Googling for a diagnosis—use of Google as a diagnostic aid: internet based study

Tang, Hangwi; Ng, Jennifer

doi:10.1136/bmj.39003.640567.ae

Cited by 326 publications

(216 citation statements)

References 9 publications

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“…While depression was also not related to correspondence, one important psychological factor worth testing in future studies is heightened illness concern given its relationship to nonspecific arm pain [16]. Also, little is known about patient's comorbidity in relation to the ability to find the corresponding diagnosis.…”

Section: Discussionmentioning

confidence: 91%

Internet Self-Diagnosis in Hand Surgery

Hageman

Anderson

Blok

et al. 2014

Hand (New York, N,Y.)

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Background Some Internet sites have programs that attempt to help patients find their diagnosis based on symptoms. This study tested the null hypothesis that there are no factors associated with correspondence between online diagnosis and the hand surgeon's diagnosis in an outpatient hand and upper extremity surgeons' office. Methods Eighty-six outpatients were prospectively enrolled and used WebMD® symptom checker to guess their diagnosis. We collected demographic information, hours spent on the Internet per week, and the following questionnaires: Pain Catastrophizing Scale (PCS) and Center of Epidemiologic Studies Depression scale (C-ESD).Results Thirty-three percent of online diagnoses matched the final diagnosis of the hand surgeon. Factors associated with an online diagnosis corresponding to the hand surgeon's diagnosis included sex (women) and patients who studied their symptoms online prior to the visit. The best multivariable model included sex, more years of education, and prior use of the Internet to research their medical condition and explained 15 % of the variation in correspondence of diagnosis.Conclusions The majority of online diagnoses for hand and upper extremity conditions do not correspond with the diagnosis of the treating hand surgeon. Psychological factors do not influence the correspondence of online diagnosis with the hand surgeon's diagnosis.Level of Evidence: Prognostic, level II

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Section: Discussionmentioning

confidence: 91%

Internet Self-Diagnosis in Hand Surgery

Hageman

Anderson

Blok

et al. 2014

Hand (New York, N,Y.)

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“…Usually the main point of entry is the Google search home page (Siempos et al, 2008). From there, they dive into specialized websites and blogs (Russ et al, 2003;Tang & Ng, 2006). It is estimated that half of the patients coming to the doctor's office now bring information from the Internet.…”

Section: The Doctor-patient Relationship and Information Access In Thmentioning

confidence: 99%

The Implications of Internet Use in the Doctor–Patient Relationship: A Case Study in A Hospital in the City of São Paulo - Brazil

Oliveira

2013

RGSS

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RESUMOQue a medicina mudou muito nas últimas décadas não é nenhuma novidade, a questão é que os pacientes também mudaram. Mediante o comportamento desse novo perfil de paciente, em que o uso da tecnologia passa a ser muito presente em suas rotinas, surge um renovado modelo na relação médico-paciente. Sendo assim, este artigo pretende identificar e analisar os impactos do uso das TI, principalmente no uso da internet, nas relações humanas entre pacientes e médicos. Cada uma das 10 clínicas da população estudada recebeu 20 questionários (pré-testados) para distribuição em uma amostra de conveniência. Observou-se que a internet é uma fonte importante para conhecimentos sobre a saúde nas relações de médicos e pacientes. Tais descobertas indicam uma mudança no papel do paciente, de um recipiente passivo da assistência para um consumidor ativo de informações sobre saúde, e isso tem o potencial de promover um engajamento maior na manutenção e cuidado da saúde. Palavras-chave:Tecnologia da Informação; Relacionamento Humano; Serviço; Saúde; Médico-Paciente. THE IMPLICATIONS OF INTERNET USE IN THE DOCTOR-PATIENT RELATIONSHIP: A CASE STUDY IN A HOSPITAL IN THE CITY OF SÃO PAULO - BRAZIL ABSTRACTThe aim of this qualitative study was to investigate the influence of the Internet on the patientphysician relationship as perceived by physicians. We used a self-administered questionnaire about physician perception on the use of the Internet by patients and about whether that use interferes with the doctor-patient relationship. Of 116 physicians responding, 85.3% reported that their patients accessed the Internet and that 92% used that information in a following visit. When a patient seeks information on the Internet, the medical visit takes longer, according to 46.6% of the respondents, and 42.2% stated that patients brought information that was not known by the doctors themselves. Overall, 56.9% of the physicians thought that the Internet helped the doctor-patient relationship, 27.6% thought it interfered with the relationship, and 15.5% believed that the Internet had a negative impact.

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“…La información ya no fluye, como se comentaba antes, de arriba hacia abajo, sino que tiene un curso bidireccional. Varios autores han apuntado el poder de Google en la práctica clínica, sugiriendo que puede proporcionar un diagnóstico correcto en más del 50% de los casos clinicopatológi-cos que publica periódicamente The New England Journal of Medicine [41]. De hecho, en la actualidad, hay más búsquedas científicas que se inician con Google que con PubMed [42].…”

Section: Democratización Del Conocimiento Y Cambios Tecnológicosunclassified

Proceso de Bolonia (V): el currículo oculto

Castro

2012

Educ. méd.

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Googling for a diagnosis—use of Google as a diagnostic aid: internet based study

Cited by 326 publications

References 9 publications

Internet Self-Diagnosis in Hand Surgery

Internet Self-Diagnosis in Hand Surgery

The Implications of Internet Use in the Doctor–Patient Relationship: A Case Study in A Hospital in the City of São Paulo - Brazil

Proceso de Bolonia (V): el currículo oculto

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