.e2 ID - info:doi/10.2196/jmir.3.1.e2 ER -