RESUMO
Justificación: Los trabajos sobre e-salud y e-paciente se han desarrollado exponencialmente.Resultados: Se presentan preguntas frecuentes sobre cómo afecta internet a la relación entre médicos y pacientes junto con respuestas basadas en resultados de estudios empíricos.Conclusiones: Es previsible un incremento aun mayor del uso de internet como fuente de información sobre salud. Internet puede ser un aliado para que el paciente acceda a información fiable y su dinamismo puede aprovecharse para favorecer la autonomía del paciente(AU)
Background: Articles on e-health and e-patients have been increased exponentially.Results: Frequently asked questions (FAQs) are presented on how the Internet affects relationships between doctors and patients, along with the answers based on the results of empirical studies.Conclusions: An even higher use of the Internet is envisaged as a source of health information. The Internet can be an ally so that the patient may access reliable information and advantage can be taken of its dynamism to help the patient achieve autonomy(AU)
Assuntos
Humanos , Masculino , Feminino , Relações Médico-Paciente , Autonomia Pessoal , Internet , Telemedicina/organização & administração , Telemedicina/tendências , Consulta Remota/instrumentação , Consulta Remota/estatística & dados numéricos , Consulta Remota/tendências , Telemedicina/normas , Encaminhamento e Consulta/organização & administração , Encaminhamento e Consulta/normas , Encaminhamento e Consulta/tendências , Consulta Remota/organização & administração , Consulta Remota/normas , Consulta RemotaRESUMO
BACKGROUND: Articles on e-health and e-patients have been increased exponentially. RESULTS: Frequently asked questions (FAQs) are presented on how the Internet affects relationships between doctors and patients, along with the answers based on the results of empirical studies. CONCLUSIONS: An even higher use of the Internet is envisaged as a source of health information. The Internet can be an ally so that the patient may access reliable information and advantage can be taken of its dynamism to help the patient achieve autonomy.
Assuntos
Saúde , Internet , Relações Médico-Paciente , Inquéritos e QuestionáriosRESUMO
ObjetivoComparar el uso que hacen de internet médicos de atención primaria (MAP) y hospitalarios (MH) y analizar su percepción de cómo influye en la interacción con los pacientes.DiseñoEstudio observacional y descriptivo basado en encuesta.Emplazamiento7 hospitales y 8 áreas de salud del Sistema Público de Salud de las provincias de Alicante, Madrid, Zaragoza y Huesca.Participantes685 médicos (MAP, 49,3%; varones, 55,9%; media de edad, 43,2 años).Mediciones principalesCómo y para qué se recurre a internet en actividad profesional, ventajas/inconvenientes de internet para la relación con el paciente.ResultadosLos MH dedican más tiempo a internet (p<0,001), aprovechan más los recursos en la formación de residentes (p<0,001) y colaboran más con sitios web específicos (p=0,02). MAP y MH coinciden en qué supone internet en la interacción con los pacientes. Sólo a un 14% de los médicos sus pacientes no les han preguntado alguna vez sobre información leída en internet. El 27,6% recomienda sitios web a sus pacientes. Para un 30,8% de los médicos, internet complica su relación con los pacientes. La principal ventaja (42,2%) es que ayuda a conocer la enfermedad; sólo el 20,5% afirma que incrementa la autonomía del paciente. Para un 30,9% mina la credibilidad del médico.ConclusionesLos MH hacen un uso de internet más intenso. Unos y otros opinan igual sobre las ventajas de los recursos de la red para la relación con los pacientes(AU)
Objective: To compare Internet use among physicians working in primary health care and hospitals and their perception of the influence this has on patient-doctor relation ships.Design: Observational descriptive study based on survey.Setting: 7 public hospitals (H) and 8 primary health care centres (PH) from Alicante, Madrid, Saragossa and Huesca.Participants: 685 physicians. 49.3% PH, 55.9% male, meanage: 43.2 years.Main items: How and for what is the Internet used on duty, advantage sand disadvantages of Internet for medical-patient relation ships.Results: Hospital MDs spend more time on the Internet (po0.001), take more advantage of education resources(po0.001) and collaborate more frequently with specific web sites(p ¼ 0.02). Both groups agree that the Internet leads to interaction with patients. Only 14% of the MDs had not received any questions regarding Internet information; 27.6% recommend web sites to their patients; 30.8% considered that Internet use complicates medicalpatient relation ships. Its main advantage (42.2%) is support in getting to know the disease; 20.5% considers that it improves patient autonomy; 30.9% thinks that itundermines physician credibility.Conclusions: Hospital MDs use the Internet more intensively. Both group shave the same opinion on the advantage sof the Webre sources for medical-patient relation ships(AU)
Assuntos
Humanos , Internet , Atenção Primária à Saúde/tendências , Relações Médico-Paciente , Acesso à Informação , Pesquisas sobre Atenção à SaúdeRESUMO
OBJECTIVE: To compare Internet use among physicians working in primary health care and hospitals and their perception of the influence this has on patient-doctor relationships. DESIGN: Observational descriptive study based on survey. SETTING: 7 public hospitals (H) and 8 primary health care centres (PH) from Alicante, Madrid, Saragossa and Huesca. PARTICIPANTS: 685 physicians. 49.3% PH, 55.9% male, mean age: 43.2 years. MAIN ITEMS: How and for what is the Internet used on duty, advantages and disadvantages of Internet for medical-patient relationships. RESULTS: Hospital MDs spend more time on the Internet (p<0.001), take more advantage of education resources (p<0.001) and collaborate more frequently with specific web sites (p=0.02). Both groups agree that the Internet leads to interaction with patients. Only 14% of the MDs had not received any questions regarding Internet information; 27.6% recommend websites to their patients; 30.8% considered that Internet use complicates medical-patient relationships. Its main advantage (42.2%) is support in getting to know the disease; 20.5% considers that it improves patient autonomy; 30.9% thinks that it undermines physician credibility. CONCLUSIONS: Hospital MDs use the Internet more intensively. Both groups have the same opinion on the advantages of the Web resources for medical-patient relationships.
