患者对卫生系统的信任,互联网信息搜索以及患者与医疗服务提供者的关系
Arch G Mainous1,2, Rachel Liu-Galvin2, Barbara Durden1
1Department of Community Health and Family Medicine, University of Florida, Gainesville, FL, United States.
Frontiers in medicine
|December 8, 2025
概括
对医疗保健系统信心低的患者在与提供者讨论互联网健康信息时可能会经历更糟糕的互动. 这凸显了信任对于有效的患者提供者沟通和优质护理的重要性.
科学领域:
- 医疗保健的沟通 医疗保健的沟通
- 患者信任患者的信任.
- 医疗信息学 医疗信息学
背景情况:
- 一个积极的患者-提供者关系是提供高质量的医疗保健的基础.
- 了解影响这种关系的因素,如患者的信任和互联网信息使用,至关重要.
研究的目的:
- 调查患者对医疗保健系统的信任,他们对互联网健康信息的使用以及患者与提供者互动的质量之间的联系.
- 为了确定是否低信任加剧了在线健康信息讨论时的负面患者-提供者沟通.
主要方法:
- 美国全国代表性的健康信息国家趋势调查 (HINTS 7-2024) 分析来自成年患者的数据.
- 基于对互联网健康信息的讨论,评估患者与提供者关系质量,包括提供者开放性,尊重和互动结果.
- 测量患者自己报告的对医疗保健系统的信任水平.
主要成果:
- 与高度信任患者相比,对医疗保健系统信任度低的患者 (17%) 在讨论互联网健康信息时报告负面的患者提供者互动的可能性明显高 (3%,p <0.01).
- 后勤回归分析表明,医疗保健系统的低信任与这些讨论期间负面相互作用的可能性增加了6.76倍 (95% CI 2.35,19.44).
结论:
- 患者对医疗保健系统的信任度较低是患者与医疗保健提供者关系不足的重要风险因素,特别是在讨论在线发现的健康信息时.
- 解决患者信任问题对于促进建设性对话和维持患者和医疗保健提供者之间的积极关系至关重要.
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