Medical text-based consultations on the Internet: A 4-year study

Umefjord, Göran; Sandström, Herbert; Malker, Hans; Petersson, Göran

doi:10.1016/j.ijmedinf.2007.01.009

Cited by 46 publications

(46 citation statements)

References 28 publications

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“…This study also highlights the importance to users of having questions answered when needed [35]. In a recent study of question and answer services in primary care, the ability to make contact regardless of time and place, and the possibility of formulating questions in an undisturbed manner were important to patients.…”

Section: Discussionmentioning

confidence: 77%

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Young Patients’ Views on the Open Web 2.0 Childhood Diabetes Patient Portal: A Qualitative Study

Nordfeldt

Berterö

2012

Future Internet

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Abstract:Little is known about the views of young patients themselves on interactive Web portal services provided by pediatric practitioners. We aimed to explore their perceptions of a real-world diabetes portal that offers facts and contact with peers and practitioners; e.g., discussion forums, blog tools, self-care and treatment information, research updates and news from local practitioners. Twelve young patients (ages 12-21, median 15 years), one boyfriend, 7 mothers and one father each wrote an essay on their experience from use of the portal. Their essays underwent qualitative content analysis. A major theme was "Helping and facilitating daily life with diabetes", the portal was perceived as a place where contents are interesting, inspiring and may trigger users' curiosity. There were three subthemes; "Ease of use in my everyday life," which includes the perception that the portal was perceived as smooth and easy to enter and navigate whenever needed; that information was easy to understand for different groups of users. "Support via an exchange of experience," includes the ability to contact peers being regarded advantageous. Some said that just reading others' experiences can be helpful in terms of persevering; children could find peers in the same age group. "Evidence based information," includes the perception of the portal being a useful and trustworthy source of facts on e.g., physical activity, blood glucose, medical devices, emotional wellbeing, food and nutrition, and other aspects that impact living with OPEN ACCESSFuture Internet 2012, 4 515 diabetes. Young users expressed positive perceptions towards the interactive web portal. Such services seem to have great potential for supporting young patients and significant others -intergrading for confidence.

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Section: Discussionmentioning

confidence: 77%

“…There is a continuous need to improve the channels for dialogue and questions between patients and practitioners [14,35]. The design used in the present study does not capture the views or characteristics of non-users.…”

Section: Future Researchmentioning

confidence: 99%

Young Patients’ Views on the Open Web 2.0 Childhood Diabetes Patient Portal: A Qualitative Study

Nordfeldt

Berterö

2012

Future Internet

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“…30 As technology improves and smartphone use becomes ubiquitous, patients are now seeking remote care for other reasons, including 24/7 access and convenience. [15][16][17][18] This is evidenced by widespread adoption of online patient portals. 9,10,31 In light of these changes in how healthcare is delivered, some surgeons have begun to re-consider the essential elements of perioperative care and to re-define how care is delivered.…”

Section: Discussionmentioning

confidence: 99%

“…8,[10][11][12][13][14] An added benefit of online portals is asynchronous communication between patients and care teams, enabling patients and providers to address health care needs at times and locations that are convenient for them. [15][16][17][18] Patients and providers are also realizing the benefits of sharing digital images asynchronously using electronic transmission. Classically known as "store-and-forward" telemedicine, this approach has been used successfully to provide clinical assessments and follow-up care in dermatology, plastic surgery, and burn care.…”

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confidence: 99%

Postoperative care using a secure online patient portal: changing the (inter) face of general surgery

Kummerow

Oyefule

Phillips

et al. 2015

Journal of the American College of Surgeons

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“…One advantage of online consultation is anonymity-delicate issues can be addressed more comfortably [14,19]. It is not clear whether online medical advice can substitute for or just complement in-person medical consultation [10,21].…”

Section: Introductionmentioning

confidence: 99%

When Do Patients With Hand Illness Seek Online Health Consultations and What Do They Ask?

Briët

Hageman

Blok

et al. 2014

Clinical Orthopaedics &Amp; Related Research

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Background Several websites allow people to post health questions and get answers from doctors. Knowing more about what patients seek from these websites might help inoffice educational efforts, but little is known about what occurs on these sites. Questions/purposes This study addressed whether patients seeking advice online already have seen a physician, the type of questions asked, if they are dissatisfied with their doctor, the characteristics of the physicians who respond, and the content of their answers. This study documents the circumstances and content of questions asked about hand illness, the characteristics of the physician responders, and their responses. Methods One hundred thirty-one hand surgery-related questions from an online health consultation website were reviewed retrospectively. The timing of and reason for the consultation, the content of the questions, the specialty of physician responder, and the content of the responses were recorded. Results Sixty patients (46%) were seeking information before seeing a doctor, 21 (16%) after a medical encounter, and 19 (15%) after hand surgery. With increasing contact with providers, patient queries transitioned from diagnosis, to treatment, to prognosis, and potential complications. Patients who had seen a doctor often expressed dissatisfaction (16 of 37 patients [43%]) as did those who had hand surgery (seven of 26 patients [27%]). Between one and eight doctors (average, two) answered each query. Most of the answering physicians were hand surgeons. The information they provided predominantly addressed diagnosis. Conclusions Online consultations are most common among patients who have not seen a doctor, but also reflect uncertainty and dissatisfaction after seeing a doctor. Although online health consultations might support patients' quest for information and understanding, and the potential for multiple answers from different doctors creates the possibility for increased balance and breadth of opinions, the quality of the information and cost-effectiveness of this approach are uncertain and need to be evaluated carefully in future studies.

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Medical text-based consultations on the Internet: A 4-year study

Cited by 46 publications

References 28 publications

Young Patients’ Views on the Open Web 2.0 Childhood Diabetes Patient Portal: A Qualitative Study

Young Patients’ Views on the Open Web 2.0 Childhood Diabetes Patient Portal: A Qualitative Study

Postoperative care using a secure online patient portal: changing the (inter) face of general surgery

When Do Patients With Hand Illness Seek Online Health Consultations and What Do They Ask?

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