醫師對網路健康資訊之可信度判斷研究

Abstract

隨著網際網路的高度發展與國民健康意識之抬頭，網路已成為社會大眾獲取健康醫療相關資訊的最重要管道之一，而如何正確判斷網路健康資訊可信度之議題也愈形重要。本研究針對專家觀點，邀請十三位各專科主治醫師，採用實驗觀察、問卷調查及訪談等方法，以瞭解醫師對網路健康資訊之需求與評價，並進一步探討網路健康資訊對醫病關係所帶來的影響。此外，本研究也深入探究醫師用以判斷網路健康資訊可信度之準則與線索。 本研究主要結果包括：1.醫師網路健康資訊需求多來自於臨床診治問題，而同儕與領域專家為最常使用之資訊驗證來源；2.網路健康資訊品質良莠不齊，受訪醫師多建議應由國家最高衛生機關主導品質控管；3.網路資訊的來源為受訪醫師認定品質的主要關鍵；4.網路造就新型態病患之產生，網路健康資訊已成為僅次於醫師之另一健康資訊媒介；5.病患健康素養為影響醫病關係之重要指標，病患對健康資訊之認知若愈正確，醫病就更易產生互信；6.健康資訊網站之來源專家度、收錄範圍與網站穩定度為影響醫師判斷網站可信度之主要因素；7.來源專家度為醫師對健康資訊可信度之首要判斷準則，實際判斷時則常以經驗為導向，判斷歷程中所運用之線索則顯得多樣化，資訊來源、內容與醫師本身會不斷進行交互影響。Because of the great advance of Internet and the arising consciousness of public health, Internet has become one of the efficient ways for obtaining health information along with a comprehensive reading. Distinguishing the credibility on receiving health information is therefore of great importance. The main objective of this research is to discuss different opinions based on experts’ viewpoints and the researcher interview thirteen attending physicians who work at various faculties. The experimental observation, survey and interview contribute to a better understanding of physicians’ demand and evaluation on Internet health information. In addition, a further discussion on the influence between Internet and physician-patient relationship is addressed. Particularly, this research also gives a wild survey to investigate what the physicians’ rules and clues toward the credibility of Internet health information are. The main results are as following. First, the questions of the clinical diagnoses and therapies are physicians’ primary demand of Internet health information, and they usually ask peers and experts to verify the information. Second, because of the uneven quality of the Internet health information, most of the interviewees suggest that the information should be monitored by the government highest health department. Third, the origin of the Internet information is the main key for physicians to identify the quality. Fourth, Internet creates a new kind of patient who considers that the Internet health information is the secondary medium except physicians. Fifth, the health literacy of patient is the main physician-patient relationship indicator. The more correct health knowledge the patient has, the more trust the physician and patient have. Sixth, the level of the expert source, the including scope and the stability of the healthy information websites affect physicians to judge the credibility of websites. Eventually, the level of the expert source for physicians is the most important judgment on the credibility of health information. The physicians often depend on their own experience when they diagnose. During diagnosing, there are many kinds of resources applied, the internet information, the content and the physicians themselves affect each other continually.