J. Med. Internet Res. - Internet use frequency and patient-centered care: measuring patient preferences for participation using the health information wants questionnaire.

Tópicos

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Resumo

CKGROUND: The Internet is bringing fundamental changes to medical practice through improved access to health information and participation in decision making. However, patient preferences for participation in health care vary greatly. Promoting patient-centered health care requires an understanding of the relationship between Internet use and a broader range of preferences for participation than previously measured.OBJECTIVE: To explore (1) whether there is a significant relationship between Internet use frequency and patients' overall preferences for obtaining health information and decision-making autonomy, and (2) whether the relationships between Internet use frequency and information and decision-making preferences differ with respect to different aspects of health conditions.METHODS: The Health Information Wants Questionnaire (HIWQ) was administered to gather data about patients' preferences for the (1) amount of information desired about different aspects of a health condition, and (2) level of decision-making autonomy desired across those same aspects.RESULTS: The study sample included 438 individuals: 226 undergraduates (mean age 20; SD 2.15) and 212 community-dwelling older adults (mean age 72; SD 9.00). A significant difference was found between the younger and older age groups' Internet use frequencies, with the younger age group having significantly more frequent Internet use than the older age group (younger age group mean 5.98, SD 0.33; older age group mean 3.50, SD 2.00; t436=17.42, P<.01). Internet use frequency was positively related to the overall preference rating (=.15, P<.05), suggesting that frequent Internet users preferred significantly more information and decision making than infrequent Internet users. The relationships between Internet use frequency and different types of preferences varied: compared with infrequent Internet users, frequent Internet users preferred more information but less decision making for diagnosis (=.57, P<.01); more information and more decision-making autonomy for laboratory test (=.15, P<.05), complementary and alternative medicine (=.32, P<.01), and self-care (=.15, P<.05); and less information but more decision-making autonomy for the psychosocial (=-.51, P<.01) and health care provider (=-.27, P<.05) aspects. No significant difference was found between frequent and infrequent Internet users in their preferences for treatment information and decision making.CONCLUSIONS: Internet use frequency has a positive relationship with the overall preferences for obtaining health information and decision-making autonomy, but its relationship with different types of preferences varies. These findings have important implications for medical practice.

Resumo Limpo

ckground internet bring fundament chang medic practic improv access health inform particip decis make howev patient prefer particip health care vari great promot patientcent health care requir understand relationship internet use broader rang prefer particip previous measuredobject explor whether signific relationship internet use frequenc patient overal prefer obtain health inform decisionmak autonomi whether relationship internet use frequenc inform decisionmak prefer differ respect differ aspect health conditionsmethod health inform want questionnair hiwq administ gather data patient prefer amount inform desir differ aspect health condit level decisionmak autonomi desir across aspectsresult studi sampl includ individu undergradu mean age sd communitydwel older adult mean age sd signific differ found younger older age group internet use frequenc younger age group signific frequent internet use older age group younger age group mean sd older age group mean sd t p internet use frequenc posit relat overal prefer rate p suggest frequent internet user prefer signific inform decis make infrequ internet user relationship internet use frequenc differ type prefer vari compar infrequ internet user frequent internet user prefer inform less decis make diagnosi p inform decisionmak autonomi laboratori test p complementari altern medicin p selfcar p less inform decisionmak autonomi psychosoci p health care provid p aspect signific differ found frequent infrequ internet user prefer treatment inform decis makingconclus internet use frequenc posit relationship overal prefer obtain health inform decisionmak autonomi relationship differ type prefer vari find import implic medic practic

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