医師とオンラインの健康情報を探すが,議論しない:eHealthリテラシー・エンパワーメントプロフィールと患者中心のコミュニケーションの横断的調査研究
Qianfeng Lu1, Wen Jiao2, Angela Chang3
1Faculty of Communication, Culture and Society, Università della Svizzera italiana, Lugano, Switzerland.
Journal of medical Internet research
|February 18, 2026
まとめ
患者はしばしばオンラインで健康に関する情報を検索しますが,その結果を医師と共有することを躊躇しています. 患者中心のコミュニケーション (PCC) は,開示を奨励し,患者のプロフィールに関係なくケアを改善し,患者と医師の関係を強化します.
科学分野:
- 健康に関するコミュニケーション
- デジタル・ヘルス デジタル・ヘルス
- 患者のエンパワーメント
背景:
- 患者はますますオンラインで健康情報を探し求めていますが,しばしばこれらの発見を医師に隠しています.
- このコミュニケーションのギャップは,共有された意思決定と最適な患者のケアを妨げています.
- 限定的な研究は,診察中にオンラインの健康情報を患者の開示を調査しています.
研究 の 目的:
- eHealthの識字能力と心理的健康エンパワーメントに基づいて患者のプロフィールを特定します.
- オンラインでの健康情報検索と医者の開示の違いを分析する.
- 患者中心のコミュニケーション (PCC) が開示に影響を及ぼし,この効果がプロファイルによって異なるかどうかを判断します.
主な方法:
- 2001年 中国人参加者の横断調査.
- K-Meansは,eHealthの識字度およびエンパワーメントスコアを使用して患者のプロフィールを特定するためのクラスター分析を行います.
- 統計分析 (ANOVA,チスクエア,回帰,モデレーション) で,情報行動とPCCの役割について調べます.
主要な成果:
- 4つの異なる患者プロファイルが出現した:効果的な自己管理者,中程度のニーズ依存者,高いニーズ,危険な自己管理者.
- "効果的な自己管理者"は,最も高い情報探求と開示の意図と率を示しました.
- 患者中心のコミュニケーション (PCC) は,患者のプロファイルに関係なく,実際の開示と正に相関しています.
結論:
- 統合されたeHealthリテラシーとエンパワーメントは,ユニークな情報行動を持つ患者プロフィールを定義します.
- PCCは,オンラインでの健康情報の患者への開示を容易にする上で極めて重要です.
- 医師はPCCを採用し,より安全な情報の利用を促進し,患者と医師の関係を強化する必要があります.
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