当病人去"谷歌博士"之前,他们去急诊室
Michael A Grasso1, Alexandra Rogalski1, Naveed Farrukh2
1University of Maryland School of Medicine, Baltimore, Maryland.
AMIA ... Annual Symposium proceedings. AMIA Symposium
|February 23, 2026
概括
在急诊室 (ED) 参观之前,成年人在网上寻找健康信息时,经常会发现不准确的内容. 这可能导致ED护理的改变,寻找者接受的测试和药物减少.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 医疗信息学 医疗信息学
- 患者行为 患者行为
背景情况:
- 很大一部分成年人在访问急诊室 (ED) 之前就在互联网上查询健康信息.
- 在这些在线搜索过程中,人们会遇到不准确的健康信息的高流行率.
- 了解ED前互联网健康搜索对患者护理的影响至关重要.
研究的目的:
- 调查在线健康信息搜索如何影响急诊室患者的护理.
- 确定在线搜索健康信息的患者与未在线搜索健康信息的患者之间的ED护理交付差异.
主要方法:
- 采用观察性研究设计,分析了12个月的ED访问数据.
- 对214名患者进行了一项关于他们ED前互联网使用情况的调查.
- 收集和分析了人口统计数据,并发症,患者敏度,医疗订单,处方和患者情绪.
主要成果:
- 在ED访问之前在网上搜索健康信息的患者通常更年轻,更健康,更受过教育.
- 与非搜索者相比,在线搜索的人不太可能接受实验室测试 (RR 0.78),成像 (RR 0.75) 和药物 (RR 0.67).
- 寻找者更有可能违背医疗建议离开 (RR 1.67) 和接受阿片类药物处方 (RR 1.56).
结论:
- 不准确的在线健康信息可能会培养不匹配的患者期望,可能会影响急诊室的护理.
- 在ED前的互联网搜索似乎与ED护理模式的改变有关,包括诊断工作减少和阿片类药物处方增加.
- 需要进一步的研究来探索在线健康信息,患者期望和ED临床决策之间的复杂相互作用.
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